Hospice of Michigan Jobs (2)

Job Summary :

Provides professional nursing services or supervises the provision of nursing services to hospice patients in accordance with accepted standards of practice and organizational guidelines.

May perform nursing services in a variety of care settings and / or roles, including but not limited to case management, admissions or on-call.

Essential Functions :

• Provides a complete physical assessment and history of current and previous illness(es).
• Completes a comprehensive initial and ongoing assessment of : Patient and family / caregiver to determine hospice needs.

The impact of the terminal diagnosis on the patient’s physical, functional, psychosocial and environmental needs, and activities of daily living, including : the risk for pathological grief, cultural and spiritual implications, and verbal and non-verbal communication patterns.

• Assists in developing, implementing, evaluating and updating the individualized plan of care; recommends revisions to the plan, as needed, based on acuity and patient / family / caregiver needs.
• Works collaboratively with the interdisciplinary team (IDT) to prioritize and provide patient and family oriented hospice services.

Communicates with the Physician, Social Worker and Spiritual Care Advisor to provide assessment information after the initial visit and with the clinical manager or designee to provide patient / family information, including unusual or potentially problematic issues, as needed.

• Provides end-of-life care including comfort care and symptom management according to NorthStar Care Community indicators.
• Provides support, follow up and education, and documents end-of-life comfort care and symptom management.
• Provides initial and ongoing patient / family instruction, education and support regarding the disease process, self-care techniques, end-of-life care, and issues of ethical concerns.

Assesses the ability of caregivers to meet patients’ immediate needs upon admission and throughout care.

• Coordinates ordering durable medical equipment and supplies.
• Participates in quality assurance processes / programs, internal / external education / training, marketing and other activities that promote the mission of the organization.
• Using current processes and technology available, communicates complete and accurate information to attending physician(s), other team disciplines and other departments in a timely manner.
• Supervises, instructs and evaluates Hospice Aides in providing nursing care to patients, according to regulatory guidelines.
• Evaluates own need for professional, psychosocial and emotional support and uses identified system(s) to meet the need.
• Works collaboratively, actively participates in team functions and meetings; acts as a resource for orientees, when appropriate and / or requested.
• Responds to information requested by third party payers, calls clinical report to case managers as directed.
• As requested, participates in the development of care delivery goals, strategic planning, and in individual, team and organizational process improvement activities and in the development of protocols and standards for hospice practice.

Qualifications :

• Graduation from an accredited school of nursing with possession of a current license to practice as a registered professional nurse in the State of Michigan.
• Minimum of one (1) to two (2) years of varied nursing experience required; hospice experience and CHPN preferred.
• Ability to use technology (hardware and software) required of clinicians in their practice.
• Must be able to read, write and speak English fluently and be able to effectively communicate orally and in writing in internal and external relationships for all essential job functions.
• Must possess excellent interpersonal skills, sound judgment, effective organizational, prioritization and follow-through skills, attention to detail, tact, dependability, emotional intelligence and the ability to maintain confidentiality and promote positive, constructive relationships with communication and collaboration at all levels.
• Must be able to cope with family / caregiver emotional stress, cultural diversity and be tolerant of individual life-styles.
• Proof of current tuberculin testing required. Patient contact will not be allowed until tuberculin clearance is documented.
• Must be able to work variable hours / shifts and / or days, including weekends. Must have the ability to occasionally work extended days, as necessary.
• Must have reliable transportation.
• Must be eligible to work in the United States.

Social Worker

Come join Arbor Hospice! As the largest non-profit hospice provider in Michigan, we offer comfort and peace for patients and their loved ones.

Our Commitment here at Arbor Hospice is "Every person, Every time." Arbor Hospice is looking for a Social Worker passionate to provide high quality patient care to join our team.

Job Summary : In collaboration with the interdisciplinary team (IDT), provides and facilitates acquisition of economic, social, and emotional support services to hospice patients and their families / caregivers.

