Social Worker MSW- Pearson Cancer Center- Full time, Days

The Social Worker provides home care services to patients and their families maximizing utilization of personal family community and health care resources.

Responsibilities

Assesses the capacity of the home caregiver to cope with the patient's needs in care plan development

Assesses the patient's third party payer coverage to develop transitional plans

Conducts ongoing interdisciplinary assessment and development of individualized care plan in partnership with patient, representative and caregiver(s)

Provides patient, caregiver and family counseling

Providing Patient and Caregiver Education

Communicates with the physician and other healthcare practitioners as related to current home health care plan

Participates in the HHA's quality assessment and performance improvement program and HHA sponsored in-service training

Demonstrates a good working knowledge of transitional facilities, community resources and agencies available

Demonstrates empathy and strong negotiation skills with patients and families when assessing transitional level of care needs

Uses necessary knowledge and skills appropriate to the developmental level, spiritual and cultural needs of the patient served

Directs Discharge Planning

Assists the attending physician/interdisciplinary team in evaluating the psychosocial needs of the patient demonstrating a clear understanding of diagnosis prognosis care needs and outcome goals

Identifies participants/patients requiring crisis intervention and acts to resolve the issue(s)

Maintains current knowledge of state and federal changes impacting participant/patient population

Maintains knowledge of current regulatory and accreditation and third party payer guidelines

Monitors integrity of documentation for accuracy

Participates and supports ongoing quality improvement activities

Participates in the care planning process for patients served

Provides quality care to participants/patients within framework of Medicare, private insurance, self-pay and Medicaid guidelines

Qualifications

Required Education: Masters Degree in Social Work

Preferred Education

Required Experience

Minimum of two (2) years in case work or counseling in a health care setting or social delivery system. Qualifications/skill needed to handle the responsibilities of the position. Demonstrated knowledge of community resources with focus on geriatric population. Proficient in Microsoft Office computer applications, internet access

Preferred Experience

One (1) year of experience in home health. One (1) year behavioral health background

Required Certifications and Licensures: Valid Virginia Driver's License

Preferred Certifications and Licensures