Under the direction and supervision of the Director of PedsCare this position, as a member of the Interdisciplinary Group (IDG), provides medical social services and support to pediatric patients and their families, aware and respective of the patient’s developmental stage, patient rights, and patient and family personal, cultural, and spiritual beliefs, according to specific program guidelines, as ordered by the physician, and in accordance with the patient’s Plan of Care (POC).
Assess patient/family psychosocial status, including but not limited to: psychosocial history, patient/family needs, risk factors such as mental health/substance abuse, potential for risk of abuse, neglect, suicide, and bereavement needs, offering interventions, recommendations/referrals accordingly.
Identify and utilize appropriate community resources and assesses patient/family/caregiver ability to access them.
Evaluate patient/family/caregiver response to intervention(s) when referred to community agency and the satisfaction of the services(s) provided.
Provide clinical therapeutic services to pediatric patients and families such as, but not limited to: Short-term individual counseling (loss, anticipatory grief and bereavement, coping, transition) to patient and/or family Crisis intervention
Assistance in addressing/supporting decision-making, ensuring the best interest and rights of the child
Assistance with resource development and referrals
Evaluate, intervene, and support the pediatric patient and parent throughout life transitions, regardless of disease trajectory and location on the continuum of the condition.
Participate in the development and revision of the patients POC with the patient/family/caregiver and IDG.
Assess the environmental resources and obstacles to maintaining patient safety. Identify family dynamics and communication patterns; assess for special needs related to cultural diversity including communication, space, role of family members and special traditions.
Identify the developmental level of patient/family and obstacles to learning or ability to participate in care of patient; assesses caregiver’s ability to function.
Identify support systems available to reduce stress and facilitate coping with acute and end-of-life care.
Identify obstacles to compliance and assist in patient/family/caregiver understanding of goals and interventions; address patient/family/caregiver questions and issues.
Educate and evaluate patient/family understanding and acceptance to change in program/level of care; communicate psychosocial information to include goals of care to new care providers, to include hospital or Community Hospice inpatient facility when transfer to a different care setting. Provide services to patient/family/caregivers within the National Association of Social Workers (NASW) Standards of practice in Palliative and End of Life Care. May attend patient funeral/memorial services as able and appropriate.
Provide up to three closure bereavement visits within 12 months following patient’s death with survivors of deceased Community PedsCare patient as requested and agreeable with the survivors, with appropriate referrals and information on additional bereavement support available given to the survivors initially and on-going.
Provide support and resources for classmates and teachers of children in Community PedsCare program, and their siblings when appropriate and necessary permissions have been obtained: provide in-school visits, to include EAP meetings with school personnel; provide pre- and post-death classroom visits when appropriate and requested by the parent and approved by the school.
Co-coordinate and share facilitation of monthly program support group.
Assist in planning and participate in the annual Community PedsCare Day of Remembrance for families of children who died in the Community PedsCare program.
Participate in IDG meetings as a contributing member of the team in ongoing communication, coordination, and continuity of the patient and family care/service needs from the psychosocial perspective.
Ensure timely completion of all discipline-specific and organizational documentation according to Community Hospice policies and procedures.
Participate in sharing information with other professionals through participation in organizations such as NASW.
Consult the Community Hospice Ethics Committee, when needed. Provide social service coverage after hours, as needed. Participate in program, organizational, community in-service programs or presentations, as appropriate.
Other duties as assigned.
Current State of Florida drivers license with driving record acceptable to Community Hospice of Northeast Florida insurance carrier, and reliable transportation
Licensure as Clinical Social Worker
Master’s Degree in Social Work from an accredited school of Social Work and three (3) years direct service experience
Experience in supportive counseling in group and individual settings, and/or direct service with clients and their families in health care setting
Pediatric experience required
Experience in provision of case management services
Hospice care is a specialized care designed to provide support to you and your loved ones during the final phase of a terminal illness. Hospice care focuses on your comfort and quality of life, rather than cure. The goal of hospice care is to enable you to have an alert, pain-free life … to live each day as fully as possible.