Hospice - Hospital Social Worker

Overview

The Hospice Transitions Social Worker approaches the hospice discharge planning process with a patient-centered approach during a time when curative measures no longer add quality-of-life. The Hospice Transitions SW is responsible for evaluating and establishing a plan of care for Memorial Medical Center patients referred for hospice services. This includes detailed coordination between providers, agencies, colleagues, the patient, and the family.

The Hospice Transitions SW assesses the needs of the patients and provides counseling to patients and their families while coordinating the transition to hospice and promoting continuity of care. Embodies the Memorial Health System Performance Excellence Standards of Safety, Quality, Integrity and Stewardship that support our mission, vision and values.

Salary: USD $27.52/Hr. – USD $42.65/Hr.

Location:

Springfield, IL

Please note this position is ONSITE 5 days per week Mon - Fri from 7:30am - 4pm and has no on call responsibility.

Minimum Qualifications:

• Education
  Master’s degree of Social Work from a school of social work accredited by the Council on Social Work Education.
• Licensure/Certification/Registry
  Illinois Licensed Social Worker required (for Advanced Care Management, required within six months of hire date).
• Experience
  Experience working with adults across the life span presenting with chronic or serious illness; experience identifying and coordinating the needs of chronically ill patients and families as well as supporting the care team; understanding of psychosocial implications of illness, hospice and/or home care death and dying issues; knowledge of local community resources; knowledge and understanding of individual development and human behavior as it relates to the effects of illness and of the influence of culture on healthcare.
• Other Knowledge/Skills/Abilities
  Flexible problem solver who is eager to tackle complex problems and tasks; excellent verbal and written communication skills; ability to solve problems creatively; ability to work across multiple sites of care and multiple members of a care team while managing competing commitments through clear communications; ability to work in a changing and ambiguous environment; self-starter with initiative; experience identifying issues and developing and implementing solutions;
  
  strong oral and written communication skills, planning skills, problem-solving skills, and personal diplomacy skills; high level of motivation, team orientation, professionalism and trustworthiness; excellent PC skills, including Microsoft Office; familiarity with EMR clinical products preferred; valid driver’s license and transportation.

Principal Duties & Responsibilities:

• Embodies the Memorial Health System Performance Excellence Standards of Safety, Quality, Integrity and Stewardship that support our mission, vision and values.
• SAFETY:
  Prevent Harm - put safety first, speak up on matters of patient and colleague safety, and take action to create an environment of zero harm.
• QUALITY:
  Improve Outcomes - continually advance knowledge and skills, seek continuous improvement opportunities, and deliver evidence-based care that leads to excellence in outcomes.
• INTEGRITY:
  Show respect and Compassion - respect others, be honest and ethical, and be accountable for attitude, actions and health.
• STEWARDSHIP:
  Reduce Waste - use resources wisely, coordinate care and services across the health system, and promote healthier communities.
• Upon referral, develop the hospice discharge plan by reviewing the referral information, medical record, and advance directives, collaborating with the appropriate decision maker and appointing a health care surrogate when necessary.
• Meet with patients, families, caregivers, physicians, and ancillary team members to discuss the hospice transition process. Provide overview and education about hospice, including comfort-focused care, hospice philosophy, services, possible discharge options, and financial/insurance coverage.
• Assess psychosocial needs, home situation, and economic constraints; utilize resources as appropriate.
• Assess the relationship of medical needs to home…