Social Worker Palliative Care
1 week ago
ABOUT NCH
NCH is an independent, locally governed non-profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations throughout Southwest Florida that offer nationally recognized, quality health care.
NCH is transforming into an Advanced Community Healthcare System(TM) and we’re proud to: Provide higher acuity care and Centers of Excellence; Offer Graduate Medical Education and fellowships; Have endowed chairs; Conduct research and participate in national clinical trials; and partner with other health market leaders, like Hospital for Special Surgery, Encompass, and ProScan.
Join our mission to help everyone live a longer, happier, healthier life. We are committed to care and believe there's always more at NCH - for you and every person we serve together. Visit nchjobs.org to learn more.
JOB SUMMARY
The Social Worker Palliative Care serves as an integral member of the Palliative Care consultation service with expertise related to evaluating psychosocial factors, providing psychotherapeutic interventions and support, transitional care planning, while advocating for a holistic, patient/family centered focus to care planning.
ESSENTIAL DUTIES AND RESPONSIBILITIES
– Other duties may be assigned.
· Performs psychosocial assessment as part of overall Palliative Care team initial consultation. Baseline information is reviewed including primary impairment, active comorbidities, goals of care & prognosis as identified by the medical team—leading to the social work clinical assessment focusing on adjustment to condition/situation, coping skills, behavioral health, results derived from psychological testing/consultation, barriers, strengths, family/social support, spirituality, cultural factors, and transitional care planning. Develops a social work care plan as part of the overall Palliative Care team’s Plan of Care, including prioritization of patient/family needs, follow ups, and frequency of anticipated interactions with patient/family.
· Guides the team related to state statutes related to surrogacy. Ensures care coordination is with appropriate parties. Advocates for the patient/family within the healthcare arena, as well as community based providers to meet needs.
· Provides psychosocial support to patients and their extended support systems, including expertise with crisis intervention, bioethical concerns, adjustment to condition, psychotherapeutic interventions, counseling, education, advanced care planning, end of life, anticipatory grief and bereavement interventions.
· Facilitates transitional care planning for patients to include timely access to both supportive programming during the hospital stay, as well as community resources that promote sustainable and desired support. Stays current with knowledge of community-based providers, payer alliances, and specialty niche providers. Coordinates with acute care case managers, unit staff, and medical staff members in promoting continuity of care.
· Ensures timely documentation within the medical record to optimize care coordination. Initial assessment builds on medical findings, and focuses on social work assessment scope, evaluation techniques, assessment tools, findings, and planned interventions. Subsequent chart entries provide updates related to response to care, and community-based provider transitional support.
· Active contributor to the Palliative Care team’s interdisciplinary meetings; is prepared for team rounding forums ensuring psychosocial factors are considered in the prioritization of the consult service resource allocation. Works to ensure that handoff amongst team members promotes continuity and best utilization of team resources.
· Expertise related to guiding patient/family care conferences to ensure a holistic, patient-centered approach in meeting patient/family needs is championed within the context of goals of care. Taps experts/resources to attend care conferences, and/or provide consultation with the patient/family to address specific needs, examples may include clinical dietitian, pharmacist, acute care case manager, etc.
· Supportive Programming—actively involved in defining supportive programming options for patients/families during the hospital stay, as well as post discharge. Stays current with support group offerings within the healthcare system, as well as community-based groups; evaluates opportunities for collaboration with providers, and/or other niche supportive program options.
· Community Outreach--Plays an active role related to business development initiatives, including marketing, relationships with referral sources, community outreach, lectures. Advocates for the specialty, ensures visibility of the service line within the healthcare system, and the community.
EDUCATION, EXPERIENCE AND QUALIFICATIONS
· Minimum of Bachelor’s Degree of Social Work required.
· Master of Social Work preferred, Licensed Clinical Social Worker preferred.
· Minimum of 2 years clinical experience, or Palliative Care intern training.
· Specialized training/certification in Palliative Care, or related area preferred.
· Intermediate computer knowledge: Uses Microsoft Word, Excel, Outlook, and Windows
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