Social Worker - Outpatient Hospice

• Interviews patients and relatives to obtain social history relevant to patient's medical problems and assess bereavement risk
• Assists patients with environmental difficulties that interfere with obtaining maximum benefits from medical care
• Serves as liaison between medical and nursing staffs, patients, relatives, and appropriate outside agencies
• Interprets and assists in resolving social problems that relate to medical condition and/or hospitalization
• Interviews patients and family members to obtain information about home environment, family relationships, health history, and patient’s personality traits
• Plans, organizes, directs and schedules spiritual programs and services that meet the needs of patients/families, hospital employees, and medical staff
• Consults with hospital staff regarding hospital ministry
• collaborates with members of the hospital care team in identifying and resolving problems
• Acts as a liaison between patient, family, and hospital staff during periods of crisis
• Assists in developing and implementing the patient’s care plan
• Interprets nature of illness and prescribed course of treatment to patients and families
• communicates family issues to other staff members
• participates in planning conferences
• Plans for needed care with nurse practitioner, physician, patient, and family
• Introduces programs designed to meet the needs of the elderly after discharge and make appropriate referrals and arrangements for services
• Acts as liaison between medical/nursing staff, patients, families, and community, arranging for post-discharge care and patient’s transportation
• Maintains current, accurate documentation in the client’s medical record
• Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards
• Performs related duties as assigned
• For Bereavement Program: Assists in developing and implementing the patient’s/family member care plan
• Provides individual and group counseling, follows up on critical incident briefings to doctors, ER and support staff
• Provides home counseling if needed, follow up telephone calls and referrals if needed
• Develops education component for volunteer training and annual hospice foundation teleconference, prepares and implements all logistics for program needs
• For Medical Neighborhood / TC3: Works with clients and multidisciplinary team to identify discrepancies and barriers to health, wellness and independence towards health equity
• Assesses and utilizes credible tool to evaluate social determinates of health and develop individualized plan of care for client/family to overcome identified barriers
• Prepares needs assessment and engages team to collaborate services and community resources
• Measures identified barriers, records data and coordinates all efforts to improve health and wellbeing
• Improves understanding of access points for medical care resulting in decreased use of emergency resources, decreased hospital admission, re-admission and unnecessary expenditures
• Provides education regarding health promotion and disease prevention or exacerbation
• Acts as navigator and entry point for marginalized community members to essential life enhancing resources
• Works with clients experiencing behavioral health and or substance use/abuse, acting as liaison into BH/SU/SA treatment

• Master’s degree in Social Work or a related field required for all departments
• For Hospice, Master’s degree in Social Work required
• licensure as LCSW or LMSW is preferred
• Two (2) years of social work experience in an acute care setting preferred
• HeartSaver First Aid/CPR or Basic Life Support (BLS) certification required per department
• Valid AZ fingerprint clearance card may be required per department
• Knowledge of interviewing techniques used to garner personal and health information
• Skill in assessing socio-economic factors that might hinder a patient from getting the best care
• Ability to read and comprehend simple instructions, short correspondence, and memos
• Ability to write simple correspondence
• Ability to effectively present information in one-on-one and small group situations
• Ability to add, subtract, multiply, and divide using whole numbers, common fractions, and decimals
• Ability to define problems, collect data, establish facts, and draw valid conclusions
• Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables

Behavioral health, substance abuse/treatment care setting strongly preferred