At Remarkable Hospice we believe Hospice care is more than a service—it’s a calling. Every day, our team brings comfort, dignity, and peace of mind to patients and families facing life’s most delicate moments. With compassion at our core, we create a workplace where kindness leads, voices are heard, and every role carries purpose. If you’re looking to make a difference in the lives of others while being part of a team that feels like family, we’d love to welcome you.

Job Summary:  

Evaluates and assesses patient needs for social service assistance, planning and coordination of patient programs and acts as a liaison between the patient, hospital, Home Health, Hospice, physician, and community in the home care venue with appropriate linkage of community services/resources. Performs under minimal supervision.                                        

Essential Functions:  

• Demonstrates self-motivation and initiative by developing and maintaining current information on community resources through attendance of continuing education and professional associations.
• Completes documentation and paperwork, as required by Agency policies, following the physician’s Plan of Care for Medical Social Services.
• Makes visits as scheduled and participates in case conferences as required.
• Assess hospice patient to identify psychosocial, financial, environmental, and community needs as evidenced by POC documentation, clinical records, team meeting minutes and community resource referrals.
• Use effective interpersonal relations and communication skills; facilitates the use of these skills by other team members to achieve desirable outcomes.
• Meet mandatory continuing education requirements of the agency/licensing board.
• Demonstrate commitment, professional growth and competency by maintaining a working knowledge of public and private eligibility standards and requirements.
• Promote Agency philosophy and administrative policies to ensure quality of care.
• Attend interdisciplinary team meeting, participate in the patient care planning process and collaborates with Interdisciplinary Team to promote coordination of patient care.
• Accept clinical assignments that are consistent with the education and competence to meet the needs of the patients
• Performs other related duties as assigned or requested.
• Adheres to specific State Association for Home Care Code of Ethics.
• Conforms to all applicable Agency policies and procedures.
• Participates actively in continuing education and in-services.
• Maintains confidentiality of patient information and business trade practices.
• Assumes the care of the home health patient, optimizing his/her comfort and dignity, when appropriate.
• Possesses adequate knowledge of Medicare/Medicaid and insurance standards to ensure reimbursement for all services rendered.

Additional Responsibilities:   

• Performs other related duties as assigned or requested.
• Adheres to specific State Association for Home Care Code of Ethics.
• Conforms to all applicable Agency policies and procedures.
• Participates actively in continuing education and in-services.
• Maintains confidentiality of patient information and business trade practices.
• Assumes the care of the home health patient, optimizing his/her comfort and dignity, when appropriate.
• Possesses adequate knowledge of Medicare/Medicaid and insurance standards to ensure reimbursement for all services rendered.

Knowledge / Skills / Abilities

• Organizational skills
• Ability to supervise in accordance with agency’s policies and applicable laws.
• Ability to respond to common inquiries or complaints, regulatory agencies, or members of the business community.
• Time management
• Cooperative attitude
• Advanced interpersonal communication (written and verbal)
• Basic math skills related to patient care.
• Ability to operate standard office equipment.
• Appropriate computer skills

Information Management:

• Treats all information and data within the scope of the position with appropriate confidentiality and security.         

Risk Management:

• Cooperates fully in all risk management activities and investigations.   
• Keeps abreast in changes in health care law.
• Maintains Agency/program compliance with local, state and federal laws.

Minimum Position Qualifications:   List the minimum qualifications required for this position.    

• Education: Bachelor’s degree in healthcare related field.  Master’s or doctoral degree, preferred.
• Experience: 1 year social work experience in a health care setting
• License / Certification: driver’s license and proof of current auto liability insurance

Environmental Conditions:

Works in patient's home in various conditions, possible exposure to blood and body fluids and infectious diseases. Ability to work flexible schedule, ability to travel locally, some exposure to unpleasant weather. Moderate noise level; Category C BBP risk; moderate stress and emotional demands.

Physical Requirements:

Requires working under some stressful conditions to meet deadlines, to identify patient needs, to make quick decisions and resource acquisition; meet patient/family psychosocial needs.

The above statements are intended to describe the general nature and level of work being performed.  They are not intended to be construed as an exhaustive list of all responsibilities.  

JOB CODE: 1000261