Social Worker; MSW - Home Health - PT

Job Summary

At Vital Caring, our team members transform lives and foster hope through genuine caring. As a Hospice Social Worker, you will support patients and families facing terminal illness by providing emotional support, resource coordination, crisis intervention, and compassionate guidance. Working in alignment with our values—trustworthy, capable, compassionate, proactive, and called—you will help ensure every encounter is meaningful and centered on dignity, comfort, and holistic care.

• Assess the psychosocial status of patients and families/caregivers related to the terminal diagnosis and home environment; communicate findings to the RN and interdisciplinary group.
• Conduct social evaluations, including family dynamics, caregiver capacity, communication patterns, and risks such as suicide, neglect, or abuse.
• Provide counseling to patients and families experiencing stress, grief, and coping challenges; offer crisis intervention when needed.
• Assess and educate the interdisciplinary team on cultural factors influencing care, including communication norms, family dynamics, space, traditions, and taboos.
• Educate and assist patients and families in completing advance directives.

• Provide information, guidance, and referrals for practical and environmental needs, including community resources, financial supports, legal considerations, and environmental challenges affecting care.
• Maintain and develop relationships with public and private community agencies to expand resource options.
• Assist patients and families with funeral planning, financial and legal matters, and health care decisions.

• Participate in developing individualized plans of care, involving the patient and family in decision‑making.
• Attend interdisciplinary group (IDG) meetings to help the team understand the psychosocial impacts of terminal illness.
• Assist physicians and team members in understanding significant social and emotional factors that influence patient health, comfort, and coping.

• Maintain accurate clinical and progress notes for all patients receiving social work services.
• Serve as a liaison between patients/families and community agencies to ensure seamless support and care coordination.

• Actively participate in quality assessment and performance improvement activities.
• Perform other duties as assigned by the Branch Director.

• Master’s degree in Social Work (MSW).
• One year of social work experience in a hospice setting preferred; strong understanding of hospice philosophy and end‑of‑life issues.
• Ability to work tactfully with patients, families, and the community.
• If performing home visits: must be a licensed driver with an insured, reliable automobile.

• 401(k) with Company Match
• Employee Referral Program
• Prepaid Legal Plans
• Identity Theft Protection