Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.
U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.
Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
General Description of the Job Class
Provide skilled specialist palliative care to patients with life threatening conditions and their families as a part of the Duke Palliative Care inpatient consult service. Utilize psychosocial assessments, psycho-education, and intervention to help a patient and family adjust and cope with extended hospitalization, diagnosis, disease trajectory, symptom burden, and bereavement.
Actively participates in the mission to promote primary palliative care delivery through education, quality improvement, wellness initiatives, and program development.
Duties and Responsibilities of this Level
- Psychosocial assessment including patient and family history, presenting concerns, and assessment of strengths, needs and vulnerabilities.
- Assesses patient/family/caregiver (PFC) physical, psychological, socioeconomic, spiritual and symptom management needs.
- Assesses PFC advance care planning and support needs.
- Develops a social work treatment plan based on a biopsychosocial and spiritual assessment of PFC including variables such as environment, support systems, family dynamics, roles & relationships, finances, culture, perception of illness, cognitive and emotional integration of diagnosis, prognosis, history of loss, and expressed needs.
- Identifies and intervenes with barriers and risk factors that may impede symptom management, response to treatment and patient/family care.
- Referrals to appropriate community services and resources in collaboration with unit social workers and case managers.
- Anticipatory guidance for coping with emotional, psychological, physical and spiritual dimensions of the disease process.
- Collaboration with patient, family and team to identify options, goals and priorities for care – advanced care planning.
- Mental health assessment and treatment, or referral to the treatment provider, as relates to coping with the patient’s health condition.
- Integrates supportive counseling, family interventions, crisis intervention and cognitive-behavioral techniques based on diagnostic assessment.
- Bereavement care planning and support.
- Facilitates communication between patient and/or family and team including active participation in family meetings.
- Conflict management
- Consults and coordinates with other psychosocial/spiritual care providers (social workers, chaplains, therapists, psychologists) as appropriate for patient and family.
- Documents findings, plan, and actions taken according to departmental guidelines and standards.
- Functions as an integral team member by receiving and offering feedback, building respect and trust.
- Participates and represents social work perspective in multidisciplinary team meetings (weekly IDT), team rounds, and Palliative Care Grand Rounds.
- Designs and provides education on palliative care to other health care professionals.
- Offers education and support on resiliency, compassion fatigue, and moral distress through debriefings and staff care.
- Attends and participates in staff, committee, department, and other administrative meetings.
- Participates in departmental and hospital continuous quality improvement efforts.
- Keeps current with social work and health care developments and seeks to enhance job related knowledge through involvement with local, state, and national palliative care initiatives (SWHPN).
- Participates in individual and group supervision.
Preferred Knowledge, Skills and Abilities
- Biopsychosocial, emotional, spiritual and practical needs of client systems
- Impact of illness, disease and stress on individual and family, across disease trajectories
- Psychosocial dimensions of pain and symptom management
- Signs, symptoms, diagnosis and treatment of psychiatric disorders
- Religious, spiritual, and cultural values and expectations
- Ethical and legal principals and guidelines for decision-making
- End of life preparation, loss, and bereavement
- State and community resources for care delivery and support
- Multi-dimensional assessment
- Treatment planning and intervention
- Communication and counseling, (i.e. psychotherapy, CBT)
- Interdisciplinary teamwork
- How death, illnesses are understood at different developmental stages
- Excellent written and verbal communication skills.
- Strong interpersonal skills; ability to collaborate and communicate well
- Self-directed; ability to work independently; ability to multi-task
- Ability to prioritize work assignments and manage time efficiently.
- Basic computer skills
Level I and Level II Master’s degree in social work from an accredited school of social work .
Level I Level II Two years of post-internship social work experience in a health care setting or social service agency. Two years of recent post master’s experience in a clinical setting preferred. Same as Level I plus five years post master’s experience in a health care or social service agency. Experience in leadership and supervising.
Degrees, Licensures, Certifications
Level I and Level II Current licensure as a licensed clinical social worker (LCSW) by the NC Social Work Certification and Licensure Board.
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual’s age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.