Social Worker

VIA Health Partners • Fayetteville, NC

15d

About The Position

VIA Health Partners is a community-based, not-for-profit hospice and palliative care provider. The Social Worker provides psychosocial support to patients, caregivers, and families facing end-of-life care. The role assesses emotional, social, and environmental needs; develops and updates plans of care; provides counseling, education, resource referrals, and advocacy; and supports patients’ and families’ cultural and spiritual beliefs. The Social Worker collaborates with interdisciplinary teams and community partners, coordinates supportive services, and documents care in accordance with agency and regulatory standards.

The position manages a local patient caseload, schedules and conducts visits, monitors responses to care, identifies emerging needs, and adjusts plans as appropriate. It also supports transitions between care settings and into grief services, maintains effective working relationships, participates in meetings and improvement activities, and keeps professional knowledge and licensure current. The job is full-time, based in Fayetteville, North Carolina, with a day shift and local travel.

Requirements

• Bachelor’s degree required when working as a BSW.
• Master’s degree in social work from a Council on Social Work Education (CSWE)-accredited institution required when working as an MSW.
• Current applicable licensure in good standing: North Carolina Clinical Social Worker Associate (LCSWA) or Licensed Clinical Social Worker (LCSW), and, as applicable, South Carolina Licensed Independent Social Worker – Clinical Practice (LISW-CP).
• Computer proficiency.

Nice To Haves

• Medical social work experience.
• Hospice experience.

Responsibilities

• Conduct psychosocial assessments of patients, caregivers, and families to identify strengths and needs related to illness, treatment, and life circumstances.
• Develop, implement, evaluate, and update plans of care for patients, caregivers, and families.
• Provide counseling, education, resource referrals, and advocacy while maintaining the dignity of patients receiving end-of-life care.
• Support individual spiritual and cultural beliefs through assessment, culturally sensitive care planning, and interdisciplinary collaboration.
• Consult with and involve an LCSW or Social Work Preceptor when clinical interventions or support exceed the employee’s expertise or scope of practice.
• Document assessments, care plans, interactions, interventions, and other clinical information according to regulatory and agency standards.
• Collaborate with the interdisciplinary group, VIA departments, long-term care staff, and other partners to achieve patient care goals and coordinate services.
• Educate patients and families about hospice philosophy and services, advance care planning, and end-of-life care.
• Conduct family meetings and initiate referrals for volunteer, chaplain, and grief services.
• Reassess supportive-service needs and maintain knowledge of community resources for appropriate referrals.
• Manage time, caseload, technology, and visit schedules based on prioritized patient needs and travel efficiency.
• Prepare for and conduct visits, provide interventions in accordance with the plan of care, evaluate responses, identify new needs, and revise care plans as necessary.
• Facilitate transfers to other care settings when appropriate and promote patient and caregiver independence to the extent possible.
• Facilitate transition from active patient and caregiver services to grief care after a patient’s death.
• Maintain current and complete clinical records, synchronize electronic medical records throughout the day, and submit clinical documentation and activity logs according to VIA guidelines.
• Accurately record time and mileage.
• Maintain effective working relationships with interdisciplinary teams and interdepartmental staff, attend assigned meetings, participate in improvement activities, and communicate complex issues to the Supervisor.
• Maintain VIA’s professional reputation and pursue professional development by staying current with social work trends and incorporating new information and methods into practice.
• Maintain applicable professional licensure in good standing.
• Perform other duties as required or assigned.

Benefits

• Medical, vision, and dental plans through BCBS.
• 28 days of paid time off.
• Mileage reimbursement.
• 403(b) retirement plan with matching.
• Programs honoring veteran patients.
• Assistance with achieving Certified Hospice & Palliative Nurse (CHPN) certification.
• Orientation and onboarding program.
• Career guidance from experienced hospice leaders.

What This Job Offers

• Job Type: Full-time