Admission Visit SW

Department Social Services

Location Homecare/Office

Reports to Social Work & Bereavement Manager

Next Review Date 12/2025

Mission Statement

To provide individualized and compassionate care, education, and support for the dying and those who have

experienced loss.

Position Summary

This position will provide information about services to potential Seasons Hospice patients and families. This position will

assist with admission assessment and planning to ensure a smooth admission and transition of new patients to the

appropriate RN- Patient Care Coordinator.

Position Qualifications

• Education and Training:

o Required: Bachelor’s degree in Social Work from an accredited Social Work program.

o Preferred: Master’s Degree in Social Work.

• Experience:

o Required: N/A

o Preferred: 2 years of social work experience within in a healthcare or hospice setting.

• License or Certification:

o Required: Active and unrestricted Social Worker license in MN.

o Required: Valid driver’s license with acceptable driving record.

Position Duties and Responsibilities

• Initial Assessments and Eligibility Determination:

o Conduct thorough assessments of patients referred to hospice care, evaluating their psychosocial and

spiritual needs to determine eligibility and appropriateness for hospice services.

o Determine patient’s appropriateness for hospice services consistent with Seasons Hospice admission

criteria in conjunction with the patient’s physician, hospice medical director, and the Local Coverage

Determination (LCD) guidelines.

o Assess patients' understanding of their illness, treatment options, and goals of care, providing education

and support to facilitate informed decision-making and advance care planning.

• Admissions Coordination:

o Assist the Admissions Coordinator in coordinating the admissions process and providing guidance and

support.

o Collaborate closely with interdisciplinary team members, including physicians, nurses, and other

healthcare professionals, to facilitate timely and seamless admissions into hospice care.

o Communicate effectively with patients and families, explaining the hospice philosophy, services

provided, and expectations for care during the admissions process.

• Home Visits and Counseling:

o Address concerns, fears, and questions related to end-of-life care and hospice services, facilitating

discussions about advance care planning and goals of care.

o Offer assistance with coping strategies, communication techniques, and coordination of care to

empower patients and families to make decisions aligned with their values and preferences.

o Conduct routine home visits to patients and families following admission to assess their psychosocial

needs, provide emotional support, and offer counseling and guidance; as needed.

• Resource Referral and Care Coordination:

o Identify and facilitate access to community resources, support services, and financial assistance

programs to meet patients' and families' needs for housing, transportation, home care, respite care,

and bereavement support.

o Coordinate with external agencies, healthcare providers, and social service organizations to ensure

continuity of care and access to necessary resources for patients and families.

• Documentation and Compliance:

o Maintain accurate and timely documentation of admission assessments, interventions, and

patient/family interactions in patients' electronic medical record and other required documentation

systems, within 24 hours of contact.

o Ensure compliance with Medicare Hospice regulatory standards and MN Standards of Practice.

o Provide care consistent with National Hospice and Palliative Care Organization Standards of Practice

for Hospice Programs.

• Professional Development and Training:

o Participate in ongoing professional development activities, including continuing education and training

to enhance skills and knowledge.

o Stay informed about best practices and emerging trends in clinical hospice care.

Physical Demands

Sedentary (Requires lifting 10 lbs., carrying small objects)

Light (Requires lifting 20 lbs., with occasional carrying of up to 20 lbs.)

Medium (Requires lifting 50 lbs., with occasional carrying of up to 25 lbs.)

Heavy (Requires lifting 100 lbs., with occasional carrying of up to 50 lbs.)

Very Heavy (Requires lifting over 100 lbs., with occasional carrying of up to 50 lbs.)

Supervising Responsibilities

Yes - The position has direct supervising responsibilities

No - The position does not have supervising responsibilities

Travel Requirements

The position requires regular use of an insured, reliable vehicle for travel throughout Seasons Hospice service area.

The position requires occasional use of an insured, reliable vehicle for travel.

The position does not require travel.

Agency Expectations

• Adhere to all Seasons Hospice policies and procedures.

• Adhere to the Seasons Hospice Behavior Standards.

• Adhere to all Health Insurance Portability and Accountability Act (HIPAA) rules and regulations.

• Serve as an ambassador for Seasons Hospice.

• Support the patients and family’s unique spiritual and cultural beliefs.

• Respect for diversity in the workplace.

• Participate in the employee performance review process.

• Demonstrate ongoing responsibility for self-education.

• Maintain personal and patient safety, as appropriate to position in the agency.

• Actively participate in committees within the agency.

• Attend scheduled department meetings and agency meetings on a regular basis.

• Occasional flexibility with work schedule and regularly scheduled work hours.

• Participate in the Quality Assessment Performance Improvement Program (QAPI); as requested.

• Participate in orientation, training, and education of new employees and volunteers; as requested.

• Participate in orientation and supervision for students seeking experience in hospice care; as requested.

• Assume responsibility for the promotion of the hospice concept in the community and with other agencies and

professionals.

• Participate in orientation of new employees, as requested.

• Perform other duties as requested and/or assigned.

This job description is only a summary and is not designed to cover or contain a comprehensive listing of activities,

duties or responsibilities that are required of the employee. Nothing in this job description restricts management’s right to

assign or reassign duties and responsibilities to this job at any time. This job description is subject to change at any time

with or without notice.