About Job
- Conduct psychosocial assessments for patients in assisted living facilities, personal care homes, skilled nursing facilities, and independent living facilities.
- Provide counseling and emotional support to patients and families coping with illness, disability, or end-of-life issues.
- Advocate for patient rights, preferences, and quality-of-life improvements within facility settings.
- Assist patients in adjusting to facility life, addressing concerns about autonomy, relationships, and transitions.
- Educate patients and families on advance care planning, advance directives, and decision-making options.
- Develop and maintain strong working relationships with facility administrators, nurses, and care teams to ensure comprehensive care.
- Work closely with facility social workers, case managers, and discharge planners to coordinate care transitions.
- Attend facility care conferences and interdisciplinary team meetings to discuss patient needs and psychosocial interventions.
- Act as a liaison between patients, families, hospice teams, and facility staff to address psychosocial concerns.
- Assist families in navigating healthcare options, insurance coverage, and long-term care planning.
- Provide guidance on financial resources, Medicaid/Medicare benefits, and community support services.
- Help patients and families access mental health support, grief counseling, and respite care services.
- Develop personalized care plans that address social, emotional, and financial concerns while aligning with the patient's goals.
- Support families in making difficult healthcare decisions, including transitions to higher levels of care.
- Provide crisis intervention and coping strategies for patients facing serious illness, loss, or end-of-life concerns.
- Facilitate support groups and educational sessions for facility staff, residents, and families on topics such as grief, coping, and caregiver stress.
- Advocate for patients' dignity, respect, and comfort in all facility interactions.
- Maintain accurate and timely patient records and documentation according to hospice, facility, and regulatory standards.
- Ensure all interventions align with state and federal regulations for hospice and long-term care settings.
- Comply with HIPAA and patient confidentiality standards when sharing information with facility staff.
- Licensed Master Social Worker (LMSW), with an unrestricted license in the State of Texas.
- Master of Social Work (MSW) degree from a school of social work accredited by the Council on Social Work Education.
- Valid Texas driver’s license, auto liability insurance and safe driving record. (if required for the position)
- Knowledge of hospice federal and state regulations preferred.
- Strong computer skills including knowledge of and experience with Microsoft Office products and experience with electronic medical records (EMR).
- One year experience in a healthcare environment (including volunteer or intern experience).
- Experience in hospice, home-health, or hospital social work preferred.
- Strong interpersonal and communication skills.
- Compassionate and patient-centered approach to emotional support and counseling.
- Ability to navigate complex care situations, advocate for patients, and coordinate resources.
- Adaptability to various care settings, facility policies, and interdisciplinary teams.
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