Palliative Social Worker LCSW

Company

Providence at Home with Compassus

Coverage Territory: South Bay and Orange County

Position Summary

The Licensed Clinical Social Worker (LCSW) independently provides comprehensive biopsychosocial/spiritual assessment, diagnosis and/or treatment/interventions/advocacy of patients and their support systems. The LCSW incorporates concepts and theories associated with life span development, neurobiology, and behavioral change. The LCSW will collaborate with the patient and support system to develop and implement evidence-informed person-centered care plans across the care continuum in collaboration with the Inter/Multi-Disciplinary Team (IDT). The LCSW shall perform duties in a manner that respects patient self-determination, that reduces health disparities/barriers to care, and adheres to the NASW code of ethics, Standards of Practice (SOP), and mission.

Major Challenges

• Working with diverse populations and their support systems to provide services unique to each population.
• Analyzing, interpreting and integrating interview data and observational information to develop the most appropriate service/treatment approach.
• Supporting family and/or other support systems and patients in finding appropriate community services when resources are limited.
• Providing expertise and guidance to patients, their significant others, staff members and department/program leaders in all matters of social importance to the population.
• Maintaining knowledge and skill base in a rapidly changing and pluralistic medical and healthcare environment.
• Communicating consistently and effectively with all levels: patients, family members, Inter/Multi-Disciplinary Team (IDT), physicians and other health care providers.
• Integrating and coordinating the work process and information across the continuum of care.
• Identifying and responding to changes in policies, regulations and procedures that can impact the patient/client.
• Work independently with the ability to determine when to seek appropriate consultation.

Patient Population Served: Neonate, Pediatric, Adolescent, Adult, Geriatric

Consequently, the employee must be competent in the interpretation of a patient's self-report or behavior, and this information must be interpreted with an understanding of the cognitive, physical, emotional/psychosocial and chronological maturation process. The treatment of patients should be individualized and should reflect an understanding of the developmental needs and range of treatment needs for each patient.

Position Specific Responsibilities

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• Assessment: Independently provides strength based comprehensive biopsychosocial, emotional, spiritual, and cultural assessments.
• Assess for and recognize social determinants for wellness and recovery.
• Conducts ongoing assessment of patients appropriate to age and cultural background in accordance with patient directed goals.
• May include advance care and end of life discussion as appropriate to setting.
• Intervention: In the context of a clinical relationship, provides social work interventions to support and empower patients and their family/support systems to effectively cope with the impact of medical and/or mental health conditions, optimize functioning and improve overall well-being.
• Formulates, implements, and monitors a social work plan of care that supports and identifies therapeutic solutions or adjustments to medical, social, emotional and financial problems which may impact health or well-being.
• Care plans are patient-centered, strength-based, and culturally-relevant.
• Utilizes counseling, motivational interviewing, crisis intervention, education, case management, etc. as appropriate and required to the clinical setting.
• Diagnosis: As appropriate and required to the clinical setting, perform diagnostic evaluation of psychiatric and substance use disorders.
• Establish a diagnosis based upon DSM and ICD diagnostic criteria.
• Treatment: Incorporate evidence based theories and methods, provide specialized clinical treatment services as appropriate and required to the clinical setting.
• Utilizes the Professional Edition: Current Procedural Terminology (CPT) for psychiatric and substance use disorders to resolve and/or reduce signs and symptoms of diagnosis as appropriate and required to the clinical setting.
• Case Management: Provides effective case management including triaging patient needs, adapting approaches to meet additional needs, and collaborating with internal and external resources as appropriate.
• Coordination of Care: Creates strength-based, collaborative care planning with the patient and their family/support systems.
• Develops and maintains effective working relationships with various departments, community health, social service agencies, payors and other partners.
• Advocates for support appropriate to the age, biopsychosocial needs, cultural, spiritual, and health literacy of the patient.
• Identifies barriers to continuing care and plann…