Resource Team Social Worker

Agrace • Madison, WI

1d • Onsite

About The Position

The Homecare Social Worker provides direct social work services to patients and families, supporting satisfaction and patient- and family-centered care consistent with Agrace’s philosophy, goals, standards, regulations, and policies. Services include assessments, interventions, individualized care planning, communication, and documentation. The role serves patients and families affected by terminal illness, dying, and bereavement and coordinates with the Interdisciplinary Team (IDT). It also includes participation in an on-call rotation, education and outreach, death visits, and precepting new staff and students. An MSW may audit or oversee the work of a BSW.

This is a full-time, 1.0 FTE position (40 hours per week) based in Madison, Wisconsin. The schedule is Monday through Friday, 8 a.m. to 5 p.m., on the day shift. The position involves driving.

Requirements

• Bachelor’s degree in Social Work (BSW).
• Current, unrestricted Social Work license in the state of employment.
• One year of 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.
• Ability to maintain confidentiality regarding 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 degree in Social Work (MSW), preferred.
• Epic electronic health record experience, preferred.

Responsibilities

• Assess patients’ and families’ psychosocial, spiritual, grief, and educational needs as part of initial and comprehensive assessments and the individualized Plan of Care (POC).
• Advocate for patient and family goals, coordinate transition planning with patients, families, homecare, and the IDT, anticipate and respond to needs, and round on patients.
• Collaborate with the IDT and patients and families to formulate, implement, and revise individualized POCs in the electronic health record (EHR), including goals, interventions, education, and discharge plans.
• Read, understand, and follow the POC; document education, interventions, and outcomes in the EHR.
• Intervene, document, and report significant changes in condition or unusual incidents to the appropriate IDT member, including abuse or neglect, suicidal intent, harmful coping mechanisms, or violence.
• Facilitate communication among patients, families, and Agrace staff.
• Provide patient and family education and support regarding behaviors, emotions, psychosocial adjustment to terminal illness, dying, and bereavement; evaluate and adjust education as needed.
• Provide appropriate education and interventions based on clinical assessment and patient and family goals; evaluate and adjust interventions as needed.
• Maintain knowledge of community, legal, Agrace, and hospice-specific resources; refer patients and families to resources and advocate to obtain them.
• Assist with Power of Attorney for Health Care, Financial Power of Attorney, Living Will, and Guardianship, including assistance with POAHC capability and competency assessments.
• Participate in meetings to plan and evaluate patient and family services.
• Participate in the social work on-call rotation, education, and outreach.
• Participate in death visits, including assistance with post-mortem care using safe body mechanics.
• Precept new staff and students; an MSW may audit or oversee BSW work.

Benefits

• Competitive salary with mileage reimbursement.
• Health, dental, and vision insurance for employees hired for 28 or more hours per week (0.7 FTE or greater).
• Retirement plans with employer matching.
• Generous paid time off and holiday paid time off.
• Comprehensive onboarding, mentorship, and career development.

What This Job Offers

• Job Type: Full-time