Chaplain/Spiritual Counselor

Chaplain/Spiritual Counselor

A Chaplain/Spiritual Counselor provides spiritual and emotional support when needed to the hospice patient/family and to members of the hospice team. They also provide assistance at the time of the patient’s death and support of the family during the bereavement period.

Qualifications

Educational/Degree and Training/Licensure:

  1. Graduate of an accredited seminary or school of theology or appropriate certification in hospital or pastoral ministry.
  2. Certificate or degree in pastoral ministry.

Experience:

  1. Minimum 2 years of experience as a chaplain/spiritual counselor, preferred.
  2. Active patient contact within past three years, preferred.

Knowledge/Skills/Ability:

  1. Ability to work independently, make accurate, and at times, quick judgments.
  2. Ability to respond appropriately to crisis outside of a hospital setting.
  3. Acceptance of and adaptability to different social, racial, cultural and religious modes.

Physical Requirements

  1. Requires minimal physical effort most of the day including kneeling, squatting, reaching, twisting, climbing, walking, exposure to temperature and humidity changes and minimal assist in lifting and/or transferring of a 20 pound patient.
  2. Must possess sight/hearing senses or use appropriate adaptive devices that will enable senses to function at a level required to meet the essential duties of the position.
  3. Must provide evidence of annual TB test and other state-required tests or examinations.

Mental Requirements

  1. Must be able to work independently, make judgments based on assessments and data available and act accordingly.
  2. Must be flexible, innovative and possess good interpersonal skills.
  3. Must be able to cope with mental and emotional stress and demonstrate emotional stability.

Job Relationships

  1. Supervised by: Manager of Patient Services
  2. Interrelationships: Patients, family, IDG and other health care team members

Working Environment

Be able to tolerate exposure to elements including, but not limited to, odors, blood, body fluids and excrement, adverse environmental conditions and hazardous materials.

Transportation

Must have a current valid driver’s license, auto liability insurance and reliable transportation.

Responsibilities

  1. Provide direct spiritual support and/or counsel to patients/families in keeping with patients’ and families’ beliefs.
  2. Work with staff, clergy and community groups to enhance their sensitivity to the spiritual concerns of patients/families experiencing terminal illness and loss.
  3. Participate in IDG conference by exploring and assessing the potential spiritual needs of patients/families and reporting on services as indicated.
  4. Provide bereavement follow-up services as assigned.
  5. Maintain proper records of visits to patients/families.
  6. Make contact with clergy or appropriate representatives of patients/families as indicated.
  7. Perform occasional liturgical assignments, e.g., memorial services with staff.
  8. Conduct or make arrangements for funeral or memorial service when indicated.
  9. Develop and maintain a resource group of clergy to whom specific aspects of spiritual care may be delegated.
  10. Arrange for on-call availability of spiritual services.
  11. Provide educational programs for community clergy, religious and lay representatives as resources allow.

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    Hospice Aide

    Hospice Aide

    A Hospice Aide provides personal care services to terminally ill hospice patients as needed, under the direction of the RN. They provide assistance and understanding to the family and in time of bereavement, working as a member of the hospice team in providing hospice care within the guidelines of the IDG care plan.

    Qualifications

    Educational/Degree and Training/Licensure:

    1. High school diploma or GED.
    2. Graduate from an approved training and competency course.

    Experience:

    1. Minimum 2 years of experience as a nursing assistant, preferred.
    2. Active patient contact within past three years, preferred.

    Knowledge/Skills/Ability:

    1. Must meet federal Home Health Aide training and competency requirements.
    2. Ability to work independently, make accurate, and at times, quick judgments.
    3. Ability to respond appropriately to crisis outside of a hospital setting.
    4. Acceptance of and adaptability to different social, racial, cultural and religious modes.

    Physical Requirements

    1. Requires considerable physical effort most of the day including kneeling, squatting, reaching, twisting, climbing, walking, exposure to temperature and humidity changes and maximal assist in lifting and/or transferring of a 100 pound patient.
    2. Must possess sight/hearing senses or use appropriate adaptive devices that will enable senses to function at a level required to meet the essential duties of the position.
    3. Must provide evidence of annual TB test and other state-required tests or examinations.

    Mental Requirements

    1. Must be able to work independently, make judgments based on assessments and data available and act accordingly.
    2. Must be flexible, innovative and possess good interpersonal skills.
    3. Must be able to cope with mental and emotional stress and demonstrate emotional stability.

    Job Relationships

    1. Supervised by: Registered Nurse
    2. Interrelationships: Patients, family, IDG and other health care team members

    Working Environment

    Be able to tolerate exposure to elements including, but not limited to, odors, blood, body fluids and excrement, adverse environmental conditions and hazardous materials.

