Clinical/Hospice Social Worker

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Hospice Patient talking with social worker

Title: Clinical/Hospice Social Worker

Department: Home Health and Hospice

Reports To: Home Care Social Work Supervisor

Supervises: None

Status: Full-Time Non-Exempt

Position Summary:

The Home Health/Hospice Social Worker assesses home care patients and their families regarding psychosocial and care/discharge planning issues relevant to medical treatment. Provides supportive and medical social services and crisis intervention, emotional support, resource information, discharge planning, and legal reporting as needed. The overall goal of this position is to support the idea of patient-centered care and cost-effectiveness through integrating the functions of case management, utilization management, discharge planning, and discharge teaching. Has accountability for coordination of care and discharge planning of all patients in conjunction with the entire team. Compliance with rules and regulations of all applicable federal, state, and local laws, as well as ruralMED, Home Care, and Hospice policies, is a condition of employment.


Education and/or Experience:

• Master’s or Bachelor’s Degree in social work from an accredited school.

Licenses/Certifications Required:

  • Currently licensed as a Social Worker (MSW or BSW) in the State of Nebraska.

  • Current BLS/CPR certification.

  • Current and valid drivers’ license with acceptable driving record

  • Current and valid insurance coverage within the legal business limits.

General Requirements/Job Duties:

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The requirements listed below are representative of the knowledge, skill, and/or ability required:

  1. Adhere to the ruralMED mission, vision, and values.
  2. Assess patient/family social and emotional factors in order to estimate their potential to cope with terminal illness and death.
  3. Provide psychosocial counseling and support to the patient/family experiencing emotional, social, and economic conflict.
  4. Assist patient/family and staff in utilizing community resources.
  5. Assess patient/family financial and insurance status and assist with appropriate resources as indicated.
  6. Participate in interdisciplinary team (IDT) meetings to establish, review and revise the plan of care of each patient, including exchange of information, review of problems, and sharing of professional support.
  7. Responsible for maintenance of electronic medical records, assuring accuracy, completeness, and compliance with regulation, certification standards, legal and ethical standards.
  8. Identify and address comfort care needs in collaboration with other members of the Homecare team.
  9. Support, instruct and educate the patient, family, and caregiver.
  10. Coordinate all patient and family services.
  11. Maintain the dignity of the dying patient.
  12. Support the patients and family’s unique spiritual and cultural beliefs.
  13. Provide holistic, family-centered care across treatment settings to improve the quality of life.
  14. Consult and collaborate with the interdisciplinary team and others involved in the patients’ care.
  15. Provide care consistent with National Hospice and palliative Care Organization standards of practice for hospice programs.
  16. Adhere to all Home Health & Hospice and ruralMED policies and procedures.
  17. Regularly re-evaluates the patient’s and family’s psychosocial needs.
  18. Maintain absolute confidentiality of all information pertaining to patients, families, and staff and adhere to all HIPAA rules.
  19. Display a positive and professional image and attitude in all relationships with patients, families, peers, and in the community.
  20. Assume responsibility for the promotion of the hospice concept in the community and with other agencies and professionals.
  21. Maintains patient and personal safety regarding occupational health and safety.
  22. Participate in orientation and supervision for students seeking experience in hospice care.
  23. Perform other related duties as assigned.
  24. Demonstrates competency annually in assigned areas of work.


Will have access to primary work location 24 hours a day.
Will have access to confidential information abiding by the organizations' privacy policies and regulations concerning this information.

Equipment Used:

• General office equipment to include: fax, copier, computer, printer, etc…
• Telephone

Patient Age Groups Served:


Essential Work Environment & Physical Requirements:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical ActivityNot
(0-35% of day)
(36-66% of day)
(67-100% of day)
Sitting  X 
Standing  X 
Walking  X 
Climbing X  
Driving X  
Lifting (Floor to waist level) 150 lbs. 40 lbs.
Lifting (waist level and above) 150 lbs. 40 lbs.
Lifting (Shoulder level and above) 150 lbs. 40 lbs.
Carrying Objects  X 
Push/Pull 150 lbs. 40 lbs.
Twisting  X 
Bending  X 
Reaching forward  X 
Reaching Overhead  X 
Squat/kneel/ crawl  X 
Wrist Position Deviation  X 
Pinching/Fine Motor activities  X 
Keyboard use/ repetitive motion  X 
Talk  X 
Hear  X 
Sensory RequirementsNot ApplicableAccurate 20/40Very Accurate 
Near Vision X  
Far Vision X  
 Not ApplicableYesNo 
Color Discrimination X  
 Not ApplicableAccurateMinimalModerate
Depth Perception X  
Environment Requirements
(Occupational Exposure Risk Potential)
Not AnticipatedReasonably Anticipated
Bloodborne Pathogens X
Chemical X
Airborne Communicable Disease X
Extreme Temperatures X
Uneven Surfaces or Elevations X
Extreme Noise Levels X
Dust/Particulate Matter X
Other (Listed):
Exposure to Pets
Shift Requirements8 hrs/day10 hrs/day12 hrs/dayOther (varied)
Usual workday hoursX   
 Not ApplicableYesNo 
Reliable, punctual attendance for assigned shifts X  
Available to work overtime X  
Telecommuting available?  No