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Social Worker

Company: Northern Arizona Healthcare
Location: Cottonwood
Posted on: June 25, 2022

Job Description:


The Palliative Care Social Worker is responsible for participating in interdisciplinary care of patients and their families with complex medical and social needs. The Social Worker collaborates with the rest of the team to identify, assess, plan, implement, coordinate, monitor and evaluate options and services to meet the complex needs of patients. This includes addressing emotional, psychological, social and financial concerns and coordinating a plan of care to address patient/family needs.


Patient Care* Utilizes knowledge of clinically appropriate treatment theories in the patient and family assessment process.

* Conducts comprehensive individual and family assessments to identify and prioritize needs to be addressed.
* Elicit information about patient and family strengths and culture so the plan of care can be individualized.
* Assists in the development of individualized plans of care with clear and measurable goals and objectives.
* Provides patients and family members appropriate psycho-education based on identified needs.
* Provides emotional support to patients and family members.
* Stabilizes patients who are in crisis.
* Emotionally supports patient and family during time of loss.
* Supports patients and families as they transition through the continuum of care.
* Provides leadership to quality improvement efforts.
* Assists with the mitigation of risk for readmission when patients have multiple and complex needs.
* Maintains general knowledge of disease processes.
* Maintains knowledge and educates the end of life process to patient families.

Coordination of Care* Establishes rapport with patients, family members and other professionals as the initial step toward partnership in the plan of care development.

* Provides leadership in the multi-disciplinary team.
* Provides consultation to members of the care team in managing difficult situations/behaviors.
* Develops and maintains effective working relationships with staff, other departments, system administration/leadership and community organizations to promote a positive image, heighten awareness and promote collaboration.
* Conducts, plans, and coordinates discharge planning for all hospice discharge patients.

Communication and Documentation* Solves complex problems by conducting a thorough analysis, brainstorms multiple potential solutions and selects and implements the solution which has the best fit and therefore the greatest likelihood of producing the desired result.

* Communicates and documents assessment, plan of care and/or ongoing needs.
* Accurately prepares documentation utilizing the electronic medical record.
* Communicates patient and family needs with the primary care team and care coordination.

Community Resources* Connect patients and family members with community service providers and other community resources.

* Coordinates care with insurance companies, managed care entities and other community partners.

Compliance/Safety* Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.

* Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.
* If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.
* Completes all company mandatory modules and required job-specific training in the specified time frame.
* Involves law enforcement, Department of Children's Services or Adult Protective Services as appropriate to assist in addressing patient safety issues.
* Collaborates with Compliance department when appropriate.
* Responsible for coordinating complex Guardianship cases.



Master's of Social Work from an accredited School of Social Work- Required

Certificates and Licensure

LMSW- Preferred

LCSW- Preferred


Medical social work experience- Preferred

Case Management experience- Preferred

Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.

Keywords: Northern Arizona Healthcare, Phoenix , Social Worker, Healthcare , Cottonwood, Arizona

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