Full time or PRN BSW/MSW

The Social Services Coordinator is responsible for consultation and direction of Social Services for all operations of the facility.
Provides assistance in discharge planning, including nursing home placements.
Assists patients in arranging financial resources from Medicare/Medicaid and other programs.
Serves as a resource individual for the hospital, Home Care, Nursing home, Physicians and patients.
Assists patients in various psycho-social functions based upon the age of the individual served.
Maintains performance improvement activities within the department and participates in Quality improvement activities.
The Social Services Coordinator plans and carries out a scheduled program of Activities in a therapeutic manner, to promote both the cognitive and physical independence of the BCMH Swing Bed Program based upon the interests, needs, capacity and the age of the patient.
REPORTS TO: Chief Nursing Officer REQUIREMENTS/QUALIFICATIONS: A minimum of a Bachelor’s Degree of Social Work (BSW) from a school of Social Work accredited by the Council on Social Work Education required.
Masters Degree of Social Work (MSW) from a school or a school of Social Work accredited by the Council on Social Work Education preferred.
Must possess and maintain a valid license from the State and Michigan.
Previous hospital, hospice and long term care facility experience preferred.
Knowledge in Federal and State rules and regulations and Medicare guidelines.
Knowledgeable in insurance, people, social work theory and resources available in the community.
Must have excellent written and oral communication skills.
Must have the ability to deal with people who are in a variety of emotional states.
Must have individual and group discussion skills.
Knowledge of principles and processes for providing customer and personal services.
Critical Incident Stress (CISM) debriefing for traumatic incidents with staff, management and patients preferred.
Must be a qualified Therapeutic Recreation Specialist or an activities professional who is licensed or registered, if applicable, by the State of Michigan and is eligible for certification as a therapeutic recreation specialist or as an activities professional by a recognized accrediting body on or after October 1, 1990; or has 2 years of experience in a social or recreational program within the last 5 years, one of which was full-time in a patient activities program in a health care setting; or is a qualified occupational therapist or occupational therapy assistant; or has completed a training course approved by the State.
Knowledgeable in medical terminology and able to work with other staff.
Work experience in gerontology or related area preferred.
Must have current and maintain valid driver’s license and vehicle insurance.
Demonstrated ability to provide a supportive and sensitive approach to patient and family needs.
Must demonstrate the ability to deal effectively with stress, flexible schedule demands, and evening hours.
Must demonstrate a daily commitment to the Standards of Behavior and Core Values of BCMH.
POSITION DUTIES: ESSENTIAL Is responsible for the assessments of the patient and caregiver psychosocial status, the caregiver’s ability to function adequately and the environmental resources and obstacles to maintaining safety.
Responsible for the assessment of the patient’s potential risk of suicide and or the potential for abuse.
Responsible for the assessment of special needs related to cultural diversity including communication, space, role of family members, and special traditions.
Responsible for the provision of social services including short term individual counseling, crisis intervention, providing information on preparation of Advance Directive, funeral planning, issues involving transfer of fiscal, legal and health care responsibilities.
Accurate documentation of care in clinical and progress notes.
Identifies family dynamics, communication patterns, and involves caregivers in the Plan of Care.
Identifies and utilizes appropriate community resources and assesses the patient’s caregiver’s ability to assess them.
Identifies the developmental level of the patient, family, or care giver and obstacles to learning or the ability to participate in the provision of care of the patient.
Responsible for identifying obstacles to compliance and assisting in understanding goals of intervention.
Identifies patient and family needs when discharged or when the level of care changes.
Evaluates the patient and family response to psychosocial interventions.
Addresses patient and family questions.
Evaluates the need for long term care when appropriate and assessing ability to accept change in level of care.
Assists the family in assessing the financial resources when appropriate.
Evaluating patient and family response to intervention when referred to community agency and satisfaction with services provided.
Communicates psychosocial information to the inpatient facility when the level of care changes.
