Social Worker - Home Care - CARLE

To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services
To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.

• Ensures quality care.* Demonstrates clinical skills through thorough assessments, supportive counseling, provision of a therapeutic environment and by seeking appropriate supervision.* Completes psychosocial assessments.* Provides crisis intervention and supportive counseling on a short-term basis with appropriate referral(s) for ongoing counseling needs.* Plans for continuing care services that should be conducted within a therapeutic context of sensitivity to the emotional factors involved with adjustment to illness and lifestyle changes.* Offers educational and support groups.* Identifies when supervision and/or peer consultation is indicated and seeks out assistance in clinical management of a case, when necessary.* Serves as a client/caregiver advocate by respecting the client's rights, facilitating procedures in accordance with the rules and regulations pertaining to client care.* Provides information and protection regarding the client's rights.
• Provides quality client interventions.* Maintains a broad knowledge of resources.* Responds to referrals in a timely manner.* Coordinates with other team members* Addresses risk management and legal regulation issues.* Continues to stay updated regarding available community resources* Coordinates the assigned caseload in a complete and timely manner.* Submits appropriate documentation within departmental policy guidelines.* Functions competently and makes sound objective decisions.* Maintains an awareness of risk management issues and involves the appropriate hospital and community agents.
• Ensures quality care management by providing appropriate documentation, communication and other follow-up by using time, supplies, and other resources productively.* Maintains appropriate communication.* Coordinates with other team members in a timely and pertinent manner.* Demonstrates courtesy and conveys respect in all interactions with other members of the healthcare team.* Responds to phone calls in a helpful and positive manner* Protects client/caregiver's confidentiality'* Provides prompt and pertinent communication and documentation, as necessary, to effective coordinate with other members of the healthcare team and to keep the Home Health Clinical Manager appropriately informed.* Is timely with submission of documentation as well as other interdepartmental communication.
• Obtains and utilizes educational opportunities for professional development
  personal growth and remains up-to-date regarding current trends.* Assumes responsibility for keeping informed regarding developments in healthcare.* Informs and interprets health information to clients/caregivers and other members of the home health team.* Identifies own learning needs by participating in educational activities in the HHSD and MMCI.* Shares information with other staff and client(s)/caregiver(s)* Attends/participates in semi-monthly staff and team meetings* Participates and/or assists departmental work groups.* Is knowledgeable and up-to-date and able to identify payor source requirements including, but not limited to Medicare and Medicaid