Hospice Resource Social Worker - East Madison, Watertown, Waukesha Area

Agrace • Watertown, WI

5d • Hybrid

About The Position

Join Agrace, a nationally recognized nonprofit leader in hospice and palliative care. This is an opportunity for a skilled Social Worker who values meaningful, patient-centered care to make a difference. 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
• 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
• Ability to use proper body mechanics, safe patient handling, and standard precautions

Nice To Haves

• Master’s in Social Work (MSW), preferred
• Current, unrestricted Social Work License in state of employment

Responsibilities

• Conduct initial and ongoing patient/family assessments, including psychosocial, spiritual, grief, and educational needs.
• Advocate for patient/family goals and coordinate transition planning.
• Anticipate and respond to patient/family psychosocial, spiritual, resource, or grief needs.
• Collaborate with the Interdisciplinary Team (IDT) and patient/family to formulate, implement, and revise individualized Plans of Care (POC).
• Document education, interventions, and outcomes in the electronic health record (EHR).
• Intervene, document, and report significant changes in condition or unusual incidents.
• Facilitate communication among patients, families, and Agrace staff.
• Provide individual patient/family education and support regarding terminal illness, dying, and bereavement.
• Evaluate the effectiveness of education and interventions and adjust to meet needs.
• Develop and maintain knowledge of community, legal, Agrace, and hospice specific resources.
• Refer patients/families to resources and act as a patient/family advocate to obtain resources.
• Assist with Power of Attorney for Health Care (POAHC), Financial Power of Attorney, Living Will, and Guardianship.
• 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 off

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level