Brooks Rehabilitation - Lake City, FL

posted about 11 hours ago

Lake City, FL
Hospitals

About the position

In Lake City, FL, this role provides services and/or establishes standards addressing the social and/or emotional factors that impact the patient's ability to achieve the goals of the Plan of Care. Services are provided under the direction of a physician and in conjunction with other health care team members in accordance with the established policies and practices of the Agency.

Responsibilities

  • Attend clinical case conference meetings and meetings assigned by the Director of Nursing, ADON, and/or Administrator.
  • Appropriately refer to other disciplines or community resources as needed.
  • Complete safety and needs assessments accurately and identify actual or potential problems and solutions to patient problems.
  • Maintain a working knowledge of available outreach programs.
  • Respect confidentiality of information in the client clinical record and only share this information in accordance with Agency policy and HIPAA.
  • Educate patients and families on services and interventions.
  • Responsible for ensuring that the standards of clinical practice are being followed at all times.
  • Responsible to report weekly schedule and report if over/under productivity.
  • Act in a professional manner, work as scheduled and report to work on time.
  • Work with the ADON and Director of Nursing to ensure that Medicare guidelines and revisions are being followed.
  • Follow procedures to work within the frame of the law and scope of practice.
  • Record the coordination of care from the field staff into a patient's chart.
  • Report any problems of patients to the Physician and Clinical Supervisor.
  • Communicate visits with the Clinical Supervisor to establish proper care of the patients.
  • Prepare social histories to augment existing service, or as a guide in determining or changing level of service, including cultural factors, financial concerns, and support system.
  • Ensure that all documentation is completed in a timely fashion.
  • Keep the ADON, Director of Nursing or Administrator apprised of any problems or potential problems.
  • Provide medical social work to homebound patients without prejudice.
  • Ensure that all documentation is completed in a timely manner within the agency.
  • Meet with nurses, therapists, home health aides, and other disciplines involved in patient care for case conference on a weekly basis, attending a minimum of 1 team case conference per week.
  • Take and write physician orders as necessary and appropriate.
  • Establish and maintain an ongoing relationship with the physicians and their office staff, facilities, or other community members involved to promote continuity of care.
  • Represent the Agency at all times in a professional and loyal manner.
  • Attend meetings, luncheons, and in-services as needed.
  • Communicate well verbally and in writing.
  • Have excellent planning, time management, and organizational skills.
  • Promote patient and community relations.
  • Participate in the development of the plan of care.
  • Participate in discharge planning and in-service programs.
  • Act as a consultant to other agency personnel.
  • Assist with CEMP.

Requirements

  • Masters Degree from a school of Social Work accredited by the Council on Social Work Education
  • Current and approved CPR certification
  • Minimum of one (1) years' experience in a health care setting or equivalent experience; home care experience preferred
  • Demonstrates strong knowledge of resources available in the community
  • Reliable transportation and demonstrated good driving record
  • Demonstrates organizational and leadership ability
  • Demonstrates a working knowledge of Medicare guidelines for home health coverage and compliance
  • Good verbal and written communication skills and evaluation techniques
  • Demonstrate knowledge of clinical skills, judgment, current nursing practices, and analytical capabilities
  • Familiar with Medicare, Medicaid, and other third-party payer guidelines
  • Current/valid driver's license, agency-required automobile liability insurance, and availability of personal, dependable transportation to conduct home visits
  • Able to assess patient status and identify requirements relative to age-specific needs.

Benefits

  • Competitive Pay
  • Employee Discounts
  • Clinical Education and Professional Development Programs
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