Home Health Social Worker

Overview

Presbyterian Homes & Services - Optage HOme Health is seeking a Fullt Time Social Worker, working up to 32 hours weekly, to join its team.

The Optage Home Health Social Worker is responsible for implementing resident services for residents consistent with regulations and established best practices. The Social Worker provides support through resident/family advocacy, ongoing assessment and evaluation, service coordination and care planning. The primary focus of this position is the quality of life of residents to assist them in achieving “their best day”.

Consider joining our team in providing compassionate and high quality care and services within a caring Christian environment.

Responsibilities

The Home Health Social Worker is responsible for developing, planning, implementing, supervising, and monitoring medical social services for hospice clients consistent with regulations and established best practices.

Responsiblities include:

Medical Social Services

• Complete scheduled home visits in accordance with physician orders, agency policies, and regulatory requirements.

• Complete accurate, timely, and comprehensive clinical documentation and assessments in the electronic medical record.
• Collaborate with clients, families, caregivers, and representatives to identify psychosocial needs, establish goals, and support care planning.
• Plan, implement, monitor, and evaluate social work interventions and services for an assigned caseload.
• Coordinate community resources and facilitate referrals to appropriate support services, including financial, housing, counseling, transportation, caregiver support, and long-term care resources.
• Conduct comprehensive psychosocial assessments and regularly reassess client needs, adjusting intervention plans as appropriate.
• Provide crisis intervention, counseling, education, and emotional support to clients and families coping with illness, disability, loss, or changes in functioning.
• Demonstrate knowledge of family systems, caregiver dynamics, cultural considerations, and social determinants of health that impact patient outcomes.
• Apply knowledge of mental health conditions, emotional and behavioral concerns, and community-based supports to assist clients in achieving optimal well-being.
• Collaborate effectively with physicians, nurses, therapists, and other interdisciplinary team members to ensure coordinated, patient-centered care.
• Advocate for clients' rights, preferences, and access to services while promoting independence and quality of life.

Relationships with Outside Constituencies

• Establish and maintain effective working relationships with outside agencies and organizations to promote hospice services, and to participate with the various community constituencies to achieve mutually beneficial results. Coordinate client services collaboratively with other professionals inside and outside PHS. Promote cooperation with all regulatory organizations managing with an expectation of appropriate compliance and corrective measures. Refer questions outside area of expertise to appropriate team members or community agencies.

Team Participation

• As a member of the Home Health team, actively participate in department and program activities, meetings and processes. Assist fellow team members with the completion of their work when assigned or needed. Effectively collaborate with others to promote the total wellbeing of clients. Participate in team, groups and activities as needed.

Operational Management

• Develop and implement established social services and policies, procedures and practices. Use quality management process to meet client needs. Develop, Implement and maintain monitoring systems and processes to ensure compliance with regulations and established best practices. Apply the knowledge and skills needed to do the position, including technical competence in the field and current knowledge of laws and regulations affecting your position. Maintain current knowledge of community resources available for clients. Use discretion and independent judgment to compare and evaluate possible courses of action and decision-making. Maintain knowledge of organization and industry policies and practices. Provide leadership and supervision of social workers in the hospice agency.

Financial Management

• Manage resource allocations in order to achieve or exceed operational goals. Assist in coordinating all aspects of the client’s stay with regard to their payment source. Demonstrate good stewardship of available resources. Work with team to develop budgets.

Ministry Focus

• Support the integration of Christian Culture in the community; reinforce the Christian heritage and culture through communication and education systems; support the work of the on-site spiritual program; recognize the importance of spiritual matters to clients and employees.

Qualifications

1. Bachelor’s degree in social work or a bachelor’s degree in a human services field including but not limited to sociology, special education, rehabilitation counseling, and psychology. Master's degree in social work preferred.

2. Current licensure as a social worker in state in which he/she practices if required by state law.

3. Experience in geriatrics or health care related environment.

4. Demonstrated knowledge of current professional social work theory and practice.

5. Demonstrated capacity for leadership and supervision.

6. Excellent clinical assessment and documentation skills.

7. Ability to organize work flow, respond to emergencies and note detail. Ability to maintain a high level of performance in an environment of frequent demands and changes.

8. Demonstrated knowledge of social community service delivery systems preferred.

9. Valid Minnesota Driver’s license and proof of insurance.

10. Demonstrated computer proficiency including Microsoft Office and other common computer programs.

11. Demonstrated compatibility with PHS's mission and operating philosophies.

12. Demonstrated ability to read, write, speak and understand the English language to communicate with all customers.

Pay Range

The estimated starting pay range for this role is $27.40 - $33.49 Hourly. This good faith estimate is based upon PHS’s typical starting pay range for this role. Actual pay range depends on many factors including each individual employee’s qualifications and market conditions and is subject to change.

Benefits

Full-time benefits-eligible employment begins at a minimum of 30 hours per week:

• Health, and dental, including applicable HSA & FSA
• Employer Contribution to HSA for eligible Health Plans
• Life insurance (AD&D)
• Retirement, with eligibility for an employer match
• Holiday pay and extended sick

Full and Part-time benefits-eligible employment working between 20-29 hours per week:

• Vision insurance
• Voluntary short-term & long-term disability
• Accident & hospitalization coverage
• Education assistance programs

All employees:

• Accrue PTO (Paid time off)
• Same-day pay
• Employee assistance program (EAP)
• College partnership educational discounts
• Access to Learn to Live Resources

About PHS

Presbyterian Homes & Services (PHS), based in St. Paul, Minnesota, is a nonprofit, faith-based organization providing a broad array of high-quality housing choices, care and services options for older adults. Some 8,000 employees serve more than 41,800 older adults through 60 PHS-affiliated senior living communities in Minnesota, Iowa and Wisconsin, and through Optage® home and community services. PHS is also co-owner of Genevive, the largest geriatric primary care practice in Minnesota, providing comprehensive care for more than 15,500 older adults. Established in 1955, PHS has earned the reputation as an innovative leader dedicated to promoting independence, purposeful living and the overall well-being for those they serve. Today, PHS is one of the largest nonprofit providers of senior housing and services in the nation.

PHS is an EEO/AA employer. All applicants will receive consideration for employment regardless of their race, color, creed, religion, national origin, sex, sexual orientation, disability, age, marital status, or status with regard to public assistance.