The Social Worker provides coordinated care in patients’ homes across all age groups. The role includes psychosocial assessment, analysis, counseling, and referrals to address the needs of patients and families. The Social Worker completes a Comprehensive Assessment within five days of a patient’s election of hospice care, identifying psychosocial, financial, environmental, and community needs. The position also supports advance directives, funeral and discharge planning, family counseling, and changes in level of care as indicated by patient or family needs. The Social Worker collaborates with the interdisciplinary group (IDG) to coordinate care and promotes respect for patients, their privacy, and their property.