Current Opening: Monday – Friday, FT 37.50 – 40 hours or PT hours available. Opening available in the Laconia area.
Reporting to the Home Care Director, the Granite VNA Medical Social Worker (MSW) provides age appropriate support, education and counseling to the patient and family members in the home setting utilizing standard social work practice. MSWs will effectively interact with patients, care givers and other healthcare team members while maintain all standards of professional practice.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Develops and implements appropriate plan of care (POC) that complies with referral source orders, specific treatment measures, frequency/expected duration and discharge goals in partnership with the patient, healthcare provider, patient representative (if any) and/or caregiver(s) based on thorough assessment incorporating all aspects of patient limitations and goals, and potential discharge environment.
Documents accurate and ongoing assessment, treatment and discharge of the patient: interventions, patient response to care provided, patient needs, problems, capabilities, limitations and progress toward goals. Documentation includes evidence of appropriate patient/caregiver teaching, and the understanding of these instructions in accordance with agency timeframes.
Engages the patient /caregiver in meaningful education as indicated per care plan.
Communicates with all physicians involved in the POC and other health practitioners related to the current POC.
Demonstrates responsibility to effectively coordinate the patient’s POC with members of the interdisciplinary team and other health professionals through team/patient care conference. Updates patient’s short-term/long-term goals as appropriate based on interdisciplinary team assessments and re-assessments.
Participates in interdisciplinary team, agency projects, committees, QAPI program and/or other activities upon request and approval from direct supervisor.
Attends Agency In-service programs.
Other Job Functions
Coach, mentor and precept new medical social work employees and students.