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ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

1. Assesses the psychosocial status of patients and families/caregivers related to the patient's
terminal illness and environment and communicates findings to the registered nurse and
other members of the interdisciplinary group. Provides an assessment in the patient's
identified residence and assistance when this is not safe and another plan is required.

2. Carries out social evaluations, including family dynamics, caregiver abilities, communication
patterns, high-risks for suicide, neglect or abuse and plans intervention based on evaluation
findings. Counsels patient and family/caregivers as needed in relationship to stress, and
other identified coping difficulties. Provides crisis intervention when necessary.

3. Assesses for, and educates interdisciplinary group, on any special needs related to the
culture of the patient and family. Includes communication, role of family, space, and any
special traditions or taboos.

4. Maintains clinical records on all patients referred to social work prepares clinical and
progress notes.

5. Educates patients and families on, and assists in, preparation of advanced directives.

6. Provides information and referral services for organization patients and families/caregivers
regarding practical and environmental needs.

7. Provides information to patients and families/caregivers and community agencies.

8. Serves as liaison between patients and families/caregivers and community agencies.

9. Maintains collaborative relationships with organization personnel to support patient care.

10. Maintains and develops contracts with public and private agencies as resources for patient
and personnel.

11. Participates in the development of the individualized plan of care, involving the patient and
family, and attends regularly scheduled interdisciplinary group meetings, assisting the team
in recognizing the effects of the psychosocial stresses on the symptoms of the terminal
illness

12. Assists physician and other team members in understanding significant social and emotional factors related to health problems and death/dying issues.

13. Actively participates in quality assessment performance improvement teams and activities.

14. Assists family and patient in planning for funeral arrangements, financial, legal, and health
care decision responsibilities.

15. Other duties as delegated by the Clinical Supervisor.
The above statements are only meant to be a representative summary of the major duties and
responsibilities performed by incumbents of this job. The incumbents may be requested to
perform job related tasks other than those stated in this description.

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