Essential Functions :

• Performs advocacy and oversight of hospice services based on patient self-determination to assure patient and family / caregiver satisfaction.
• Assists patient and family / caregiver with placement arrangements, funeral arrangements, legal planning, and community resources in accordance with the plan of care.
• Assesses patient / family / caregiver social, emotional and financial factors to cope with the terminal illness and death;
• their psychosocial status; potential for risk of suicide and / or abuse or neglect; environment, resources, obstacles to maintaining safety;

and caregiver’s ability to function adequately.

• Identifies the developmental level of patient / family / caregiver and obstacles to learning or ability to participate in care of the patient.
• Develops, implements and revises the plan of care based on a thorough psychosocial assessment and consultation with team members, patient and caregivers.
• Evaluates patient for level of care changes (long term care, respite, discharge) when appropriate and assesses ability to accept the change.
• Assesses and develops instructions and plan of care reflecting needs identified for homemaker assistance.
• Identifies patient / family / caregiver needs when discharged or when level of care changes; evaluates patient / family / caregiver response to intervention(s) when discharged or when level of care changes.
• Assesses the need for counseling related to risk assessment for pathological grief; provides counseling services to the patient / family / caregiver experiencing emotional, social and economic conflict;

evaluates patient / family / caregiver response to psychosocial interventions.

• Assesses and provides grief support and education to patients and their families / caregivers. Assesses special needs related to cultural diversity including communication, space, role of family members and special traditions.
• Documents patient care following established organizational standards of documentation practice, and regulatory and licensure requirements, submits documentation in accordance with policy.
• Works collaboratively with other IDT members, communicates complete and accurate information and assists team members in understanding the significant social and emotional factors related to care of terminally ill patients and their caregivers.
• Works collaboratively and actively participates in team functions, meetings, and acts as a resource for staff members and orientees when appropriate and / or requested.
• Evaluates and monitors patient’s insurance coverage and options in assessing patient / caregiver ability to meet financial obligations, and responds to third party payor requests.

Offers appropriate internal and community resources and assists patients, caregivers and staff in acquiring and utilizing resources, as indicated.

• Proactively problem solves and identifies solutions utilizing critical thinking skills.
• Participates in internal and external education and training, quality improvement initiatives, in-services, development of protocols and standards and other activities to promote hospice practice as well as personal and professional growth.
• Utilizes allocated supplies and resources appropriately to ensure business outcomes are met.
• Adjusts to changes in workload, schedules based on changing departmental / organizational priorities.

Qualifications :

A Bachelor’s Degree in Social Work (BSW) obtained from a school of social work accredited by the Council of Social Work Education is required;

a Master’s Degree in Social Work (MSW) is preferred.

• Possession of a current license to practice social work issued by the State of Michigan is required. A Limited Licensed Masters Social Worker (LLMSW) or a Licensed Bachelors Social Worker (LBSW) may be considered, but a Licensed Masters Social Worker (LMSW) is highly preferred.
• A minimum of one (1) year paid social work experience required; hospice or related health care experience preferred.
• Ability to use technology (hardware and software) required of clinicians in their practice.
• Must possess excellent interpersonal skills, sound judgment, effective organizational, prioritization and follow-through skills, attention to detail, tact, dependability, emotional intelligence, and the ability to maintain confidentiality and promote positive, constructive relationships with communication and collaboration at all levels.
• Proof of current tuberculin testing required. Patient contact will not be allowed until tuberculin clearance is documented.
• The physical and sensory demands of the position include : vision, effective speech and hearing for extensive telephone contact;
• repetitive motion; traveling; driving or riding in motor vehicle; standing, sitting, walking, bending, reaching, and stretching;

lifting up to forty five (45) pounds unassisted and the ability to assist in lifting patients using appropriate lifting techniques and / or devices.

• Must have reliable transportation.
• Must be eligible to work in the United States.

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