Job DetailsJob LocationBaraboo - Baraboo, WIPosition TypeFull TimeTravel PercentageDrivingJob ShiftAMJob CategoryProfessional ServicesDescriptionAgrace is a nonprofit, community health care organization that is nationally recognized as a leader in the hospice industry. Well known for end-of-life care, Agrace also serves people across southern Wisconsin who are aging, seriously ill or grieving. Agrace has a strong culture of employee engagement. In 2023, Agrace was named the #1 Top Workplace by the Wisconsin State Journal and Energage, and #79 of the top 100 companies in the country among those with an employee base of 500 to 999 workers!HoursMonday-Friday 8am-5pm On Call Rotation One Weekend/Quarter; One Weekday/10-12 Days AreaWisconsin Dells, Mauston, Lyndon Station, AdamsWHO YOU'LL WORK WITH (AND WHAT THEY HAVE TO SAY)The Social Worker works on a collaborative interdisciplinary team including RNCMs, CNAs, Volunteer Coordinators, Spiritual Grief Counselors, RNs, and Clinical Assistants. I have the support of management and well-rounded interdisciplinary team. I don't feel like I'm alone, and I have many resources to lean on. - Homecare EmployeeHOW YOU'LL MAKE A DIFFERENCE IN THIS ROLE (ESSENTIAL FUNCTIONS)The SW HC is responsible for patient and family satisfaction through the provision of direct social work services by conducting assessments, providing interventions, creating and updating the plan of care, communicating, and documenting. The SW HC provides patient and family centered care consistent with Agrace philosophy, goals, standards, regulations and policies.
- Initial and Ongoing Patient/Family Assessments
- Assess patient and family psychosocial, spiritual, grief and educational needs as part of the initial and comprehensive as per the patient's individualized Plan of Care (POC).
- Advocate for patient/family goals.
- Coordinate transition planning in collaboration with the patient/family, homecare, and Interdisciplinary Team (IDT).
- Anticipate and respond to patient/family psychosocial, spiritual, resource, or grief needs. Round on patients.
- Care Planning and Coordination
- Collaborate with IDT and patient/family to formulate, implement, and revise individualized Plan of Care (POC) in the electronic health record (EHR). The POC to include goals, interventions, education, discharge plan, etc.
- Read, understand, and follow POC. Document education, interventions, and outcomes in EHR.
- Intervene, document, and report significant changes in condition or unusual incidents to appropriate IDT member such as client abuse/neglect, suicidal intent, harmful coping mechanisms or violence, etc.
- Facilitate communication among patients, families, and Agrace staff.
- Education, Intervention, and Resources
- Provide individual patient/family education and support regarding behaviors, emotions, and psychosocial adjustment to terminal illness, dying, and bereavement. Evaluate the effectiveness of education and adjust to meet needs.
- Provide appropriate education and interventions for patient/family based on clinical assessment and patient/family goals. Evaluate the effectiveness of interventions and adjust to meet needs.
- Develop and maintain knowledge of community, legal, Agrace, and hospice specific resources. Refer patients/families to resources. Act as patient/family advocate to obtain resources.
- Assist with Power of Attorney for Health Care (POAHC), Financial Power of Attorney, Living Will, and Guardianship including assistance with POAHC capability and competency assessment.
- Miscellaneous
- Participate in meetings to plan and evaluate patient/family services.
- Participate in SW on-call rotation.
- Participate in education and outreach.
- Participate in death visits, including assistance with post-mortem cares using safe body mechanics.
- Precept new staff and students.
- MSW may audit or oversee the work of BSW.
YOU BRING (EXPERIENCE & QUALIFICATIONS)
- Bachelor's in Social Work (BSW) or Master's in Social Work (MSW) required
- Current, unrestricted Social Work License in state of employment
- One-year paid medical social work experience
- Valid driver's license, auto insurance, and access to a reliable vehicle
- Must be at least 18 years of age
- Ability to develop, maintain, and apply knowledge of hospice and end of life process
- Ability to maintain professional boundaries with patients, families and co-workers
- Ability to create and follow plans of care, and patient, family, and clinical staff directions
- Intermediate Microsoft Office skills
- Intermediate electronic health records skills; Epic preferred
- Ability to work effectively and cooperatively with others
- Ability to communicate effectively verbally and in writing
- Ability to be flexible in time and task to meet organizational needs
- Ability to maintain confidentiality about patients, families, caregivers, staff, donors, and organizational intellectual property
- Ability to use proper body mechanics, safe patient handling, and standard precautions
Don't meet these qualifications as written? We would still love to talk about roles at Agrace: Join HereAt Agrace we are strengthened by the diverse experiences, cultures and traditions of our staff, patients, and clients.Together, we pursue a vision of equity-in which every Agrace staff member is treated fairly, and every patient and client experiences the respectful, individualized care they need and deserve.We foster a culture of belonging and inclusion that celebrates people's uniqueness and leads to meaningful, empathetic connections.Agrace HospiceCare is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class