Social Worker MSW

8100 Constitution Pl NEAlbuquerque, NM

Minimum Offer $29.32

Maximum Offer $49.91

The Hospice/Palliative Social Worker MSW-III is responsible for the development, planning, implementation and evaluation of psycho/social interventions for patients followed in the Home Health, Hospice IP/OP, and Palliative programs. This position will be responsible for identifying patients who have complex psycho/social needs, require assistance with eligibility determination for social programs and funding sources and who may qualify for community assistance from a variety of special funds and agencies.

In addition, the Hospice/Palliative Care Social worker operates as the mental health professional of the team. All interventions are aimed at improving Quality of Care/Life and decrease complications and readmissions. The HPSW offers crisis intervention to patients and families with psychosocial needs and coordinates and facilitates the development of a plan of care for all patient populations. This role will receive referrals and consults for patients from at risk populations from interdisciplinary team members, including physicians, Case Managers, staff nurses and other members of the care team, in addition to case findings.

Social work interventions and services may be assigned in person, via phone, and/or via telehealth means.

Type of Opportunity:
Full timeFTE: 1.00

Job Exempt:
No

Work Shift:

Days (United States of America)

• Provides Home Health, Hospice IP/OP, and Palliative Social Work across the outpatient and inpatient settings.
• Based on the referral, consultation or case finding assess patients and family s psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to illness and ability to cope.
• Completes Psychosocial assessment and provides psychosocial interventions.
• As active participant of IDT contributes to and manages the patient plan of care. Provides strengths-based person and family center of care.
• Intervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability, provides psychoeducation.
• Provides supportive counseling to patients / families experiencing and/or anticipating issues to adjusting to illness, catastrophic diagnosis, changes in living situations and bereavement.
• Intervenes with patients demonstrating complicated grief and explores bereavement related to possible death and multiple aspects of loss and adaption along the continuum of care.
• Provide anticipatory guidance.
• Provides non-pharmalogical pain and symptom management, reinforces patient and family personhood and coping as they negotiate complications with chronic illness and end of life.
• Assist Hospice Chaplain with developing plan of care.
• Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system.
  * Facilitates family meetings.
• Participates in discharge planning activities in collaboration with other staff for patients, to ensure a timely discharge and to provide appropriate linkage with post-acute providers.
• Provides clinical guidance and consultation to interdisciplinary primary teams, including social workers, and case managers, prompting continuity of care as well as safe and comprehensive care coordination and discharge planning as indicated.
• Works with families exhibiting complex family dynamics that impact directly on patient care and discharge.
• Educates patient/family and interdisciplinary team regarding post-acute options and addresses issues of choice.
• Actively participates and provides pertinent information in complex rounds…