Remote/Hybrid - Must be in Pittsburgh and surrounding areas. Enhanced Community Care Management (ECCM) is currently seeking a social worker to expand its growing care delivery team. ECCM is the region's premiere Palliative Care Service and meets with patients in the home and virtually, providing supportive care services. The incumbent will assess patients for psychosocial complexity and provide targeted interventions based on patient goals. Executing as a community-based treatment team, ECCM works in conjunction with PCP’s, specialists, hospitals, and post-acute care facilities to meet the social, psychological, and medical needs of patients who have complex conditions or terminal diagnoses. This position is an integral part of the care delivery system working together as part of an interdisciplinary team to provide community based palliative care. The incumbent will provide palliative care to complex patients across our footprint. The focus on advance care planning, what matters most, and development of goal concordant care plans. The incumbent will work within their scope and standards of practice and within the policies, values, mission of the organization, placing the customer first. Monday-Friday. No evenings. No weekends. Pittsburgh and surrounding area. Essential responsibilities include completing and documenting psychosocial assessments, intervention, and coordination of care to identified populations; providing crisis intervention/counseling to enhance patient/family coping mechanisms; engaging patient/family/significant other and interdisciplinary team in discharge process to identify appropriate post-acute resources and community service follow-ups; providing education regarding psychosocial factors related to illness; actively participating to enhance the role of social work within the hospital; and other duties as assigned. Requires a Master's Degree in Social Work or 6 years of related experience in lieu of Bachelor's degree. Requires 5 years post-graduate experience as a Social Worker in healthcare settings and 2 years case management related activities. Must have Licensed Social Worker (LSW) or Licensed Clinical Social Worker (LCSW). Skills include cultural competency, understanding lifestyle role in disease, computer skills, teamwork, multitasking, analytical and decision-making skills, motivational interviewing, advance care planning competency, organizational and time management skills. Travel requirement 50%-75%. Position is office-based with occasional travel to various work sites.
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