Participates in in-service programs, quality improvement activities, and Hospice Professional Advisory Board as requested.
Maintains confidentiality and supports patient and family rights and responsibilities.
Ensures patient needs are met in compliance with applicable regulations, policies and procedures.
Develop, implement and maintain partnerships with other community providers and resources, collaborating and/or referring as necessary to evaluate mental or physical conditions and ensure service efficacy.
Collaborate with other professionals to plan and coordinate treatment, drawing on clinical experience and patient needs, integrating care between mental health and medical status.
Treats all patients and their families with respect and dignity.
Identifies and addresses psycho-social, cultural, ethnic and religious/spiritual needs of patients and families.
Compiles and documents information concerning patient physical and mental condition and assists in discharge planning which provides the necessary post-hospital care based upon the needs of the patient.
Contacts outside agencies for patients/residents and/or family members when patient is ready to be discharged, but cannot remain alone.
Works with patients and family concerning financial planning, application for financial aid, placement adjustment and Medicare, as needed.
Maintains active list for nursing home placements.
Completes proper forms and procedures for patients placed on nursing home lists.
Completes Swing-Bed documentation including Medicare Part A denial letters.
Prior to or upon admission to the Swing Bed program, obtains insurance information available (including drug coverage) and provides information to Pharmacy and Billing Departments for coverage verification and billing purposes.
Upon admission to the Swing Bed program, reviews admission packet with resident and/or designee to obtain appropriate signatures and distribution of forms.
Interacts professionally with patient’s family and involves the patient/family in the formation of the plan of care.
Participates in Interdisciplinary Care Plan conference and is an active member of the Interdisciplinary team.
Completes Medicare Level of Care Screening for applicable patients.
Refers patients who require ongoing counseling or other services to appropriate agencies.
Documents in medical records each contact made with or for patients.
Keeps physician informed of progress with their patients.
Maintains updated Policy and Procedures for the Social Services Department.
Assists in locating resources for individuals requiring special services or durable medical equipment.
Is responsible for planning, directing and carrying out the activities program.
Uses community resources in an assertive fashion to facilitate an ongoing program.
Planned activities will include physical, social and educational programs.
Maintains a monthly activities calendar.
Assists patients to set up and access patient portal.
HOME CARE AND HOSPICE – Reports to Home Care & Hospice Coordinator Participates in the development and revision of the Plan of Care including case conferencing with other IDG members at the IDG meetings and individually as needed.
Educates the IDG members in the social and emotional factors related to the terminal illness.
Identifies existing mental disorders and stress that exacerbates the disorder or symptoms related to terminal illness.
Identifies support systems available to reduce stress and facilitate coping with end of life care.
Is responsible for the assessments of the patient and caregiver psychosocial status.
Is responsible for the assessment of the caregiver’s ability to function adequately, of environmental resources and obstacles to maintaining safety.
Assesses the patient for potential risk of suicide and/or for the potential for abuse.
Is responsible for the assessment of special needs related to cultural diversity including communication, space, role of family members and special traditions.
Is responsible for the provision of social services including crisis intervention, providing information on preparation of Advance Directives, funeral planning, and issues involving transfer of fiscal, legal and health care responsibilities.
Accurate documentation of care in clinical and progress notes.
Educates the IDG members in the social and emotional factors related to terminal illness.
Identifies existing mental disorders and stress that exacerbates the disorder or symptoms related to terminal illness.
Identifies family dynamics, communication patterns and involves caregivers in the Plan of Care.
Identifies and utilizes appropriate community resources and assesses the patient’s caregiver’s ability to access them.
Identifies the developmental level of the patient, family, caregiver and obstacles to learning or the ability to participate in the provision of care of the patient.
Responsible for identifying obstacles to compliance and assisting in understanding goals of intervention.
Identifies support system available to reduce stress and facilitate coping with end of life care.
Identifies patient and family needs when discharged or when the level of care changes.
Evaluates the patient, family response to psychosocial interventions.
