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Social Worker Hospice Coordinator NE
Cleveland Clinic • Independence, OH 44131 • Posted 30+ days ago
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In-person • Full-time • Mid Level
Job Highlights
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The Hospice Social Worker at Cleveland Clinic acts as a member of the interdisciplinary team, responsible for coordinating services with internal and external referral sources, processing inpatient referrals into hospice, ensuring continuity of care, and coordinating discharge planning in contract facilities. This role involves providing assessment, planning, and direct patient care to hospice patients in accordance with agency policies and procedures and the plan of care established by the interdisciplinary team.
Responsibilities
- Actively engages and educates potential customers to the benefits and appropriateness of hospice care.
- Ensures the patient and his/her family has adequate knowledge and understanding of the hospice benefit.
- Processes inquiries for all new referrals (internal and external).
- Ensures seamless transition from hospital to the community setting by coordinating hospice services at time of discharge.
- Performs and documents an initial assessment within 3 days of admission, utilizing interview, observation and other available information.
- Establishes plan of care for patients and documents intervention within 3 days of admission.
- Visits/contact each patient and family according to established plan of care.
- Implements the established plan of care with each visit.
- Performs daily assessment and coordinates the plan of care with in-patient staff for General Inpatients (GIP). Assesses patient for safety risks, abuse and neglect.
- Evaluates the patient and family and provides appropriate intervention with each visit.
- Revises/updates patient care plan at each visit/contact based on change in patient condition/status or response and evaluation/effectiveness of interventions.
- Counsels patients/families/caregivers as needed in relationship to stress, and other identified coping issues.
- Assumes responsibility for coordination of care for managing a caseload of patients in the inpatient setting.
- Flexibility in setting and revising priorities for one's daily assignment based on patient needs/acuity, family requests and available resources.
- Attend interdisciplinary meetings as assigned.
Qualifications
Required
- Master's Degree in Social Work from an accredited school of Social Work (CSWE)
- Knowledgeable regarding JCAHO and Medicare standards and regulations
- Ability to build relationships with patients, physicians, community agencies and institutions while providing excellent customer service
- Current Licensure as a Social Worker (LSW) in the State of Ohio
- Current Basic Life Support (BLS) certification through the American Heart Association (AHA)
- Valid Ohio Driver's License upon hire; per policy 8-175 thereafter
- Proof of automobile insurance coverage with $100,000/$300,000 coverage upon hire; per policy 8-175 thereafter
Preferred
- Hospice experience
About Cleveland Clinic
Cleveland Clinic is a renowned nonprofit academic medical center that offers world-class clinical and hospital care, with a strong focus on research, education, and health information. They provide a comprehensive range of healthcare services, expert doctors, convenient locations, flexible appointment options, health resources, and online support to ensure every patient receives exceptional care and support.
Full Job Description
Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.
The Hospice Social Worker acts as a member of the interdisciplinary team for the assigned functions related to the coordination of services with internal and external referral sources. You will be responsible for processing inpatient referrals into hospice, ensuring continuity of care, and coordinating discharge planning in contract facilities. The Social Worker provides assessment, planning, and direct patient care to hospice patients in accordance with the agency policies and procedures and the plan of care established by the interdisciplinary team.
**A caregiver in this position works Days, 8:00am-4:30pm.**
A caregiver who excels in this role will:
+ Engage and educate potential customers about the benefits and appropriateness of hospice care.
+ Ensure the patient and his/her family have adequate knowledge and understanding of the hospice benefit.
+ Process inquiries for all new referrals (internal and external).
+ Ensure seamless transition from hospital to the community setting by coordinating the following hospice services at time of discharge: * Ordering supplies and DME, * Hand-off communication with field team, * Documentation in the electronic medical record.
+ Perform and document an initial assessment within 3 days of admission, utilizing interview, observation, and other available information
+ Establish plan of care for patients and documents intervention within 3 days of admission.
+ Visit/contact each patient and family according to established plan of care.
+ Implements the established plan of care with each visit.
+ Perform daily assessment and coordinates the plan of care with in-patient staff for General Inpatients (GIP). Assesses patient for safety risks, abuse, and neglect.
+ Evaluate the patient and family and provide appropriate intervention with each visit.
+ Revise/update patient care plan at each visit/contact based on change in patient condition/status or response and evaluation/effectiveness of interventions.
+ Counsel patients/families/caregivers as needed in relationship to stress, and other identified coping issues.
