Social Worker MSW Palliative Care
Where
NCH
Naples, FL, United States
Description
JOB SUMMARY
The Social Worker MSW Palliative Care serves as an integral member of the Palliative Care consultation service with expertise related to evaluating psychosocial factors, providing psychotherapeutic interventions and support, transitional care planning, while advocating for a holistic, patient/family centered focus to care planning.
ESSENTIAL DUTIES AND RESPONSIBILITIES – Other duties may be assigned.
• Performs psychosocial assessment as part of overall Palliative Care team initial
consultation. Baseline information is reviewed including primary impairment, active
comorbidities, goals of care & prognosis as identified by the medical team—leading to the
social work clinical assessment focusing on adjustment to condition/situation, coping
skills, behavioral health, results derived from psychological testing/consultation, barriers,
strengths, family/social support, spirituality, cultural factors, and transitional care
planning. Develops a social work care plan as part of the overall Palliative Care team’s
Plan of Care, including prioritization of patient/family needs, follow ups, and frequency
of anticipated interactions with patient/family.
• Guides the team related to state statutes related to surrogacy. Ensures care coordination
is with appropriate parties. Advocates for the patient/family within the healthcare arena,
as well as community based providers to meet needs.
• Provides psychosocial support to patients and their extended support systems, including
expertise with crisis intervention, bioethical concerns, adjustment to condition,
psychotherapeutic interventions, counseling, education, advanced care planning, end of
life, anticipatory grief and bereavement interventions.
• Facilitates transitional care planning for patients to include timely access to both
supportive programming during the hospital stay, as well as community resources that
promote sustainable and desired support. Stays current with knowledge of communitybased providers, payer alliances, and specialty niche providers. Coordinates with acute
care case managers, unit staff, and medical staff members in promoting continuity of care.
• Ensures timely documentation within the medical record to optimize care coordination.
Initial assessment builds on medical findings, and focuses on social work assessment
scope, evaluation techniques, assessment tools, findings, and planned interventions.
Subsequent chart entries provide updates related to response to care, and community based provider transitional support.
• Active contributor to the Palliative Care team’s interdisciplinary meetings; is prepared for
team rounding forums ensuring psychosocial factors are considered in the prioritization
of the consult service resource allocation. Works to ensure that handoff amongst team
members promotes continuity and best utilization of team resources.
• Expertise related to guiding patient/family care conferences to ensure a holistic, patientcentered approach in meeting patient/family needs is championed within the context of
goals of care. Taps experts/resources to attend care conferences, and/or provide
consultation with the patient/family to address specific needs, examples may include
clinical dietitian, pharmacist, acute care case manager, etc.
• Supportive Programming—actively involved in defining supportive programming
options for patients/families during the hospital stay, as well as post discharge. Stays
current with support group offerings within the healthcare system, as well as communitybased groups; evaluates opportunities for collaboration with providers, and/or other
niche supportive program options.
• Community Outreach--Plays an active role related to business development initiatives,
including marketing, relationships with referral sources, community outreach, lectures.
Advocates for the specialty, ensures visibility of the service line within the healthcare
system, and the community.
EDUCATION, EXPERIENCE AND QUALIFICATIONS
• Master of Social Work (MSW) degree from an accredited institution required.
• Current licensure as a Clinical Social Worker (LCSW) preferred.
• Minimum of 2 years clinical experience, or Palliative Care intern training.
• Specialized training/certification in Palliative Care, or related area preferred.
• Intermediate computer knowledge: Uses Microsoft Word, Excel, Outlook, and Windows
Apply
Attn: Hannah Whitcomb
E-mail: [email protected]