Social Worker PRN Position

4 weeks ago

Gainesville, Florida, United States Community Hospice of Northeast Florida Full time

Job Summary:

This position provides medical social services and support to patients and their families as a member of the Interdisciplinary Group (IDG). The social worker will provide psychosocial interventions and referrals, assessments, supportive counseling, networking, and resource procurement.

The social worker will work with patients and families to assess their needs and provide support and resources to help them cope with their situation. This may include providing counseling, making referrals to community resources, and advocating for patients and families within the healthcare system.

Responsibilities:

  • Assess patient and family needs regarding psychosocial history, including assessing emotional factors related to terminal illness, psychosocial needs, and risk factors such as mental health, suicidal and homicidal ideation, substance abuse, and bereavement risk.
  • Provide psychosocial interventions and referrals, assessments, supportive counseling, networking, and resource procurement.
  • Visit patients in various settings, including hospice inpatient units, private homes, long-term care or assisted living facilities, group homes, shelters, or other locations where services to patients and families may need to occur.
  • Assess and assist with advanced directives, funeral and memorial planning, assessment of care situation, and the provision of more complicated case management.
  • Assess for financial needs or barriers and facilitate referrals as needed to internal and external resources.
  • Provide patient and family education as appropriate and within the scope of practice.
  • Identify and utilize appropriate community resources and assess patient and family caregiver ability to access them.
  • Evaluate patient and family caregiver response to intervention(s) when referred to community agency and the satisfaction of the services(s) provided.
  • Provide clinical therapeutic services to patients and families, including short-term individual counseling, goals of care discussions, crisis intervention, and assistance in addressing/supporting decision-making, ensuring the best interest and rights of the patient.
  • Collaborate with ancillary therapeutic services, including but not limited to Child Life services and Music Therapy.
  • Evaluate, intervene, and support the patient and family caregiver throughout life transitions, regardless of disease trajectory and location on the continuum of the condition.
  • Participate in IDG meetings as a contributing member of the team in ongoing communication, coordination, and continuity of the patient and family care/service needs from the psychosocial perspective, including the development and revision of the patient's Plan of Care (POC).
  • Assist the physician and other team members in recognizing and understanding the social/mental stress and/or disorder that exacerbates the symptoms related to terminal illness.
  • Identify family dynamics and communication patterns; assess for special needs related to cultural diversity, including communication, space, role of family members, and special traditions.
  • Identify the developmental level of patient and family and obstacles to learning or ability to participate in care of patient; assess caregiver's ability to function.
  • Identify obstacles to compliance and assist in patient and family caregiver understanding of goals and interventions; address patient and family caregiver questions and issues.
  • Educate and evaluate patient and family caregiver understanding and acceptance to change in program/level of care; communicate psychosocial information to include goals of care to new care providers, to include hospital or Community Hospice inpatient facility when transfer to a different care setting.
  • May attend patient funeral/memorial services as able and appropriate.
  • Ensure timely completion of all discipline-specific and organizational documentation according to Community Hospice policies and procedures.
  • Participate in sharing information with other professionals through participation in organizations such as NASW.
  • Participate in the organization on-call schedule as needed.
  • Other duties as assigned.

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