Hospice Social Worker

Assess patients to identify psychosocial, financial, and environmental needs through documentation, clinical records, case conferences, team reports, call-in logs, and on-site evaluations. Make initial social work evaluation visits and reevaluate needs during subsequent visits, communicating significant findings and changes to the supervisor, physician, and other care personnel. Implement patient safety plans using community resources, participate in Plan of Care development and discharge planning, and write physician orders for additional visits or plan changes per agency policy. Counsel patients and families on following the Plan of Care while ensuring all activities align with Elara Caring's board vision and leadership standards.