Hospice Travel Social Worker

Agrace • Madison, WI

23d • Hybrid

About The Position

Travel Resource SW 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 Travel Resource SW is fulfilling temporary social work assignments throughout new hospice markets, as well as within currently established homecare teams when a need arises (vacancies, FMLA, high census). The Travel Resource SW 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 required
• Valid driver’s license, auto insurance, and access to a reliable vehicle
• Must be at least 18 years of age
• Fulfill travel assignments as identified or based upon commitment/contract
• 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
• Travel experience preferred
• Ability to maintain professional boundaries with patients, families and co-workers
• Ability to create and follow plans of care, and patient, family, and clinical staff directions

Responsibilities

• Provide customer service to patients and families and assist with enrollment
• Travel within the Agrace geographic service area to meet with patients and families.
• Lead conversations with patients and families to convert appropriate referrals to admissions.
• Answer questions about Agrace values, services, benefits and philosophies.
• Overcome objections to enrolling in hospice or palliative care and create a sense of urgency with each referral.
• Obtain informed consent for hospice services and complete Electronic Health Records (EHR) documentation.
• Complete insurance paperwork, DME orders, pharmacy service enrollment, etc.
• Provide required documentation and referral process information to healthcare facility partners, Health Information Management (HIM) Department and homecare team or inpatient unit.
• Provide essential healthcare coverage and financial information to the Finance Department.
• Collaborate with discharge planners and hospital staff to ensure ease of transition from hospital.
• Facilitate follow-up and flow of information and legal documentation to admissions team and partners to support enrollment with Agrace.
• Schedule Agrace enrollments and consults.
• Provide scheduled and unscheduled informational visits and tours to potential patients and families.
• Collaborate with other members of the Admissions team and other teams to ensure smooth transition from referral to admission and thereafter.
• Assist in training and providing shadow opportunities for internal and external partners when assigned
• 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).
• 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.
• Primary Preceptor for new market assignments
• Participate in meetings to plan and evaluate patient/family services.
• Participate in SW on-call rotation.
• Participate in education and outreach.
• Participate and complete volunteer competency visits annually.
• 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

What This Job Offers

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