About Us
We are a compassionate and innovative startup hospice agency committed to making the end-of-life journey as meaningful as possible. We Embrace Every Moment.
Our mission is to illuminate the final chapter of life through compassionate, expert care that combines clinical excellence with personalized, emotional support. We strive to create an experience where every ending is honored as a vital part of life’s journey.
Illuminating the final chapter: Focused on making the end of life a meaningful and enriching experience, blending skilled medical care with a compassionate touch.
Crafting personalized experiences: Emphasizing creative and individualized approaches to hospice care, guided by both expertise and empathy.
Integrating the arts, nature, and personal passions: Implementing a holistic, creative approach to hospice care that complements our medical foundation, going beyond the purely clinical to nurture the whole person.
Empowering families with tools for healing and remembrance: Supporting families with medical knowledge and emotional resources that extend beyond patient care, helping foster healing and memory-making as a lasting part of the experience.

Job Purpose
The MSW provides support to the patient and their family in accordance to the plan of care. The MSW assumes responsibility for the development, implementation, and management of psychosocial services. Being available to help navigate the practical and emotional issues that arise during the hospice journey. Provide support to complete advance directives, funeral arrangements, education, connections with community resources, and supporting bereavement needs.

Core Duties
1. Provide coordination to ensure continual assessment and personalization of each patient’s and family’s needs from admissions throughout the hospice stay while collaboratively working with others to achieve patient, personal, and Company goals.
2. Understand and abide by state/federal/Medicare/ACCREDITATION hospice regulations, HIPAA/PHI regulations, Office of Civil Rights, and Company policy and procedures.
3. Conduct a comprehensive psycho-social assessment of the patient and family and participates in the development of the plan of care at the time of patient's admission. Ensure a complete assessment of emotional factors related to terminal illness. Identify family dynamics and communication patterns.
4. Collaborate with the Interdisciplinary Group (IDG) members and physician in preparing, evaluating, integrating, and implementing the IDG individualized plan of care to assure the highest quality of social services are offered to patient and family in recognizing and understanding the social/mental stress and/or disorder that exacerbates the symptoms related to terminal illness. Continually evaluates and reports and documents the outcome of services. Revise plan of care as needed. Involve the patient/family in the plan of care. Services provided are under the direction of a physician.
5. Identify the development level of patient/family and obstacles to learning or ability to participate in care of patient. Address patient/family questions and issues. Identify obstacles to compliance and assist in understanding goals of interventions, support systems available to reduce stress, and coping with end-of-life care.
6. Assess and strengthen the patient and family's coping skills. Assess the patient/family psychosocial status, potential for risk of suicide and/or abuse of neglect. Evaluate patient/family response to psychosocial interventions.
7. Assess environmental resources and obstacles to maintain safety. Assess caregiver’s ability to function adequately.
8. Provide interventions for specific symptom relief of fear, grief, depression, anger, etc. Assess special needs related to cultural diversity including communication, space, role of family members and special traditions.
9. Document problems, psychosocial assessment, appropriate goals, care provided, interventions and family/caregiver response to interventions as outlined by hospice Policy and Procedures.
10. Deliver social services to the patient and/or family by developing/maintaining working relationships with community medical/health care services. Assists the patient/family with identifying and accessing community resources and financial resources.
11. Maintain appropriate documentation in the hospice patient chart and reports any emotional, social, or financial changes of the patient or family physician(s) and IDG.
12. Evaluate long-term care when appropriate and assess ability to accept change in level of care.
13. Work with management on level of care changes, discharge planning, and identify potential patient/family needs.
14. Evaluated patient/family response to interventions when referred to community agencies and satisfaction of the services provided.
15. Assess bereavement needs and coordinate follow up with bereavement services.
16. Provide services that include short-term individual counseling, crises intervention, assistance in providing information and preparation of advance directives, and funeral planning issues and transfer to responsibilities regarding fiscal, legal, and health care decisions.
17. Complete all charting within 24hrs of patient visit.
18. Participate in on-call needs, admissions, routine visits, death visits to meet patient and Company needs.
19. Participate in continuing education programs.
20. Communicate with coworkers and management in a productive, respectful, and factual manner. Being mindful of tone, body language, and words used.
21. Represent the Company in a professional manner by being mindful of behavior and what is communicated online or in person written or verbal format (ex. meme), wearing business casual/scrubs, being compliant, and be great at your job.
22. Hospice is not a secret, but how the Company operates is and confidentiality will help with future success. Must maintain confidentiality.

• -Other duties may also be assigned

Minimum Requirements
Education & Experience
1. Has a Master of Social Work (MSW) degree from a school of social work accredited by the Council on Social Work Education.
2. MSW Hospice experience 0 to 10 years.
Knowledge, Skills, and Abilities
1. Read, write, and speak English.
2. Work independently and under the direction of the physician and management.
3. Knowledge of community resources including Medicare / Medicaid, financial aid, county, state, and private social services agencies.
4. Drive self to and from patient visits and the office.
5. Experience with tablets and smart phones.
Certifications and Licenses
1. Valid Driver license
2. Auto Insurance that meets minimum state regulations.
3. Social worker’s license that meets minimum state requirements.

Physical Requirements

• Continuously: in a changing work environment (wet/dry/hot/cold), operating technology, completing charting, and in.
• Frequently: sitting, standing, walking, pushing and pulling up to 50lbs, and driving a vehicle.
• Occasionally: pushing and pulling over 50lbs and up to 100lbs, squatting, bending, kneeling, reaching, twisting, operating in tight spaces.
• Rarely: Pushing and pulling over 100lbs, crawling, climbing, walking on rough ground, exposure to dust/fumes/gases, being near moving equipment, operating medical equipment
• Never: Working from heights or working underground.

Working Conditions
Job requires flexibility in schedule to meet patient needs. Mainly working during daytime hours, but overnight or on-call hours may be necessary. Weekends and holidays may be necessary. Position requires travels causing exposure to temperature changes, weather changes, and traffic changes. Hospice can also expose staff to stress, depression, burnout, fatigue, long hours charting, and hauling supplies in the car.

Work Standards

• Interpersonal Skills: Demonstrates the ability to work well with colleagues, clients, vendors, referral sources, and other related parties.
• Promote Culture of Safety: Demonstrates commitment to personal responsibility and value for safety. Communicates safety concerns and uses and promotes safe behaviors based on training and lessons learned.
• Subject to and expected to comply with all Company policies and procedures, state and federal and Medicare and ACCREDITATION guidelines.
• Development: Engage in on-going self development, identify and address skills and/or knowledge gaps, seeks opportunity to solicit feedback and exchange ideas, develop and achieve goals, and take on new responsibilities.
• Organization: Demonstrate understanding of manager and Company goals and works to try and make them successful. Flexibility is required as healthcare constantly changes.