Social Worker

Pioneer Valley Hospice & Palliative Care • Greenfield, MA • 1d ago

GREENFIELD Social Worker The purpose of this position is to provide
initial psychosocial evaluations, ongoing psychosocial counseling,
direct casework services, bereavement services, and community education,
outreach, and referrals. Responsible for the delivery of varied social
work services to a caseload of hospice patients and families, and
actively participate as a member of the hospice interdisciplinary team.
The hospice social worker may also provide visits or assistance to other
patients/families being served by programs of the hospice as needed.
Essential Job Functions Assesses the psychosocial status of patients and
families/caregivers related to the patient\'s terminal illness and
environment and communicates findings to the registered nurse and other
members of the interdisciplinary group. Provides an assessment in the
patient\'s identified residence and assistance when this is not a safe
environment, or an alternative caregiving plan is indicated. Carries out
social evaluations, including family dynamics, caregiver abilities,
communication patterns, high risks for suicide, neglect, or abuse, and
plans intervention based on evaluation findings. Counsels patient and
family/caregivers as needed in relation to stress and other identified
coping difficulties. Provides crisis intervention when necessary.
Assesses for and educates the interdisciplinary group on any special
needs related to the culture of the patient and family. Includes
communication, role of family, space, and any special traditions or
taboos. Maintains clinical records on all patients referred to social
work. Point of Service documentation is an expectation of all clinical
personnel for quality care, accuracy, and communication standards. The
clinician is expected to appropriately document, have timely
synchronization of patient data & effectively communicate with the
Patient Care Team. Educates patients and families on, and assists in,
preparation of advanced directives, durable power of attorney, and
funeral arrangements as needed. Provides information and referral
services for the organization\'s patients and families/caregivers
regarding practical and environmental needs. Develops and maintains
contacts with public and private agencies as resources for
patients/caregivers. Serves as liaison between patients and
families/caregivers and these agencies. Maintains collaborative
relationships with organization personnel to support patient care.
Participates in the development of the plan of care, involving the
patient and family, assisting the team in recognizing the effects of the
psychosocial stresses on the symptoms of the terminal illness. Assists
the physician and other team members in understanding significant social
and emotion?al factors related to health problems and death/dying
issues. Participates in discharge planning. Keeps supervisor informed of
potentially problematic patient/family issues and significant changes in
patient status. Manages multiple priorities and demonstrates effective
problem-solving and decision-making. Assumes responsibility for personal
growth and development. Maintains and improves professional knowledge
and skills through continuing education and in-service. Participates in
the agency Quality Assurance & Performance Improvement Program. Maintain
quality and productivity standards and participate in the measurement of
these standards. Meets individual program expectations and goals as
identified through performance appraisal, annual plan, and by
supervisor. Other duties as assigned. For more details and full job
description please see website.

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