    Transportation

    Must have a current valid driver’s license, auto liability insurance and reliable transportation.

    Responsibilities

    1. Under the direction and ongoing supervision of the registered nurse, provides essential personal care assistance to the patient:
      • Bath, care of mouth, skin and hair.
      • Bathroom or in using bedpan or commode.
      • Bed transfers as well as ambulation activities as ordered under the care plan.
      • Range of motion exercises which the Aide has been taught by appropriate professional personnel.
      • Performing such incidental household services as are essential to the patient’s well- being at home.
      • Preparing meals including special diet.
      • Taking a patient’s temperature, pulse, respirations and blood pressure if assigned by a registered nurse.
      • Assists with shopping if the patient has no other resource available.
    2. Provides emotional support and compassionate care to the patient and family unit.
      • Demonstrates listening skills.
      • Offers encouragement when appropriate.
      • Practices patience in voice and manner.
    3. Maintains required competency and skills.
      • Documented initial and ongoing every 14 day supervision and evaluation by RN on each case assignment.
      • Participates in annual performance review.
    4. Reports any changes in the patient’s condition or family situation immediately by calling the hospice office and notifying the RN.
    5. Practices Standard Precautions according to OSHA regulations and policy.
    6. Adheres to all policies and procedural guidelines.
    7. Attends at least twelve (12) hours of inservice education programs per year.
    8. Maintains current certification as required by the State.
    9. Maintains current knowledge and practice of infectious disease protocols.

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      Social Worker/Social Work Assistant

      Social Worker/Social Work Assistant

      A Social Worker/Social Work Assistant delivers varied social work services to hospice patients and their families, including initial emotional, spiritual, psychosocial assessments, ongoing counseling, bereavement services and community education, outreach and referral. The hospice social worker is an integral part of the Hospice IDG.

      Qualifications

      Educational/Degree and Training/Licensure:

      1. MSW degree from a school of social work accredited by the Council on Social Work Education (CSWE), and one year of experience in a health care setting or
      2. Baccalaureate degree in social work (BSW) from a school of social work accredited by the CSWE, and one year of experience in a health care setting and be supervised by a MSW from a school of social work accredited by the CSWE and who has one year of experience in a health care setting. If the BSW is employed by the Hospice before December 2, 2008, they are exempted from the MSW supervision requirement or
      3. Baccalaureate degree in psychology, sociology or other field related to social work, and at least one year of social work experience in a health care setting and be supervised by a MSW from a school of social work accredited by the CSWE and who has one year of experience in a health care setting.

      Knowledge/Skills/Ability:

      1. Ability to work independently, make accurate, and at times, quick judgments.
      2. Ability to respond appropriately to crisis outside of a hospital setting.
      3. Acceptance of and adaptability to different social, racial, cultural and religious modes.

      Experience:

      1. Minimum 2 years of experience as a social worker, preferred.
      2. Active patient contact within past three years, preferred.

      Hospice must also defer to State law regarding social work requirements. If State requirements are more stringent, Hospice must comply with the State requirements. For example, if the State requires a social worker to have a BSW or an MSW, the Hospice may not employ a person with a baccalaureate degree in psychology, sociology or other field related to social work to work as a Hospice Social Worker.

      Hospice must employ or contract with at least one MSW to serve in the supervisor role as an active advisor, consulting with the BSW on assessing the needs of patients and families, developing and updating the social work portion of the plan of care and delivering care to patients and families. Supervision may occur in person, over the telephone, through electronic communication or any combination thereof. Hospice will allow time for the supervision to happen on a regular basis and provide documentation as to the nature and scope of supervision. Hospice also ensures that non-social work trained bachelor’s prepared employees filling the role of social worker are supervised by a MSW who graduated from a school of social work accredited by the CSWE and who has at least one year of experience in a health care setting.

      Social workers with a baccalaureate degree from a school of social work accredited by the CSWE and who are employed by Hospice before December 2, 2008, are exempted from the MSW supervision requirement. If Hospice hires a new Social Worker with a baccalaureate degree and one year of experience in a health care setting after December 2, 2008, then the baccalaureate Social Worker must be supervised by an MSW who has one year of experience in a health care setting.

      Physical Requirements

      1. Requires minimal physical effort most of the day including kneeling, squatting, reaching, twisting, climbing, walking, exposure to temperature and humidity changes and minimal assist in lifting and/or transferring of a 20 pound patient.
      2. Must possess sight/hearing senses or use appropriate adaptive devices that will enable senses to function at a level required to meet the essential duties of the position.
      3. Must provide evidence of annual TB test and other state-required tests or examinations.

