Hospice Resource Social Worker - Madison Area

Agrace•Madison, WI

About The Position

Join Agrace, a nationally recognized nonprofit leader in hospice and palliative care. If you are a skilled Social Worker who values meaningful, patient-centered care, this is your opportunity to make a difference! How You’ll Make a Difference (Essential Functions) The Social Worker - Resource Team is responsible for patient and family satisfaction through the provision of direct social work services by conducting assessments, providing interventions, creating and updating the plan of care, communicating, and documenting. The SW Resource moves across the homecare teams when a need arises (vacancies, FMLA, high census). The SW Resource provides patient and family centered care consistent with Agrace philosophy, goals, standards, regulations and policies.

Requirements

Bachelor’s in Social Work (BSW), required
Current, unrestricted Social Work License in state of employment
One-year paid medical social work experience
Valid driver’s license, auto insurance, and access to a reliable vehicle
Must be at least 18 years of age
Intermediate Microsoft Office skills
Intermediate electronic health records skills; Epic preferred
Ability to maintain confidentiality about patients, families, caregivers, staff, donors, and organizational intellectual property
Ability to use proper body mechanics, safe patient handling, and standard precautions

Nice To Haves

Master’s in Social Work (MSW), preferred.

Responsibilities

Assess patient and family psychosocial, spiritual, grief and educational needs as part of the initial and comprehensive as per the patient’s individualized Plan of Care (POC).
Advocate for patient/family goals.
Coordinate transition planning in collaboration with the patient/family, homecare, and Interdisciplinary Team (IDT).
Anticipate and respond to patient/family psychosocial, spiritual, resource, or grief needs. Round on patients.
Collaborate with IDT and patient/family to formulate, implement, and revise individualized Plan of Care (POC) in the electronic health record (EHR). The POC to include goals, interventions, education, discharge plan, etc.
Read, understand, and follow POC. Document education, interventions, and outcomes in EHR.
Intervene, document, and report significant changes in condition or unusual incidents to appropriate IDT member such as client abuse/neglect, suicidal intent, harmful coping mechanisms or violence, etc.
Facilitate communication among patients, families, and Agrace staff.
Provide individual patient/family education and support regarding behaviors, emotions, and psychosocial adjustment to terminal illness, dying, and bereavement. Evaluate the effectiveness of education and adjust to meet needs.
Provide appropriate education and interventions for patient/family based on clinical assessment and patient/family goals. Evaluate the effectiveness of interventions and adjust to meet needs.
Develop and maintain knowledge of community, legal, Agrace, and hospice specific resources. Refer patients/families to resources. Act as patient/family advocate to obtain resources.
Assist with Power of Attorney for Health Care (POAHC), Financial Power of Attorney, Living Will, and Guardianship including assistance with POAHC capability and competency assessment.
Participate in meetings to plan and evaluate patient/family services.
Participate in SW on-call rotation.
Participate in education and outreach.
Participate in death visits, including assistance with post-mortem cares using safe body mechanics.
Precept new staff and students.
MSW may audit or oversee the work of BSW

Benefits

Competitive pay with mileage reimbursement
Health, dental, and vision insurance for employees who are hired for 28+ hours per week (.7 FTE +)
Retirement plans with employer matching
Generous Paid Time Off (PTO) and holiday paid time off
Comprehensive onboarding, mentorship, and career development

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume