As a compassionate non-profit organization since 1983, Chapters Health System is committed to enhancing the lives of those affected by advancing age or illness. Through our comprehensive system of healthcare choices, we deliver expert care and heartfelt support to guide the community during the aging and end-of-life journey.
From hospice and palliative care for adults and children suffering with life-limiting illnesses to in-home and community-based services for frail but independent seniors, Chapters Health offers a wide range of support services along life’s ever-changing landscape.
We’ll help you navigate your individual experience – empowering you with more choices, education and guidance for these important chapters of life.
The Social Services Specialist (SSS) provides and coordinates a wide range of social services to terminally ill patients and their families for HPC Healthcare, Inc. (HPC). In concert with the Interdisciplinary Group (IDG), the SSS provides support to patients and their families to help them cope with illness, death, and loss. SSSs work with patients/families to help them manage the physical, social, emotional aspects of coming to terms with life limiting illness. The SSS coordinates community resources to assist patients/families with their biopsychosocial concerns and provides services in a variety of settings, to include: home care, acute care, inpatient and residential hospice care, long term care, after-hours and respite care.
- Bachelors degree or above in Social Work (CSWE accredited).
- One year experience in health care/hospital setting required.
- Familiarity with and working knowledge of the concepts and practices of death and dying with children and adults.
- 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.
- Valid driver's license and automobile insurance per company policy and procedure.
- Ability to travel to off-site locations.
- Ability to work unsupervised exercising a high degree of discretion & independent judgment.
- Ability to physically access any home, hospital, nursing home, and ALF i.e. navigate stairs, narrow stairs, narrow spaces, lack of air conditioning, etc.
- Ability to work in a team environment and intervene appropriately.
- Demonstrate joint responsibility with RN Care Coordinator for pediatric patients, patient transfers (i.e., home-inpatient-home), and coordinating with inpatient staff to assure continuity of care.
- Coordinates/Collaborates Plan of Care activities with Social Services Coordinator and team Clinical Manager.
- Attends staff meetings; in-service training; continuing education and workshops.
- Responsible for Volunteer and other training (Social Services/Bereavement) as assigned.
- Participates in Quality Assessment and Performance Improvement activities as directed.
- Participates in the IDG and provides services to patients and families according to the Plan of Care.
- Participates in Hospice committees as assigned.
- Documents findings on appropriate social services forms in appropriate time frame based on referral from RN Care Coordinator and/or IDG; Provides supportive guidance to patients and families.
- Initiates appropriate case management activities based upon established policy; Works with Resource Associate to complete tasks.
- Experience in children, family, and group modalities.
- Empowers patient/families to negotiate with resource providers and make decisions on their own behalf.
- Completes social services documentation as needed
- Participates in on-call assignments.
- Maintains documentation in a manner that reflects timeliness, completeness, accuracy, legibility, clarity of goals and interventions
- Evaluates bereavement needs, including making condolence calls, evaluating risk and coordinating the Plan of Care with IDG and bereavement staff.
- Works with Resource Associates to coordinate concrete patient care needs, to direct patient visits and attend interdisciplinary group (IDG) meetings are required.
- Attends and participates in 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.
- Consults and collaborates with other professionals to promote quality care and continuity of patient/family care.
- Demonstrates respect for fellow professionals and IDG leadership.
- Demonstrates critical thinking in problem solving patient/family issues.
- Enhances professional expertise and hospice knowledge.
- Establishes professional goals and evaluates attainment of goals.
- Participates in appropriate professional or specialty organizations.
- Performs other duties as assigned.
- Conduct represents the NASW Code of Ethics.
- Works within HPC Scope of Service.
Hospital / community discharge planning experience ideal
Chapters Health System
- 2 years ago - save job