Inspire health. Serve with compassion. Be the difference.
Job Summary
To deliver varied social work services to Hospice patients and their families. To provide initial emotional, spiritural, psychosocial assessments, ongoing counseling, bereavement services and community education, outreach and referral. The hospice social worker is an integral part of the Hospice IDG. Services are provided in accordance with accepted standards of professional practice and the policies and procedures of Prisma Health. All team members are expected to be knowledgeable and competent with the Prisma Health values of compassion, dignity, excellence, integrity and teamwork.Accountabilities
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference
Initiates contact with the patient/family within 48 hrs. of Hospice admission to assess psychosocial needs, financial resources, stability of the caregiving situation and the patient's end of life wishes, and risk factors that may affect the delivery of care.
Offers support to the patient /family based upon their belief system, recognizing and appreciating the age, cultural and religious differences of the individuals.
Plans/offers age-appropriate interventions, based upon knowledge of the stages of development and end of life issues: Pediatrics, Adult, Geriatric.
Evaluates the effect of psychosocial concerns on the overall comfort of the patient and the grieving process for the patient and family.
Reassesses the needs of the patient/family based upon the changing needs, the effects of stress and the process of grief. Reports progress toward goals.
Evaluates the effect of the social work interventions, alters the POC as needed
Participates in IDG care planning, offering insights and knowledge to other team members in a supportive manner. Recognizes the value of the interdisciplinary approach to care. Seeks opportunities to collaborate and to keep all team members informed.
Assists the patient to verbalize wishes for self-determined life closure. Assists the team and other medical professionals to follow the expressed wishes of patient. Assists the family to be supportive of the patient's wishes.
Completes the documentation of all contacts within twenty-four hours.
Practices and promotes sound ethical practices assisting the team to explore ethical issues in the delivery of care.
Attends visitations and funerals when indicated in order to offer support.
Visits the family of SNF residents and patients in CRCF's in their home to offer support.
Acts as a patient/family advocate.
Plans/offers family/individual grief counseling and support for clients of all ages based on knowledge of the different ways in which each person processes grief and loss and considers their individual beliefs, values, and cultural/religious backgrounds.
Makes appropriate referrals to community agencies for the long-term counseling needs of clients.
Consults with mental health professionals involved in the care of the patient /caregiver in order to support existing therapy.
Assesses the patient/caregiver for risk factors related to mental health, suicide, violence, etc., informs the team and plans interventions.
Plans/offers complimentary interventions (relaxation, massage, music, etc.) to both patient and family to assist with stress/anxiety reduction and to promote rest.
When assigned, carries out the bereavement plan (letters, memorials, counseling, support group, etc.) in a timely manner and documents all activities and contacts in the bereavement record.
Offers supportive interventions (debriefing) to other team members as needed.
Provides bereavement support as requested for any community entity (employers, churches, schools, SNF's etc.).
Leads the team in the resolution of intrafamily conflicts, facilitating family conferences.
Maintains all counseling records according to policy and procedure.
Coordination of care plan with other agencies
Works with team members, the client and outside agencies to identify resources, plan care and coordinate information and interventions resulting in an improved environment of care and caregiving situation.
Makes referrals to DSS and coordinates interventions and planning.
Makes referrals to agencies that can provide additional services to meet patient/family needs (i.e. CLTC, meals on wheels, etc.).
Coordinates plans for discharge, ensuring that patient's and family's wishes are considered, and needs are best met.
Identifies alternatives for caregiving (SNF, Hospice House, CRCF's, sitters, etc.) and coordinates the transfer of the patient, providing follow up as possible, to evaluate the patient's progress in adjustment.
Participates in care planning conferences at SNF's.
Participates in review of QI data and makes appropriate recommendations for improvement.
Represents hospice at various community functions through speaking engagements, meetings and networking.
Cultivates an ongoing relationship with the community in order to educate them and develop support for hospice.
Educates the public regarding end-of-life issues.
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that report to a supervisor, manager, director or executive.
Minimum Requirements
Education - Master's degree in Social Work
Experience - One (1) year of experience as a Social Worker in a healthcare setting. Two (2) years of experience preferred. Active patient contact within the past three (3) years preferred.
Required Certifications/Registrations/Licenses
Licensed Social Worker in South Carolina
Must have reliable transportation. A valid driver's license; an acceptable motor vehicle record, as defined by the Acceptable Motor Vehicle Record (MVR) Chart; and proof of auto insurance.
Other Required Skills and Experience
Reliable transportation
Ability to perform home visits and assess patient environment
Employee must have reliable transportation and will be expected to adhere to the Prisma Health Driver Safety Policy and specific department driving policies.
Ability to work independently, make accurate, and at times, quick judgments. Ability to respond appropriately to crisis outside of a hospital setting. Acceptance of and adaptability to different social, racial, cultural and religious modes.
Work Shift
Weekend Shift (United States of America)Location
Home Health Roper MTFacility
1067 Hospice - UpstateDepartment
10677503 Social WorkShare your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
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