+ Assume responsibility for coordination of care for managing a caseload of patients in the inpatient setting.
Minimum qualifications for the ideal future caregiver include:
+ Master's degree in social work from an accredited school of Social Work (CSWE).
+ Knowledgeable regarding JCAHO and Medicare standards and regulations.
+ Can build relationships with patients, physicians, community agencies and institutions while providing excellent customer service.
+ Current Licensure as a Social Worker (LSW) in the State of Ohio.
+ Current Basic Life Support (BLS) certification through the American Heart Association (AHA).
+ Valid Ohio Driver's License upon hire; per policy 8-175 thereafter.
+ Proof of automobile insurance coverage with $100,000/$300,000 coverage upon hire; per policy 8-175 thereafter.
+ Two years of varied work experience as a Master's prepared Social Worker.
Preferred qualifications for the ideal future caregiver include:
+ Hospice experience.
Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/
**Physical Requirements:**
+ Requires full range of body motion including handling and lifting packages, manual and finger dexterity, and eye hand coordination. Occasionally lifts and carries items weighing up to 50 pounds. Requires corrected vision and hearing to normal range.
+ Requires standing and walking for extensive periods of time.
**Personal Protective Equipment:**
+ Requires some exposure to communicable diseases or bodily fluids.
Salaries [which may be] shown on independent job search websites reflect various market averages and do not represent information obtained directly from The Cleveland Clinic. Because we value each individual candidate, we invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
The Hospice Social Worker acts as a member of the interdisciplinary team for the assigned functions related to the coordination of services with internal and external referral sources. You will be responsible for processing inpatient referrals into hospice, ensuring continuity of care, and coordinating discharge planning in contract facilities. The Social Worker provides assessment, planning, and direct patient care to hospice patients in accordance with the agency policies and procedures and the plan of care established by the interdisciplinary team.
**A caregiver in this position works Days, 8:00am-4:30pm.**
A caregiver who excels in this role will:
+ Engage and educate potential customers about the benefits and appropriateness of hospice care.
+ Ensure the patient and his/her family have adequate knowledge and understanding of the hospice benefit.
+ Process inquiries for all new referrals (internal and external).
+ Ensure seamless transition from hospital to the community setting by coordinating the following hospice services at time of discharge: * Ordering supplies and DME, * Hand-off communication with field team, * Documentation in the electronic medical record.
+ Perform and document an initial assessment within 3 days of admission, utilizing interview, observation, and other available information
+ Establish plan of care for patients and documents intervention within 3 days of admission.
+ Visit/contact each patient and family according to established plan of care.
+ Implements the established plan of care with each visit.
+ Perform daily assessment and coordinates the plan of care with in-patient staff for General Inpatients (GIP). Assesses patient for safety risks, abuse, and neglect.
+ Evaluate the patient and family and provide appropriate intervention with each visit.
+ Revise/update patient care plan at each visit/contact based on change in patient condition/status or response and evaluation/effectiveness of interventions.
+ Counsel patients/families/caregivers as needed in relationship to stress, and other identified coping issues.
+ Assume responsibility for coordination of care for managing a caseload of patients in the inpatient setting.
Minimum qualifications for the ideal future caregiver include:
+ Master's degree in social work from an accredited school of Social Work (CSWE).
+ Knowledgeable regarding JCAHO and Medicare standards and regulations.
+ Can build relationships with patients, physicians, community agencies and institutions while providing excellent customer service.
+ Current Licensure as a Social Worker (LSW) in the State of Ohio.
+ Current Basic Life Support (BLS) certification through the American Heart Association (AHA).
+ Valid Ohio Driver's License upon hire; per policy 8-175 thereafter.
+ Proof of automobile insurance coverage with $100,000/$300,000 coverage upon hire; per policy 8-175 thereafter.
+ Two years of varied work experience as a Master's prepared Social Worker.
Preferred qualifications for the ideal future caregiver include:
+ Hospice experience.
Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/
**Physical Requirements:**
+ Requires full range of body motion including handling and lifting packages, manual and finger dexterity, and eye hand coordination. Occasionally lifts and carries items weighing up to 50 pounds. Requires corrected vision and hearing to normal range.
+ Requires standing and walking for extensive periods of time.
**Personal Protective Equipment:**
+ Requires some exposure to communicable diseases or bodily fluids.
Salaries [which may be] shown on independent job search websites reflect various market averages and do not represent information obtained directly from The Cleveland Clinic. Because we value each individual candidate, we invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
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