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COMMONWEALTH HOME HEALTH NETWORK

Social Worker

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Description

SOCIAL WORKER - HOME HEALTH - PART TIME - CONTRACT

Home Health Social Workers will:

  • Develop and implement appropriate, individual treatment plans for both patients and caregivers, including but not limited to:
  • Individual and/or group counseling
  • Education
  • Consultation services to the Care Team
  • Risk Assessment/Crisis Intervention
  • Directs case management issues, including but not limited to:
  • Housing Issues
  • Financial Issues
  • Insurance Issues
  • Safety Issues including, but not limited to: symptoms of abuse, neglect or exploitation; ability to live independently; decision-making capacity; any other issues warranting involvement of Adult Protective Services (APS)
  • Psychiatric: Changes in mood, behavior, cognition/mental status; suicidal/homicidal ideation; substance use/misuse
  • Caregiver Burden
  • Identify the need to transfer to a higher level of care (e.g., Behavioral Health Services).
  • Assists in coordinating discharge planning activities and processes.
  • Assists in coordinating 24-hour care as indicated by the interdisciplinary team and/or the Care Team.
  • Educates and counsels the participant and/or caregiver regarding care needs, options and other related problems.
  • Advocates to others on behalf of the participant, and demonstrates accountability in resolving participant concerns or issues.

Skills

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See also

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