Medical Social Worker - Home Health PRN

In Lake City, FL.

Coverage area would be Columbia Suwannee, Lafayette, Hamilton and Union Counties.

This role provides services and/or establishes standards addressing the social and/or emotional factors that impact the patient’s ability to achieve the goals of the Plan of Care.

Services are provided under the direction of a physician and in conjunction with other health care team members in accordance with the established policies and practices of the Agency.

Responsibilities 


* Attend clinical case conference meetings and meetings assigned by the Director of Nursing, ADON, and/or Administrator.


* Appropriately refer to other disciplines or community resources as needed.


* Complete safety and needs assessments accurately and identify actual or potential problems and solutions to patient problems.


* Maintain a working knowledge of available outreach programs.


* Respects confidentiality of information in the client clinical record and only shares this information in accordance with Agency policy and HIPAA


* Educate patients and families on services and interventions.


* Responsible for ensuring that the standards of clinical practice are being followed at all times.


* Responsible to report weekly schedule and report if over/under productivity.


* Acts in a professional manner, work as scheduled and report to work on time.


* Works with the ADON and Director of Nursing to ensure that Medicare guidelines and revisions are being followed.


* Follow procedures to work within the frame of the law and scope of practice.


* Record the coordination of care from the field staff into a patient’s chart.


* Report any problems of patients to the Physician and Clinical Supervisor.


* Communicate visits with the Clinical Supervisor to establish proper care of the patients.


* Prepares social histories to augment existing service, or as a guide in determining or changing level of service.

This may include cultural factors, financial concerns and support system


* Ensure that all documentation is completed in a timely fashion.


* Keeps the ADON, Director of Nursing or Administrator apprised of any problems or potential problems.


* Provide in medical social work to homebound patients without prejudice.


* Ensure that all documentation is completed in a timely manner within the agency.


* Meet with the nurses, therapists, home health aides and other disciplines involved in the patient care for case conference on a weekly basis.

Attends a minimum of 1 team case conference per week.


* Takes and writes physician orders as necessary and appropriate.


* Establishes and maintains an ongoing relationship with the physicians and their office staff, facilities, or other members of the community involved to promote continuity of care.


* Respects confidentiality of information in the client clinical record and only shares this information in accordance with Agency po...