Per Diem Clinical Social Worker -PACE Program

About this role

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!

When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

The following job description represents the position’s essential functions necessary to be successful. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily with professionalism and mutual respect for all. The requirements in this job description are representative of knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Qualifications: • Master’s degree or above in Social Work (CSWE accredited); SWs hired before 2009 who have degrees in other fields are grandfathered in; SWs hired before 4/21/2019 who have BSWs are grandfathered in; Bachelor’s degree may be considered depending on geographic area (Note: Home Health requires MSW) • Employees working in Georgia require current Georgia LMSW or LCSW

• Employees working at PACE, certification of completion of Alzheimer's Disease and Related Dementias Training through the Florida Department of Elder Affairs.

• Minimum of one (1) year of experience including social work/counseling internship in health care or hospital setting • Familiarity with and working knowledge of the concepts and practices of both adult and pediatric patients:   Hospice: death and dying  Palliative: serious illness • Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system • Experience in children, family, and group modalities • Ability to manage multiple priorities simultaneously and effectively handle the emotional stress of the workload • Able to remain calm, professional, trouble shoot and intervene with patient/family crisis situations • Able to demonstrate high ethical standards in areas of Hospice mission, confidentiality, sensitivity, and flexibility • Excellent communication (verbal and written) and interpersonal skills • Ability to work in a team environment and intervene appropriately • Mobile Driver - Valid driver's license and automobile insurance per Company policy • Ability to travel to off-site locations • Ability to physically access any home, hospital, clinic, nursing home, and assisted living facility (i.e., navigate stairs, narrow stairs, narrow spaces, lack of air conditioning, etc.)

Competencies: • Satisfactorily complete competency requirements for this position.

Responsibilities of all employees: • Represent Company professionally at all times through care delivered and/or services provided to all clients. • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse. • Comply with company policies, procedures and standard practices. • Observe company's health, safety and security practices. • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within company. • Use resources in a fiscally responsible manner. • Promote company through participation in community and professional organizations. • Participate proactively in improving performance at the micro and macro levels. • Improve own professional knowledge and skill level. • Advance electronic media skills. • Support company research and educational activities. • Share expertise with co-workers both formally and informally. • Participate in Quality Assessment and Performance Improvement activities as appropriate.

Job Responsibilities: • Performs and documents psychosocial assessment. • Empowers patient/families to negotiate with resource providers and make decisions on their own behalf. • Assists other clinical staff in (1) understanding family dynamics as well as significant social and emotional factors related to health problems and (2) developing a plan to address issues in a nonjudgmental manner. • Maintains documentation in a manner that reflects timeliness, completeness, accuracy, legibility, clarity of goals and interventions. • Consults and collaborates with other professionals to promote quality care and continuity of patient/family care. • Performs other duties as assigned.

Home Health Specific : • Participates in the development of the individualized Plan of Care and participates in Case Conferences. • Observes clinical symptoms, reaction to treatment regimen, and emotional status and reports to the appropriate staff along with pertinent changes. • Anticipates barriers to pain and symptom management; identifies differences in goals of curative and palliative care; and provides appropriate education. • Respects patient’s wishes and stated goals when planning and providing care.

Hospice Specific : • Shares joint responsibility with other clinicians and volunteers to provide care to patients and families including psychosocial support, advanced directive information, development of Plan of Care, and other social services depending on the patient/family needs. • Attends and participates in Interdisciplinary Group (IDG) meetings; assists in developing and updating the Plan of Care; facilitates understanding of social services and bereavement aspects of care, and provides team with goals and interventions for patient/family care.  • Evaluates bereavement needs including making condolence calls, evaluating risk and coordinating the Plan of Care with Bereavement staff.

Palliative Care Specific : • Assists the palliative care team and/or directly facilitates patient-family meetings for goal setting and advance care planning. • Provides emotional support for patients and families facing serious illness. • Coordinates educational and outreach services relevant to the social services – palliative care interface. • Provides liaison function: (1)

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