      Mental Requirements

      1. Must be able to work independently, make judgments based on assessments and data available and act accordingly.
      2. Must be flexible, innovative and possess good interpersonal skills.
      3. Must be able to cope with mental and emotional stress and demonstrate emotional stability.

      Job Relationships

      1. Supervised by: Director/Manager of Patient Services/Medical Director
      2. Interrelationships: Patients, family, IDG and other health care team members

      Working Environment

      Be able to tolerate exposure to elements including, but not limited to, odors, blood, body fluids and excrement, adverse environmental conditions and hazardous materials.

      Transportation

      Must have a current valid driver’s license, auto liability insurance and reliable transportation.

      Responsibilities

      1. Performs initial psychosocial, emotional, spiritual and bereavement assessments and assists in the development and implementation of goal-directed IDG care plan.
      2. Conducts ongoing reassessments of patient/family needs and counseling as required.
      3. Provides short term crisis intervention and individual or family counseling when indicated.
      4. Provides services, under the direction of a physician (who approves plan of care).
      5. Participates as a member of the Bereavement Team as assigned.
      6. Observes, assesses and brings to IDG conferences information regarding psychosocial, emotional, spiritual, physical and financial conditions affecting the patient and family.
      7. Assumes the active role of advocate for the patient/family unit.
      8. Develops and maintains contact with appropriate community agencies and services in order to promote interagency cooperation and to facilitate related referrals.
      9. Documents comprehensive psychosocial, emotional and spiritual assessment clearly and concisely in a timely manner.
      10. All patient/family visits, telephone contacts and referral actions are recorded in the patient record per policy.
      11. Provides ongoing counseling related to issues of death and dying to the patient and family as needed.
      12. Attends staff meetings, IDG and other meetings as assigned and appropriate.
      13. Participates in the orientation program as assigned.
      14. Adheres to all Hospice policies.
      15. Assumes responsibility for own personal and professional development and maintenance of skills in social work.
      16. Exhibits Hospice philosophy in all job related roles.
      17. Other duties as assigned by Director/Manager of Patient Services.

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        Medical Social Worker (MSW)

        Medical Social Worker (MSW)

        A Medical Social Worker (MSW) provides social work services to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Director of Clinical Services/Clinical Manager. Services are furnished by a qualified social worker or by a qualified social work assistant under the supervision of a qualified social worker.

        Qualifications

        1. A master’s or doctoral degree from a school of social work accredited by the Council on Social Work Education, and has one year of social work experience in a health care setting, or
        2. A baccalaureate degree in social work, psychology, sociology or other field related to social work, and at least one year of social work experience in a health care setting (functions as an assistant).
        3. Two (2) years of appropriate experience (for assistant).
        4. One (1) year experience in home care, preferred.
        5. Acceptance of philosophy and goals of Agency.
        6. Ability to exercise initiative and independent judgment.
        7. Ability to work with individuals to enlist cooperation of many people to perform/achieve a common goal.

        Working Environment

        Works indoors in Agency office and patient homes and travels to/from patient homes.

        Job Relationships

        1. Supervised by: Director of Clinical Services/Clinical Manager
          If Social Work Assistant: Social Worker

        Lifting Requirements

        Ability to perform the following tasks if necessary:

        • Participate in physical activity and to do bending, lifting and/or standing on a regular basis.
        • Light lifting may be required.
        • Work for extended period of time while sitting or standing.

        Risk Exposure: HIGH

        Responsibilities

        1. Understands and adheres to established Agency policies/procedures.
        2. Understands and promotes principles of QAPI.
        3. Acts as a consultant to other Agency personnel.
        4. Participates in the coordination of Agency’s services with the services of other community resources; uses community resources.
        5. Observes confidentiality and safeguards all patient information.
        6. Serves as a resource person to employees, patients, physicians and other allied healthcare providers.
        7. Develops a cooperative relationship and communicates effectively and professionally with physicians.
        8. Accepts responsibility for regular attendance and punctuality.
        9. Maintains current knowledge of Medicare Conditions of Participation for social work services.
        10. Immediately reports any accident, incident, lost articles or unusual occurrence to Director of Clinical Services/Clinical Manager.
        11. Participates in inservices and/or continuing education programs.
        12. Participates in patient care conferences.
        13. Maintains contact with community support groups and provides professional expertise as required.
        14. Plans/coordinates all social services within the Agency.
        15. Documents all patient/family services provided as required by Agency policy.
        16. Assists physician and other team members in understanding the significant social and emotional factors related to health problems.
        17. Participates in the development of the plan of care.
        18. Prepares clinical and progress notes.
        19. Works with the family.
        20. Participates in discharge planning.
        21. Other duties assigned by Director of Clinical Services/Clinical Manager (or Social Worker, if Social Work Assistant).

