Liberty Cares with CompassionAt Liberty Hospice, we understand the unique needs of our patients and families facing terminal illness. That is why Liberty Hospice provides our hospice patients with state-of-the-art care and pain management services, delivered by our specially trained staff with emphasis on strength, dignity and compassion.
We Are Currently Seeking An ExperiencedCAP CASE MANAGER – SOCIAL WORKFull Time(Duplin & surrounging areas)Job Summary
- * Provides social work case management services to an assigned CAP client caseload and medical social work services to home health patients as assigned.
- Completes initial client and family social work assessments within one week of the initial client encounter.
- Participates in development of the client Plan of Care and identifies equipment, supplies, home care services, and other resources needed for inclusion in the plan.
- Performs home visits as indicated and at least as frequently as required by applicable policies and regulations.
- Develops and maintains case management plans with the client and appropriate personnel, addressing current and potential problems, the medical care plan, client goals, and available financial resources.
- Communicates case management plans, anticipated Medicaid spend-downs, and other client-related activities verbally and in writing to appropriate personnel and agencies.
- Performs follow-up assessments at least monthly, or more frequently when appropriate, and maintains contact with clients, community case managers, and service providers to monitor outcomes and continuity of care.
- Updates and revises case management plans with the client, case management team, physician, and other providers as indicated.
- Documents all patient-related activities within eight hours of the encounter.
- Advocates for clients and supports the identification and development of community resources; maintains a directory of available and needed services by geographic area.
- Consults with agency clinical staff, case management team members, and service providers to address client health, psychosocial, and financial needs.
- Maintains liaison with the Ryan White HIV consortium and provides benefits advocacy services when requested.
- Participates in community and professional education and networking programs related to CAP, case management, and social work services as requested.
- Meets with the Clinical Case Manager, supervisor, and Home Care Lead Nurse as appropriate, and re-evaluates work priorities at least monthly.
- Maintains productivity and an appropriate client caseload as negotiated with the supervisor; keeps the supervisor informed of developments with potential departmental impact.
- Assists with development and revision of case management policies and procedures and participates in multidisciplinary quality improvement activities.
- Attends at least 50% of IFD clinical conferences and at least one continuing education program annually related to social work or case management in HIV/AIDS patients.
- Contributes to service excellence and continuous quality improvement; works effectively as a team member and supports team recommendations.
- Maintains client and patient confidentiality, follows safe work procedures, adheres to work schedules and professional conduct standards, and performs other duties as assigned.
Job Requirements
- * Strong interpersonal, teaching, counseling, and collaboration skills.
- Ability to communicate effectively, both verbally and in writing
- Requires employee to have his/her own, reliable transportation.
- Ability to collaborate with clients, families, clinical teams, physicians, agencies, and community service providers.
- Demonstrated skill in assessment, problem identification, community resource development, and patient and family counseling.
- Requires knowledge of computer skills and the ability to learn Microsoft Word, Excel and use the EHR as well as the state's documentation system.
- Requires ability to work autonomously with skills in organization, timeliness and the ability to provide effective care for CAP patients and the family unit.
- Requires ability to engage a working knowledge of psychosocial principles and family dynamic development.
- Requires knowledge that allows for identification and reassessment of social, emotional, financial and environmental factors, which may affect care and desired outcomes.
- Compassion for chronically ill patients and sensitivity to their psychosocial and existential concerns.
- Must have a valid driver’s license
Visit www.libertycareers.com for more information.
Background checks/drug-free workplace.
EOE.
