Medical Social Worker Palliative Care Clinic - Float
Location: Lake Oswego
Posted on: March 19, 2023
The primary role of the Palliative Care Social Worker is to
assist patients and families/care givers cope with the
social/emotional issues and practical arrangements related to the
patients illness . Under general direction from the Social Work
supervisor, delivers age-appropriate social work care to patients
and their caregivers in accordance with agency policy and procedure
and state and federal regulations. The Palliative Care Social
Worker serves as an integral member of the healthcare team
providing assessments, coordination, treatment planning,
information and referral to community resources and other social
work services to meet the complex needs of patients and families in
the clinic setting.
- Provide psychodynamic interventions, crisis intervention,
grief/bereavement counseling, problem solving, stress reduction &
developing healthy coping strategies in individual/family/group
settings. Provide counseling for disease acceptance &
understanding. Responsible for developing & implementing individual
Plan of Treatment for patients and families. Completes psychosocial
assessments. Partners with patient to identify needs and develop
and implement mutually agreed upon treatment plans. Discusses
options for care proactively including Kaiser resources and
external community/government resources to assist patient and
family in developing short and long term care plans as appropriate.
Team with other disciplines in assessing, planning & providing
services for patients utilizing biopsychosocial information. Assist
patient in advocating for self to receive appropriate services and
in the community. Assist patient and family with care planning and
discharge plans. Takes, reviews, evaluates and prioritizes written
and oral referrals. Maintains documentation, records and data
collections. Responsible for completion of required documents in a
complete and timely manner. Liaison between patient and Kaiser for
maintaining positive relationship with Kaiser and providing for
continuity of care. Understanding of Kaiser, Medicare & Medicaid
benefits. Instructs & counsels clients regarding compliance with
prescribed therapeutic regimens and medications within scope of
practice. Provides Palliative Care including education on the
- Ensures patient smoothly transitions from one area of care to
another; serves as a patient navigator and contact for patients
during transition. Assists patient and family in conjunction with
the team to develop a plan of care that identifies specific
interventions, objectives and goals. Coordinates and schedules the
team interview/consult with the patient/family. Participates in
team interview/consult and ensures that findings from assessment
are incorporated into consult. As part of the consult the social
worker will also be responsible for validating patient/family
experience and offer psychological/emotional support, and
supporting the discussion around potential therapies for
distressing symptoms. The social worker will document the plan of
care and share with the patient/family at the end of the consult.
Participates in post consult team meetings and is responsible for
sharing concerns and feedback. The social worker will update the
plan of care as necessary. Communicates the plan of care to the
appropriate health care providers for the patient (referring
physician and specialists).
- Develops and maintains effective working relationships with
care teams that generate superior clinical and business
- Performs other duties as requested.
- Minimum of one (1) year of post MSW licensure experience in the
use of psychosocial assessment and psychotherapeutic modalities in
a hospital, clinic, or agency.
- Masters degree in Social Work.
License, Certification, Registration
- Current Oregon AND Washington unrestricted license required
(Oregon: LCSW, LMSW, CSWA; Washington: LASW, CSWA, LCSW, LICSW,
LSWAIC). License in state where assigned required upon
hire/transfer, application for license in secondary state required
within 2 weeks of hire/transfer and must be obtained within 6
- Valid driver's license.
- Basic Life Support (BLS) for Health Care Providers required
within 90 days of hire/transfer.
- National Provider Identifier (NPI) required prior to employment
- Willing to work with adults who are at the end of life with
complex medical and social needs.
- Excellent written and verbal skills, problem solving and
customer service skills - including serving as point of contact for
- Strong assessment and intervention skills with a diverse
- Demonstrated ability to triage and manage own work.
- Functional knowledge of computers.
- Demonstrates customer-focused service skills; patient centered,
positive problem solving advocate.
- Excellent verbal and written communication, negotiation,
delegation, time management and problem solving skills.
- Demonstrated ability to work on a multidisciplinary team.
- Must have solid psychosocial assessment skills.
- Knowledge of chronic and acute disease and how it impacts
patient and family functioning.
- Demonstrated excellent oral/telephone communication skills and
- Must be computer-literate and, preferably, experienced in
automated clinical information systems.
- Must demonstrate ability to effectively and efficiently handle
demanding workload involving multiple tasks.
- Demonstrated ability to function independently as a
collaborative, supportive team member.
- Must be able to master detailed and complex information
regarding benefits and coordination of care.
- Must be willing to work in a Labor Management Partnership
- Note: This position requires a reliable automobile to travel to
and from patient homes.
- Previous experience with Palliative Care social work
- Patient education or presentation experience in regard to
- Working knowledge of KPNW services and benefits.
- Expertise with short term counseling interventions.
- Demonstrated ability to work collaboratively within a
multi-disciplinary team to provide palliative support, connection
- Demonstrated proficiency working with frail, complex, and
failing patients, families and caregivers in a clinical or hospital
- Ability to work effectively on a multi-disciplinary team.
- Float position - will work at CIN, WMC, and SKY.
Job Category: Behavioral Health, Social Services & Spiritual
Keywords: Kaiser, Portland , Medical Social Worker Palliative Care Clinic - Float, Healthcare , Lake Oswego, Oregon
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