Palliative Care Social Worker
CurrentConduct intakes of new patients as neededConduct initial assessments of patient need once accepted into palliative care services. Implement individualized care plansWork Independently to schedule monthly home visits in order to monitor patients well being and assess current needsProvide emotional support and/or resources to patients as need is expressed or observed during home visitsObserve patients mood, living situation etc. and ensure the patient is receiving quality care by all those involved in the daily management of patient’s health.Ongoing research of community resources as well as health insurance benefits in order to provide current information for assistance.Attend all monthly staff meetings to provide up to date patient information as well as all involved stakeholders in order to coordinate and ensure quality care and/or reassess plan of careReport any mistreatment or inappropriate findings to APSWork with the director and medical staff to assess decline of patients' health and refer to hospice care if appropriateUpload monthly notes and update plan of care accordingly and timely