The Hospice Social Worker is assigned a group of patients to oversee social work care for both patients and families, and provides patients and family members with the education and advice needed to cope with issues which arise from various emotional or physical problems as outlined by the Texas State Board of Social Worker Examiners scope of practice. Coordination includes a variety of services including crisis intervention, bereavement, client advocacy, referrals, education, discharge planning and implementation, counseling and psychosocial assessments.
ESSENTIAL FUNCTIONS OF THE ROLE
Provides patients and family members with highly complex education and advice needed to cope with issues which arise from various emotional or physical problems as outlined by the Texas State Board of Social Worker Examiners scope of practice.
Responsible for developing a written plan of care for each patient, family and caregiver prior to providing care and services. Care coordination among team members is demonstrated through a review of team conference notes, clinical notes, and telephone communication contained in the clinical record.
Assists a patient and family with finding alternate means for support for basic life needs.
Conducts patient assessments as required by Medicare Conditions of Participation and documents in the medical record.
Coordinates patient respite stays at local facilities to include contracting, transportation and clinical staff for safe patient transfers to/from facility.
Serves as a liaison with local community resources and their staff to facilitate a smooth transition and placement of the hospice patients.
Assists with admissions, discharges, transferring, arranging alternate levels of care, and attending the deaths of the agency patients as needed.
Participates in the planning and supports the Hospice Annual Memorial service for families of patients who passed away the past 12 months.
Coordinates with Texas Adult Protective Services when needed to make reports concerning patient safety or to assist in Texas APS investigations regarding patient abuse and safety.
Performs other position appropriate duties as required in a competent, professional and courteous manner.
KEY SUCCESS FACTORS
Demonstrates critical communication skills including self-awareness, inquiry/dialogue, conflict management, negotiation, advocacy and listening.
Uses strategies and available resources for problem solving for patient/family and staff.
Knowledge of the principles and methods to restore or enhance social, psychosocial, or bio-psychosocial functioning of individuals, couples, families, groups, organizations and communities.
Recognizes that resources may be limited and consider factors related to safety, effectiveness and efficiency in planning in delivering patient care.
Able to develop therapeutic relationships with patients and family and maintains appropriate boundaries.
Function independently in the community. Able to drive own vehicle and to travel within the entire office service area as needed.
Functions as a team member and works collaboratively and independently, involving intra and inter-disciplinary work with colleague and community.
Our competitive benefits package includes the following
Immediate eligibility for health and welfare benefits
401(k) savings plan with dollar-for-dollar match up to 5%
PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!