Hospice Social Worker - Float

VIA Health Partners is an industry leader and top-10 nationally ranked provider of end-of-life care. More importantly we are proud to be a community based, not for profit hospice & palliative care provider. We have deep community roots, with decades of experience serving ALL patients’ and families’ needs regardless of their ability to pay or their medical complexity.
We are a people first organization whose funds go to serve our mission.

Due to our significant growth, we are looking for amazing new staff who share these same values. Apply now and be a part of our success story.

• Medical, Vision, and Dental plans through BCBS
• 28 days of Paid Time Off
• Excellent mileage reimbursement rate
• 403b Retirement plan with matching
• Focused programs honoring Veteran patients
• Assistance with achieving Certified Hospice & Palliative Nurse (CHPN)
• Best Orientation and Onboarding program you’ve experienced
• Seasoned Hospice leaders guiding your career growth

• Delivery of Patient Care
  • Conduct psychosocial assessments of patients/caregivers and families to identify emotional, social, and environmental strengths and problems related to their diagnosis, illness, treatment, and life situation.
  • Develop, implement, and evaluate plans of care for patients/caregivers and families. Incorporate therapeutic, preventive, and other clinical social work practices that specifically address patient/caregiver and family needs for counseling and education while maintaining the dignity of the dying patient. Specifically address patient’s and caregiver’s need for resource and referral services and advocacy. Update plan of care as goals and objectives are achieved or changed.
  • Support patient/family’s individual spiritual/cultural beliefs by assessing cultural issues, developing culturally sensitive care plans, and collaborating with interdisciplinary teams in provision of culturally sensitive care.
  • If not an LCSW, consult with and involve a Licensed Clinical Social Worker or Social Work Preceptor in cases that require clinical social interventions or support beyond their expertise or scope of practice.
  • Document assessments, care plans, interactions, and interventions according to regulatory and agency standards.
  • Participate in and work collaboratively with the interdisciplinary group (IDG) and other VIA departments in achieving patient care goals.
  • Provide education on hospice philosophy and services, advance care planning, and other issues related to end of life care.
  • Conduct family meetings.
  • Collaborate with long term care community staff and other IDG members to determine the patient’s level of care and coordinate the appropriate utilization of services.
  • Initiate referral process for volunteers, chaplains, and grief services. Continue to reassess supportive service needs and interventions.
  • Maintain working knowledge of community agencies and resources, assessing and referring patient/family to appropriate resources.
  • Manage time, caseload, and technology.
• Assumes responsibility for the effective and professional delivery of health services.
  • Schedule visits in advance based on prioritized judgment of case load needs.
  • Prepare for visits, anticipate care needs, review plan of care and patient information, and obtain needed materials and educational resources for patients/caregiver.
  • Make visits to provide needed care. Follow established plan of care, evaluate patient/caregiver responses to determine progress toward goals, and revise plan of care as necessary.
  • Provide interventions consistent with the plan of care and perform all interventions required for each visit. Identify new problems or needs when they occur.
  • When appropriate given the plan of care, facilitate transfers of patients to other settings including respite, skilled nursing facilities or other hospices.
  • Facilitate patient and caregiver independence to the extent possible.
  • Facilitate transition from active patient/caregiver status to grief care services after the death of a patient.
  • Plan workday to respond to priorities as well as to minimize travel time.
• Ensure accurate, complete, and timely clinical documentation in accordance with VIA…