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          Home Health Aide (HHA)

          Home Health Aide (HHA)

          A Home Health Aide is paraprofessional person who is specifically trained, competent and performs assigned functions of personal care to the patient in their residence under the direction, instruction and supervision of the registered nurse (RN).

          Qualifications

          1. Must meet Medicare Conditions of Participation for Home Health Aide training program and competency.
          2. Sympathetic attitude toward the care of the sick and elderly.
          3. Ability to carry out directions, read and write.
          4. Maturity and ability to deal effectively with the demands of the job.

          Working Environment

          Works indoors in Agency office and patient homes and travels to/from patient homes.

          Job Relationships

          1. Supervised by: Director of Clinical Services/Clinical Manager/RNs, PTs, OTs, SLPs

          Lifting Requirements

          Ability to perform the following tasks if necessary:

          • Participate in physical activity.
          • Work for an extended period of time while standing and being involved in physical activity.
          • Heavy lifting.
          • Extensive bending, lifting and standing on a regular basis.

          Risk Exposure: HIGH

          Responsibilities

          1. Understands and adheres to established Agency policies and procedures.
          2. Performs personal care, bath and hands-on care as assigned.
          3. Completes appropriate visit records in a timely manner as per Agency policy.
          4. Reports changes in the patient’s condition and needs to the RN.
          5. Performs household services essential to health care in the home as assigned.
          6. Ambulates and exercises the patient as assigned.
          7. Performs simple procedures as an extension of the therapy or nursing services, e.g., range of motion (ROM) exercises as assigned.
          8. Assists with medications that are ordinarily self-administered as assigned.
          9. Attends inservice and continuing education programs as scheduled and necessary.
          10. Attends patient care conferences as scheduled.

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            Occupational Therapist (OT)​

            Occupational Therapist (OT)

            An Occupational Therapist (OT) administers occupational therapy to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Director of Clinical Services/Clinical Manager.

            Qualifications

            1. Graduate of an Occupational Therapy curriculum accredited by the Committee on Allied Health Education and Accreditation of the American Medical Association and the American Occupational Therapy Association (AOTA) and/or certified by successfully completing the National Certification examination, or
            2. Is eligible for the National Registration Examination of the American Occupational Therapy Association.
            3. Currently licensed in the state(s) in which practicing, unless licensure does not apply.
            4. Two (2) years’ experience, preferred.

            Working Environment

            Works indoors in Agency office and patient homes and travels to/from patient homes.

            Job Relationships

            1. Supervised by: Director of Clinical Services/Clinical Manager
            2. Workers Supervised: Certified Occupational Therapy Assistant and Home Health Aide as assigned

            Lifting Requirements

            Ability to perform the following tasks if necessary:

            • Participate in physical activity.
            • Work for an extended period of time while standing and being involved in physical activity.
            • Moderate lifting.
            • Extensive bending, lifting and standing on a regular basis.

            Risk Exposure: HIGH

            Responsibilities

            1. Improves or minimizes residual physical disabilities of the patient.
            2. Returns the individual to optimum and productive living within the patient’s capabilities.
            3. Periodically participates with all other home care personnel in patient care planning.
            4. Provides prescribed occupational therapy.
            5. Directs and supervises personnel as required.
            6. Takes initial history and makes initial evaluation.
            7. Performs all skilled procedures.
            8. Consults with physicians regarding change in treatment.
            9. Writes reports to physicians regarding patient’s progress.
            10. Instructs patients/family members in home programs and fine motor movement exercises.
            11. An initial evaluation, including plan of care and goals, must be completed and submitted to the physician for approval. A recertification by physician every 60 days is necessary, if further treatment is to be continued. A progress note is written each visit. A reevaluation is written when expected duration of treatment is reached. A summary is written upon patient’s discharge.
            12. Periodically presents an inservice to the Agency staff.
            13. Assists the physician in evaluating level of function.
            14. Helps develop the plan of care and revises as necessary.
            15. Prepares clinical and progress notes.
            16. Advises and consults with the family and other Agency personnel.
            17. Participates in inservice programs.
            18. Participates in QAPI activities as assigned.

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              Registered Physical Therapist (PT)

              Registered Physical Therapist (PT)

              A Registered Physical Therapist (PT) administers physical therapy to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Director of Clinical Services/Clinical Manager.

