JOB SUMMARY: Assess the psychosocial status and needs of clients. Assist the home health & hospice team in recognizing and understanding the social/mental stress and disorders that impact client health and rehabilitation.

MAJORACCOUNTABILITIES/ESSENTIALJOBDUTIES:

* Provide Medical Social Services in accordance with a plan of care, including individual counseling, community resource planning, and crisis intervention.

* Assess the client's psychosocial status

* Develop and implement a medical plan of care and revising as necessary

* Assist other team members in understanding the social and emotional factors related to the health problems

* Work with family as needed

* Prepare clinical and progress notes

* Utilize and provide client/family with appropriate community resources as needed

* Participate in discharge planning

* Consult and coordinate services with the primary care physician and other disciplines regarding changes in the client's needs

* Participate in in-service programs

* Comply with agency policies and procedures relative to infection control and safety