Our Hospice and Palliative Care team is looking to hire a Social Worker! In the Hospice/Palliative Social Worker role, you will be responsible for the development, planning, implementation and evaluation of psycho/social related interventions for patients followed in the Home and Transition services programs. This position will be responsible for identifying patients who have complex psychosocial needs, require assistance with eligibility determination for social programs funding sources and who may qualify for community assistance from a variety of special funds and agencies. In addition, the Hospice /Palliative Social Worker operates as the mental health professional of the team. All interventions are aimed to improve Quality of Care/Life and decrease complications and readmissions. The HPSW offers crisis intervention to patients and families with psychosocial needs and coordinates and facilitates the development of the Plan/Goals of care for all patient populations served by HATs teams. This role will receive referrals, and consults for patients from at risk populations from interdisciplinary team members (including physicians, Case Managers, staff nurses and other members of the care team) in addition to case finding. Social work interventions and services maybe assigned via phone and/or via telehealth means.
Type of Opportunity: Full Time FTE: 1.0
Exempt: Yes
Work Schedule: Days
Sign-on bonus & relocation available for qualified candidates.
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Text 505.388.0350 or schedule directly with me by clicking here!
Masters degree in Social Work REQUIRED
License from the State of New Mexico as a Licensed Independent Social Worker, Licensed Clinical Social Worker, or Licensed Medical Social Work license REQUIRED
Five years hospital social work or discharge planning experience in relevant setting required.
One to two years hospital social work experience, protective services, or practicum in acute care settings experience desired.
National Case Management certification or SW Hospice/Palliative Care Certification preferred.cial Worker
Provides Hospice/Palliative /Care social work across outpatient and inpatient settings.
On the basis of referral, consultation or case finding assesses patients and family s psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to illness and ability to cope. Completes comprehensive psychosocial assessment. Provides psychosocial interventions.
Manages with the IDT the patient plan of care. Provides strengths-based, person and family centered care.
Intervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability; Provides psychoeducation.
Provides supportive counseling to patients / families experiencing and/or anticipating issues to adjusting to illness, catastrophic diagnosis, changes in living situations and bereavement.
Intervenes with patients demonstrating complicated grief and explores bereavement related to possible death and multiple aspects of loss and adaption along the continuum of care. Provide anticipatory guidance.
Provides non-pharmalogical pain and symptom management, reinforces patient and family personhood and coping as they negotiate complications with chronic illness and end of life.
Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system.
Facilitates family meetings. Participates in discharge planning activities in collaboration with other hospital staff for patients, in order to ensure a timely discharge and to provide appropriate linkage with post-acute providers.
Works with families exhibiting complex family dynamics that impact directly on patient care and discharge.
Provides clinical guidance and consultation to interdisciplinary primary teams, including social workers and case managers, prompting continuity of care as well as safe and comprehensive care coordination and discharge planning as indicated,
Educates patient/family and physician regarding post-acute options and addresses issues of choice.
Provides intervention in child abuse/neglect, domestic violence, guardianship (temporary/ permanent), foster care, adoption, mental health placement, advance directives, adult/elderly abuse, child protection and sexual assault as appropriate
Participates in on call rotation.
Mentors SW master level students
All other responsibilities as assigned by SW Manager.
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About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system comprised of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 13,000 employees - including more than 1,200 providers and nearly 3,500 nurses.
Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
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