AvoCare MSW/BSW

Essential Functions:

• Assesses patient/family needs in a timely manner upon receiving patient admission; recognizing the patient’s ability support systems capability and the patients expressed wishes.

• Assesses patient’s environment and financial needs and makes appropriate referrals to identified community resources. ·

• Develops a plan of care in collaboration with physician’s team patient and family to meet identified needs and maximize positive outcomes in a timely manner.

• Actively participates in multidisciplinary team conferences and documents outcomes as needed; assisting the team in understanding the social and emotional factors related to the patient's health problems.

• Maintains documentation in patients record per internal regulatory and professional standards.

• Establishes short and long-term goals and completes them according to the patients plan of care.

• Maintains visit productivity to meet patient needs and team responsibility.

• Monitors observe and evaluate changes and progress in patients’ condition and environment and reports changes progress or lack of progress to physician and/or nurse case manager.

• Involves patient and family/significant other in the plan of care while revising and documenting strategies/intervention to accommodate changing needs and/or barriers.

• Acts as key source in patient situations such as: ineffective patient/family coping and decision-making advance directives long-term or assisted living placement substance abuse abuse/neglect and/or bereavement.

• Demonstrates teambuilding skills. Serves as role model/resource for other team members.

• Assumes responsibility and accountability for individual social work judgments and actions. Identifies strengths/weaknesses in clinical practice and makes necessary adjustments.

• Participates in cost containment measures including utilizing supplies efficiently; accurately recording all charges; executing efficient patient flow; utilizing work time productivity; and identifying actual potential problems. ·

• Communicates with UR coordinator for any authorizations required per insurance requirements. Maintains strict confidentiality of all Carroll Hospice/CHG system matters including patient physician Associate and financial information.

• Appropriately represents the agency at meetings both inside and outside the facility.

• Effectively utilizes proper channels of communication with colleagues physicians patients families visitors and outside contacts to ensure clear concise flow of patient information.

• Assumes responsibility for continuous education and licensure requirements through participation in educational programs, current literature in-services meetings workshops etc.

• Assumes responsibility for professional growth by keeping abreast of changing hospice/home care standards and changing trends in the social work profession and attends and participates in mandatory staff meetings and in-services according to departmental standards.

  Performance Responsibilities:

  Although each position has its own unique duties and responsibilities, the following listing applies to every employee. All employees of the organization:

• Will exercise necessary cost control measures.

• Will strive to maintain positive internal and external customer service relationships.

• Must be able to demonstrate effective leadership skills.

• Must demonstrate effective communication skills by conveying necessary information accurately, listening effectively and asking questions when clarification is needed.

• Must be able to be depended upon to plan and organize work effectively and ensure its completion.

• Must be able to demonstrate reliability by arriving at work on time and taking breaks in expected time frames.

• Will be expected to meet all productivity requirements.

• Must be able to demonstrate team behavior and must be willing to promote a team-oriented environment.

• Is expected to always represent the organization professionally.

• Must be able to demonstrate initiative, strives to continually improve processes and relationships.

License or certification:

• LMSW – Certified Clinical Social Worker

Required education:

• Master's