Addresses patient and family questions.
Evaluates the need for long term care when appropriate and assessing ability to accept change in level of care.
Assists the family in assessing the financial resources when appropriate.
Evaluates patient and family response to intervention when referred to community agency and satisfaction with services provided.
Communicates psychosocial information to the inpatient facility when the level of care changes.
Participates in in-service programs, quality improvement activities and Hospice Professional Advisory Board as requested.
Maintains confidentiality and supports patient and family rights and responsibilities.
VOLUNTEER SERVICES AND BEREAVEMENT – Reports to Home Care & Hospice Coordinator Responsible for activities for recruitment, orientation, training, retention and recognition of volunteers.
Is responsible for the planning and supervision of all volunteer services.
Makes home visits for assignment, instruction and direction of volunteers for patient care services.
Is responsible for the supervision and evaluation of all volunteers including documented supervisor evaluations for volunteers providing patient care services and annual evaluations for all active volunteers.
Ensures accurate and complete documentation of all patient care services in the Medical Record.
Maintains current personnel files for each volunteer with all required information including interview, training, health, activity and evaluation documentation.
Ensures accurate compilation of volunteer activity reports and hours volunteered by all active volunteers and the preparation of statistics for the annual Hospice cost report.
Is responsible for the Volunteer Training program, conducting and supervising the training to ensure there are adequate volunteers available to support the required Hospice program needs.
Participates in the development of the Interdisciplinary Plan of Care and the Interdisciplinary Group meetings every 14 days.
Coordinates services with other hospice team members.
Reports changes in patient condition, volunteer concerns to the appropriate Hospice Team member and reports changes in the Plan of Care to the appropriate volunteer.
Participates in the overall Hospice program planning and evaluation.
Conducts the Quality assurance Program.
Must be able to recognize bereavement needs.
Ability to complete Bereavement Risk assessments and develop necessary care plans.
Must be able to assess the need for counseling related to risk assessment for complicated grief.
Supports the patient and family to adjust to the stressors and experiences associated with dying and death.
Provides the initial assessment and evaluation of the needs of the patient and family in the area of grief and bereavement and the risk factors associated with grief.
Is responsible for the development of a bereavement plan of care which reflects family needs and clearly defines the services to be provided and the frequency or service delivery.
Is responsible for the ongoing assessment of patient and family response to grief and loss issues and response to the Plan of care.
Provides bereavement support activities for the families of Hospice patients for up to 13 months following the death of the patient.
Bereavement services must be available 7 days a week if needed.
Maintains knowledge of other community resources for assistance with complicated grief and bereavement issues.
Provides education to other Hospice staff, volunteers and community members regarding grief and bereavement issues.
Assigns and supervises volunteers for bereavement activities.
Is responsible for the annual evaluation of volunteers working in the bereavement program.
Plans and conducts programs for the community to assist in the expression of grief and bereavement.
Documents all patient and family contacts and care provided in the Medical Record.
Attend all required staff/team meetings, or other activities which ensure smooth functioning of clinical operations.
Must be able to demonstrate knowledge of BCMH Corporate Compliance Plan, Code of Conduct and reporting process of any compliance concerns.
Attend all required staff/team meetings.
Shall be responsible for completing Educational requirements.
Complies with HIPAA requirements for security and confidentiality.
Observes all infection control and safety policies and procedures.
Performs other duties as assigned by the Chief Nursing Office and/or Home Care & Hospice Coordinator.
PHYSICAL AND ENVIRONMENTAL REQUIREMENTS: PHYSICAL ACTIVITIES: ESSENTIAL Keying Grasping Lifting Nominal Standing Driving An individual in this position will be required to carry, lift up, push or pull up to 25 pounds frequently.
SENSORY AND COMMUNICATIVE ACTIVITIES: ESSENTIAL Feeling Hearing Seeing Speaking ENVIRONMENTAL EXPOSURE: Inside and outside environmental conditions