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Northern Light Health Social Worker - Bangor in Bangor, Maine

Job Description Northern Light Home Care and Hospice Title: Clinical Social Worker (LCSW), Master Social Worker (LMSW) or Master Social Worker-CC (LMSW-CC) Department: Home Health - West Position is located: 885 Union Street Work Type: Full Time FTE: 1.0 - 40 hours per week Work Schedule: 8 am - 5 pm Summary: The Licensed Master Social Worker functions within their scope of practice as a member of a multidisciplinary team, including the patient/family, physicians, nurses, pastoral care, hospice services, care management, and therapists in the Palliative Care Program. The Licensed Master Social Worker serves as patient advocate and liaison between the hospital, facility and community providers, resources, and agencies, working collaboratively, to ensure seamless transitions across the continuum of care for patients and families. Additionally, the Licensed Master Social Worker supports initiatives focused on Community and Provider education, and preventing readmission when aligned with patients’ goals of care. The Licensed Master Social Worker seeks to resolve psychosocial patient care issues, provide support and counseling for those with serious, life-limiting illness,( including bereavement and anticipatory guidance for dying patients), provide support with identification of goals of care and decision-making, and assists in developing complex patient transition/discharge plans as needed. The Licensed Master Social Worker also provides assistance to patients, families and others with a wide variety of needs to include, but not limited to, financial concerns and/or emotional problems related to the impact of illness and disease burden. Provides supportive counseling to patients regarding adjustments to illness as well as other psychosocial needs as indicated. The incumbent performs duties and tasks in accordance with performance standards established for the job. The incumbent is responsible for participation in and completion of all patient safety initiatives appropriate to the position. In addition, the incumbent conducts all job responsibilities according to the Mission and Values of VNA/ EMHS. Responsibilities: Clinical Practice- Works in conjunction with providers and others to assess, plan and initiate patient plan of care for patients with serious and life-limiting illness, including initial and ongoing Palliative Care consultations. Provides psychosocial assessments of the patients and families in relation to the crises of acute and chronic illness. • Initiates a systematic, accurate and ongoing comprehensive assessment of needs of the client, family, and/or significant other. • Meets with patients and families to provide psychosocial support and address goals of care. • Obtains, interprets, and communicates necessary information regarding patients and families, including social history information, to Palliative Care team, and physicians. • Arranges and participates in care conferences with appropriate patient care staff, including but not limited to Palliative Care, Hospice, Home health, Beacon, PCP/specialty practices, in-patient staff (Hospital /SNF/LTC) and patients and families. • Consults with patients to determine psychosocial concerns and clarify goals of care. • Meets with family to explore caregiving concerns. • Reviews medical records/nurse assessment forms for further insight into patients’ needs. • Demonstrates competency in the fundamentals of case management. • Develops and implements appropriate treatment plans and interventions in collaboration with primary, referring providers. • Utilizes crisis interventions to mobilize resources in response to crises. • Counsels and supports individual, families to help adjust and cope with illness. • Make referrals to appropriate community resources. • Initiates actions directed toward achieving expected outcomes. • Collaborates with others to evaluate and modify the POC based on client outcomes. • Exercises independent judgment in supervising and directing client care provided by other members of the client care team, with accountability if such care is not rendered accurately or appropriately. • Adheres to discipline specific clinical practice standards. • Acknowledges the value of and participates in the interdisciplinary team meetings and utilizes services according to standards of care. • Provides service and produces work at or above expected levels of quality and consistent with agency defined quantitative standards. • Documents accurately, completely and in accordance with Agency policy. • Demonstrates knowledge, skills, and abilities necessary to provide care to the age groups served. Community Outreach- Serves as a resource to physicians and in-patient personnel regarding available agency, facility, and community services to assist in planning for Palliative Care patients and provision of ongoing education and support. • Develops and maintains good working relationships with outside community health and social agencies. Works as a member of the Palliative Care service line in reaching out to the community to develop new resources for meeting patient needs. • Participates in the provision of outreach education to Providers, community members, and others as directed as part of the EMHS Palliative Care service line. Competencies and skills: * One year clinical experience as a social worker in a healthcare setting * Achieves Results: Sets high standards for their own outcomes and seizes opportunities to engage others towards objectives. Consistently moves forward with direct actions in order to attain or exceed objectives. Manages their own time effectively to accomplish assigned tasks. Successfully prioritizes multiple projects and duties as needed. * Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan. * Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of diversity, inclusion, empowerment and cooperation. * Demonstrates Adaptability: Learns quickly when facing a new problem or unfamiliar task; is flexible in their approach with changing priorities and ambiguity. Manages change effectively and does not give up during adversity. Capable of changing one's behavioral style and/or views in order to attain a goal. Absorbs new information readily and puts it into practice effectively. * Exercises Sound Judgment & Decision Making: Understands and processes complex information, which allows for appropriate and accountable conclusions. Does not react too quickly or slowly. Balances facts, goals, and potential approaches taking the appropriate criteria into account. Makes active decisions and commits oneself by communicating confidently and respectfully. * Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved. * Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others. * Serves Others: Strives to understand, meet and exceed the expectations and requirements of internal and external customers which may include the people and communities in our service areas. Develops and maintains relationships, alliances and coalitions within and outside the organization and leverages them in order to obtain information, support, and promote cooperation and collaboration. Credentials: Current ME license to practice as a licensed master social worker, a licensed master social worker-conditional or licensed clinical social worker Education: Master's degree in social work from a school accredited by the Council on Social Work Education Current BLS for Healthcare Providers Other needed skills: Ability to travel in assigned service area Valid driver's license with reliable transportation and agency required auto liability insurance Position Social Worker - Bangor Location US:ME:Bangor Req ID 1823