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Behavioral Health, Social Services & Spiritual Care

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Medical Social Worker - Hospice and Palliative - Care Continuing Care Services (On-Call)

Location: Portland, OR Job Number: 707203 Date posted: 06/11/2018
Description: The Hospice/Home-Based Palliative Care Medical Social Worker provides home care services to Kaiser Permanente patients in community based and facility settings. This position may provide social services to patients in the hospice, home-based palliative care, or other programs under the direction of the patient's physician(s) to primarily assist patients/families in coping with the social/emotional issues and practical arrangements related to the patient's end of life care, goals, and needs. This care is provided through coordinating the delivery of high quality, cost-effective skilled, psychosocial care as part of a hospice/home-based palliative care interdisciplinary team.

Essential Responsibilities:
  • Provides social work services consistent with agency policy, state practice acts, and applicable state and federal regulations as directed by the patient's physician. Activities include assessment of social and emotional factors related to the patient's illnesses, financial and community resources and patient safety.
  • Develops and implements an individualized care plan, utilizing department and community resources in a cost effective manner.
  • Actively participates in multidisciplinary care planning to facilitate coordination of care.
  • Assures personal competency through maintaining working knowledge of current social work practice, available community services, member benefits and resources and regulatory standards.
  • Utilizes Kaiser Permanente Continuing Care Services departmental and community resources in a cost-effective manner. Consults with other interdisciplinary team members and shares work social expertise and perspective.
  • Actively participates in quality management and quality improvement activities within the department including, but not limited to, clinical record review, occurrence reporting, focused studies, process and outcome measurement, peer review and continuous quality improvement projects.
  • Performs other duties as requested.

  • Basic Qualifications:
  • One (1) year of experience in a hospice and/or palliative care setting.
  • Experience in evaluation of mental status, including depression scale. Education

  • Master's 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 months.
  • Valid driver's license.
  • Basic Life Support (BLS) for Health Care Providers required within two (2) weeks of hire/transfer.
  • National Provider Identifier (NPI) required prior to employment start date.

    Additional Requirements:

  • Demonstrated ability to perform comprehensive assessments of psychosocial and emotional needs.
  • Expertise in palliative care principles and the dying process, including psychosocial impact of specific illnesses.
  • Ability to successfully complete a typing test.
  • Ability to operate a laptop computer to perform clinical documentation.
  • Knowledge of counseling skills.
  • Knowledge of medical terminology.
  • This position requires a reliable automobile to travel to and from patient homes.

    Preferred Qualifications:

  • Previous work experience in a home care setting.
  • Experience with interdisciplinary team function.
  • Working knowledge of the managed care industry.
  • Knowledge of Medicare Hospice Conditions of Participations, regulations/requirements.
  • Knowledge of Kaiser Permanente and community resources.
  • Knowledge of family dynamics.
  • Ability to work autonomously and manage patient case load.
  • Ability to apply Principles of Documentation for medical records.
  • Excellent time management, organizational, problem solving and customer service skills.
  • Excellent written and verbal communication skills.
  • Operational knowledge of computerized clinical documentation and office application systems including the use of laptop/notebook computers.

    Primary Location: Oregon,Portland,Montgomery Park 2701 NW Vaughn St. Scheduled Weekly Hours: 1 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun Working Hours Start: Varies Working Hours End: Varies Job Schedule: Call-in/On-Call Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: OFNHP - Professionals Job Level: Individual Contributor Job Category: Behavioral / Mental Health Department: Continuing Care Services Travel: Yes, 100 % of the Time
    Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.
  • About Behavioral Health, Social Services & Spiritual Care Careers Careers

    Behavioral Health, Social Services & Spiritual Care Careers

    Backed by a committed interdisciplinary team of health care professionals, you'll provide high-quality treatment for patients with behavioral health and/or bio-psychological concerns, including those in psychological crisis.

    With the strength of our network at your fingertips, you'll be sure your patients receive prompt, appropriate referrals across our organization with no barriers to the continuity of care. Opportunities and specialty settings range from substance abuse to social work and autism to eating disorders.


    • Alcohol and Substance Abuse Counselors
    • Case Managers
    • Clinical Psychologists
    • Clinical Social Workers
    • Health Educators
    • Marriage and Family Therapists
    • Medical Social Workers
    • Psychiatric Social Workers

    Specialty Settings:

    • Addiction Medicine/Chemical Dependency
    • Autism
    • Chronic Pain Management
    • Eating Disorders
    • Employee Assistance
    • Geriatrics
    • Help Line/Psychiatric Call Center
    • Home Health
    • Hospice
    • Medical Social Work
    • Neuropsychology
    • OB/GYN
    • Palliative Care
    • Pediatrics
    • Psychiatric Emergency Team (PET)
    • Psychiatry (Adult, Adolescent & Child)
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