Job Description

Our people are the difference.

Transitions Care is a leading hospice organization that has changed the hospice experience for patients, families, and team members. Imagine a healthcare company that provides 24/7 access to services in the comfort of the patient's home - providing the physical, emotional, and spiritual support that allows a patient to focus on living.

At Transitions, you don't have to imagine! Apply now to join our team and experience the Transitions difference!

As a Social Worker at Transitions Care you will provide a wide range of psychosocial services to terminally ill patients and their families, including regularly assessing the patient and family psychosocial needs, and pre-bereavement/anticipatory grief needs. Implements the Plan of Care provisions to meet their needs, which include; social service goals for alleviating problems, supportive counseling, problem solving, community referrals pre-bereavement and bereavement care. Local Travel, as necessary.

Major Responsibilities

• Conduct initial psychosocial, spiritual, and pre-bereavement assessment of patient/family/caregiver in a thorough, accurate, compassionate, and timely fashion.
• Function as a support person for the patient/family/caregiver on an ongoing basis.
• Function as expert and facilitator of obtaining community resources to meet the needs of patients and families, including financial assistance. Assist families with referrals to community resources when indicated.
• Assist family with Advanced Directives.
• Assist family/caregiver in placement of patient in a facility for basic care, when appropriate.
• Complete and maintain all patient records at patient's residence and submit accurate and relevant notes regarding patient’s condition and care given.
• Attend and actively participate in team meetings, IDG meetings, and in-services, and contribute positively to patient care planning.
• Assist patient/family/caregiver and other team members in providing continuity of care.
• Participate in evening/weekend call as required, conducting on-call services in a clinically competent and responsive manner.
• Maintain clinical records, statistics, reports, and records for the purpose of evaluation and reporting of agency activities as prescribed and in compliance with local, state, and federal laws.
• Maintain a caseload and deliver care in a cast-effective manner that demonstrates an understanding of hospice reimbursement methodologies.

Benefits We Offer

• Competitive pay
• 401(k) matching
• Company Equipment
• Paid Time Off

Requirements

Education and Experience

• Bachelor’s degree in Social Work, Master’s degree preferred. Master’s degree from school accredited by the Council on Social Work Education required in states as specified.
• Licensure and/or certification as required by the State.
• Minimum of 2+ years social service experience in a health care setting or social services agency.
• Knowledge of and ability to obtain community resources (information and referral, state/federal financial programs, and eligibility requirement, etc…).
• Strong knowledge of local community resources as it applies to the geographic area.
• Compliance with accepted professional standards and practices.
• Understands Hospice philosophy, principles of death/dying.
• Ability to work in an interdisciplinary setting.
• Demonstrates excellent observation, judgement, and communication skills. Anility to provide good written documentation within a timely manner.
• Self-directed with the ability to work with little supervision.