Social Worker; LCSW - Palliative & End-of- Care Specialist

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The Licensed Clinical Social Worker (LCSW) provides specialized psychosocial support to patients with chronic, serious, and terminal illness and their caregivers, with a primary focus on end-of-life conversations, goals-of-care discussions, and family support throughout the illness trajectory. This role works closely with an interdisciplinary team to ensure patient care aligns with individual values, promotes dignity, and supports both patients and caregivers during advanced illness.

The position requires strong comfort with hospice and palliative care, complex family dynamics, and emotionally sensitive clinical situations. This is a field-based role requiring travel to patient homes.

• Provide psychosocial assessment, counseling, and emotional support to patients with chronic and terminal illness and their caregivers
• Lead and facilitate end-of-life and goals-of-care conversations, including discussions related to disease progression, quality of life, and patient preferences
• Facilitate and lead family meetings to support shared understanding, decision-making, and care planning
• Provide grief counseling and anticipatory bereavement support to patients and caregivers
• Serve as a clinical resource for hospice and palliative care education, including eligibility, philosophy of care, and care transitions
• Support timely and appropriate hospice referrals when patient goals of care align
• Collaborate with hospice agencies, community partners, and internal care teams to ensure continuity of care
• Identify psychosocial barriers and social determinants of health impacting care and connect patients to appropriate resources
• Collaborate closely with the interdisciplinary team, including physicians, nurse practitioners, social workers, and community health workers
• Participate in interdisciplinary team meetings, case conferences, and care planning discussions
• Document all assessments, interventions, and care coordination activities accurately and timely in the medical record
• Travel to patient homes and community locations as required

• Master’s degree in Social Work (MSW) from an accredited program
• Active Licensed Clinical Social Worker (LCSW) license in the state of Texas, in good standing
• Demonstrated experience or strong comfort with serious illness, end-of‑life conversations, and emotionally complex clinical situations
• Reliable transportation and ability to travel to patient homes
• Ability to work independently while functioning effectively as part of an interdisciplinary team

• Hospice and Palliative Care Certification (or willingness to obtain)
• Prior hospice, palliative care, or medical social work experience

• Hospice and palliative care principles, eligibility criteria, and care models ? Psychosocial impacts of chronic, serious, and terminal illness
• Grief, loss, and bereavement processes
• Community resources and supportive services relevant to medically complex and aging populations

• Skilled facilitation of sensitive conversations related to end of life and goals of care
• Strong family meeting facilitation and conflict navigation skills
• Excellent verbal, written, and interpersonal communication
• Clinical assessment, care planning, and documentation skills

• Ability to manage emotionally intense situations with professionalism, empathy, and resilience
• Ability to build trust quickly with patients, caregivers, and care teams
• Ability to prioritize and manage a caseload in a field-based environment
• Ability to collaborate effectively within an interdisciplinary team
• Demonstrates compassion, cultural humility, and patient-centered care
• Maintains professional boundaries while providing meaningful emotional support
• Exercises sound clinical judgment in complex and sensitive situations
• Adheres to ethical standards,…