              Qualifications

              1. Graduate of a physical therapist curriculum approved by the Commission on Accreditation in Physical Therapy Education, American Physical Therapy Association, or the Committee on Allied Health Education and Accreditation of the American Medical Association, or the Council of Medical Education of the American Medical Association and American Physical Therapy Association.
              2. Currently licensed in the state(s) in which practicing.
              3. Two (2) years’ experience, preferred.
              4. Acceptance of philosophy and goals of this Agency.
              5. Ability to exercise initiative and independent judgment.

              Working Environment

              Works indoors in Agency office and patient homes and travels to/from patient homes.

              Job Relationships

              1. Supervised by: Director of Clinical Services/Clinical Manager
              2. Workers Supervised: Physical Therapy Assistant and Home Health Aide as assigned

              Lifting Requirements

              Ability to perform the following tasks if necessary:

              • Participate in physical activity.
              • Work for an extended period of time while standing and being involved in physical activity.
              • Heavy lifting.
              • Extensive bending, lifting and standing on a regular basis.

              Risk Exposure: HIGH

              Responsibilities

              1. Understands and adheres to established policies and procedures.
              2. Provides physician prescribed physical therapy.
              3. Improves or minimizes residual physical disabilities of the patient.
              4. Returns the individual to optimum and productive level within the patient’s capabilities.
              5. Participates with all other home care personnel in patient care planning.
              6. Directs and supervises personnel as required.
              7. Takes initial history and makes initial evaluation.
              8. Performs all skilled procedures as ordered by physician.
              9. Consults with physicians regarding change in treatment.
              10. Writes reports to physicians regarding patient’s progress.
              11. Instructs patients and family/significant others in home programs and activities of daily living.
              12. Participates in inservice programs and presents inservice programs as assigned.
              13. Participates in Quality Assessment and Performance Improvement activities as assigned.
              14. Attends all patient care conferences as scheduled.
              15. Prepares clinical and progress notes.
              16. Assists physician with evaluating level of function.
              17. Helps develop the plan of care and revise as necessary.
              18. Consults with family and Agency personnel.
              19. Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges and significant change in condition in accordance with Agency defined time frames.
              20. Appropriately utilizes ICD-10 codes.

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                Registered Nurse (RN)

                Registered Nurse (RN)

                A Registered Nurse administers skilled nursing care to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Director of Clinical Services/Clinical Manager.

                Qualifications

                1. Graduate of an approved school of professional nursing and currently licensed in the state(s) in which practicing.
                2. Two (2) years’ nursing experience, preferred.
                3. Acceptance of philosophy and goals of this Agency.
                4. Ability to exercise initiative and independent judgment.

                Working Environment

                Works indoors in Agency office and patient homes and travels to/from patient homes.

                Job Relationships

                1. Supervised by: Director of Clinical Services/Clinical Manager
                2. Workers Supervised: Licensed Practical Nurse, Home Health Aide

                Lifting Requirements

                Ability to perform the following tasks if necessary:

                • Participate in physical activity.
                • Work for an extended period of time while standing and being involved in physical activity.
                • Heavy lifting.
                • Extensive bending, lifting and standing on a regular basis.

                Risk Exposure: HIGH

                Responsibilities

                1. Provides services in accordance with the plan of care.
                2. Makes the initial evaluation visit and regularly reevaluates the patient’s nursing needs.
                3. Initiates the plan of care and necessary revisions.
                4. Provides those services requiring substantial specialized nursing skills.
                5. Initiates appropriate preventive and rehabilitative nursing procedures.
                6. Prepares clinical and progress notes for each patient visit and summaries of care conferences on his/her patients in a timely manner as per Agency policy.
                7. Coordinates services.
                8. Informs personnel of changes in the condition and needs of the patient.
                9. Counsels the patient and family/significant others in meeting nursing and related needs.
                10. Participates in and presents inservice programs.
                11. Understands and adheres to established Agency policies and procedures.
                12. Processes orders and notifies physician of patient needs and changes in condition. Completes certification/recertification orders and discharge summaries.
                13. Determines the amount and type of nursing needed by each individual patient.
                14. Refers to Physical Therapist, Speech Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills.
                15. Supervises and teaches other nursing personnel.
                16. Conducts patient care conferences on patients assigned to his/her care.
                17. Participates in peer review and Quality Assessment and Performance Improvement as assigned.
                18. Gives total patient care as needed.
                19. Takes on-call duty nights, weekends and holidays, as assigned.
                20. Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges and significant change in condition in accordance with Agency defined time frames.
                21. Appropriately utilizes ICD-10 codes.

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