Social Worker (LSW) - Outpatient Dialysis Center

• With a licensed Social Worker will conduct initial patient psychosocial assessment within 30 days of admission, within a re-assessment to be conducted 90 days after the initial assessment and prepare the appropriate documentation in electronic medical record (EMR).
• With a licensed Social Worker will conduct ongoing reassessments of client/caregiver needs.
• With a licensed Social Worker will develop and implement a goal-directed plan of care in collaboration with the interdisciplinary team based on changing needs.
• With a licensed Social Worker will develop treatment and psychosocial goals for initial plan of care and update the plan of care as outlined by the clinic/center's Governing Body for stable and unstable patients.
• With a licensed Social Worker will complete and document psychosocial evaluations quarterly and annually; document and monitor ongoing psychosocial issues and patient goals.
• With a licensed Social Worker will complete a quality of life measure (KDQOL-36) as determined by Carle Health for each patient.
• With a licensed Social Worker will analyze and provide information and facilitate referrals to community, private, state and federal agencies based on psychosocial needs (e.g. financial programs, medication assistance programs, Vocational rehabilitation programs, transportation resources, mental health and chemical dependency resources and home health/homemaking agencies).
• With a licensed Social Worker will provide short-term crisis intervention and individual and family counseling and support as appropriate.
• With a licensed Social Worker will provide education to clients and caregivers on the hospice philosophy, informed consent, Medicare/Medicaid benefits, client rights and responsibilities, Advance Directives, home safety, financial issues and communicating concerns
• Assumes the role of client advocate for the client/caregiver when needed.
• Counsels new and current patients and families on treatment options and modalities (e.g. transplantation, PD); provide support, information and assistance in treatment planning; provide assistance to patient and family in adjusting to dialysis and altered lifestyle, provide resource information.
• Educates and assists with nursing home placement, in home care planning and respite/acute admissions.
• Educates and assists with Advance Directive planning including, Living Will, Power of Attorney, Surrogate and/or guardianship process, DNR and other end of life issues as appropriate.
• Reports any questionable medical or other professional practice, as well as any known abuse situations to the Clinical Manager.
• Respects client confidentiality in all communication.
• Remains current with regulatory, legislative and reimbursement mandates.
• Remains current with available dialysis resources.
• Assumes responsibility for being informed about developments in ESRD and healthcare.
• Assumes responsibility for own personal and professional development and maintenance in the area of ESRD & dialysis modalities.
• Participates in the orientation program for new staff, volunteers and students as assigned.
• Shares education with staff members, clients and caregivers as appropriate.
• Participates in QAPI activities as assigned.
• Participates in committees, task teams and agency/health events as appropriate.
• Ensures quality and safe delivery of care.
• Observes, evaluates and brings to team conferences information regarding psychosocial, physical and financial conditions affecting the client and caregiver.
• Participates in developing and modifying a client/caregiver plan of care in collaboration with other team members.
• Develops and maintains contact with appropriate community agencies and services in order to promote interagency cooperation.
• Initiates and participates in family conferences when problems are identified to ensure quality care.
• Attends and participates in monthly interdisciplinary team meetings.
• Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.
• Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance.

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Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We've grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We're developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world's first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.