Job Description Summary

Essential Job Functions/Responsibilities

1. Assesses the psychosocial status of patients and families/caregivers related to the patient's terminal illness and environment and communicates findings to the registered nurse and other members of the interdisciplinary group. Provides an assessment in the patient's identified residence and assistance when this is not safe and another plan is required.

1. Carries out social evaluations and plans intervention based on evaluation findings. Counsels patient and family/caregivers as needed in relationship to stress, and other identified coping difficulties.

1. Maintains clinical records on all patients referred to social work.

1. Provides information and referral services for organization patients and families/caregivers regarding practical and environmental needs.

1. Provides information to patients and families/caregivers and community agencies.

1. Serves as liaison between patients and families/caregivers and community agencies.

1. Maintains collaborative relationships with organization personnel to support patient care.

1. Maintains and develops contracts with public and private agencies as resources for patient and personnel.

1. Participates in the development of the individualized plan of care and attends regularly scheduled interdisciplinary group meetings.

1. Assists physician and other team members in understanding significant social and emotion­al factors related to health problems and death/dying issues.

1. Actively participates in quality assessment performance improvement teams and activities.

1. Other duties as delegated by the Clinical Supervisor.