Social Worker MSW / Fairfield Hospice Gen

Job Description - Social Worker MSW / Fairfield Hospice Gen (26159128)

Job Description

Primary Location

: United States

Job

: Other

Organization

: Hartford HealthCare at Home

Job Posting

: Jul 1, 2026

Social Worker MSW / Fairfield Hospice Gen - (26159128)

Description

Work where every moment matters.

Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network as a Visiting Registered Nurse.

Hartford HealthCare at Home, the largest provider of homecare services in Connecticut, has been fulfilling our mission for more than 115 years. Our Person-Centered Care Model allows our employees to learn and grow within our organization, all while providing integrated support to the patient. As part of Hartford HealthCare, we leverage cutting edge technology to provide quality care in our client's home. Most importantly, our employees are appreciated for the real differences they make in both the lives of their clients and their clients' families.

Job Summary:

The RN Case Manager provides the necessary and appropriate direct service; consultation and coordination to facilitate expected clinical outcomes for home care patients and their families. The RN coordinates the plan of care in accordance with the attending physician's orders and Agency policies, procedures and practices. Delegates appropriate patient care responsibilities to LPN and Home Health Aides, and supervises their performance. Teaches and orients LPN, Home Health Aide, patient and family members in the care of the patient. Responsible for accurate, timely, and proficient clinical and reimbursement documentation. Performs related duties in support of the Nursing Department and the Agency.

Responsibilities:

• Manages a caseload on a daily basis.
• Assists patients and families with personal, financial and environmental problems to obtain optimum resolution/management of terminal illness, social and health issues.
• Identifies obstacles to compliance and assists patient/family/caregiver in understanding the goals of interventions.
• Provides bereavement counseling via telephone support, home visits and support groups
• Provides bereavement support to hospice and bereavement staff as needed.
• Identifies and addresses patient/family needs if level of care changes or if patient discharged.
• Coordinates transfers to inpatient facilities and communicates psychosocial information to inpatient facilities.
• Participates in the development of the total care plan with other health care providers, i.e. CHN, Hospice Nurses, PT, OT, etc.
• Participates in on-going care conferences with Health Care Team or Hospice
• Interdisciplinary Team to assist IDT members in understanding the emotional and/or social factors that affect the patient/family's end of life experience and care, and to collaborate on ensuring appropriate treatment and follow-through of established plan of care.
• Identifies patient and family needs for other home health services and refers when appropriate i.e. community resources, financial aid, etc.
• Organizes and prioritizes caseload needs on a daily basis to ensure that patient needs and Agency productivity standards are met.
• Keeps Hospice Supervisor / Coordinator or designee informed in a timely manner regarding weekly caseload and/or patient problems so that patient care and staffing needs are consistently met.
• Prepares a variety of reports related to direct service activities.
• Prepares and keeps legible records current on a daily basis providing all written information regarding service record, visit and non-visit time, statistical sheets and reports to physicians and other personnel, according to expected time frames.
• Develops written patient care goals and expected outcomes according to individualized patient care plans in collaboration with Health Care Team or Hospice Interdisciplinary Team on an on-going basis.
• Updates and submits written physician orders accurately, in a timely manner according to established timeframes.
• Collects and documents necessary financial and reimbursement information for each patient and provides verbal or written communication as required, to Agency personnel and other reimbursement sources.
• Obtains prior authorization for services when indicated by calling payers and requesting and/or providing verbal or written confirmation, in a timely manner within respective established timeframes.
• Completes and processes discharge record within 24 hours after last patient visit and communicates promptly with other Agency personnel, in an appropriate fashion.
• Updates and submits written physician orders accurately, in a timely manner according to established timeframes.
• Collects and documents necessary financial and reimbursement information for each patient and provides verbal and written communication as required, to Agency personnel and other reimbursement sources.
• Obtains prior authorization for services when indicated by calling payers and requesting and/or providing verbal or written confirmation, in a timely manner within respective established timeframes.
• Completes and processes discharge record within 24 hours after last patient visit, and communicates promptly with other Agency personnel, in an appropriate fashion.
• Performs related social work duties in support of the Hospice Program and the Agency.
• Facilitation of staff support groups, bereavement support groups, or other support groups, as needed.
• Provides individual and group consultation to other Agency personnel to assist other team members in understanding the social and emotional factors related to health problems.
• Provides in-service education programs for Agency staff and orientation for new staff regarding the Hospice Program.
• Participates in volunteer training program and in-service education at volunteer support meetings, as needed. May facilitate bereavement or other support groups as needed.
• Interprets social work program of the Agency to other community agencies i.e. Battered Women, DCF, DSS, Department of Aging etc.

Qualifications

Education & Training: Graduate of a National League of Nursing accredited program with a diploma or Associate's Degree in Nursing. Bachelor of Science Degree in Nursing preferred.

License/Certification: Current Connecticut RN license, or eligible for RN licensure in Connecticut, or current temporary RN permit.

Experience: Medical/Surgical experience or specialty area, if applicable, preferred. Experience in Home Health Care or Public Health Nursing preferred.

Skills:

• Basic clinical nursing skills.
• Experience in physical and psychosocial assessment.
• Excellent verbal and written communication skills.
• Strong organizational skills.
• Excellent interpersonal skills; ability to effectively interact with patients, families, physicians and co-workers.
• Ability to deal effectively with stress and ability to exercise independent judgment.

Other: Valid motor vehicle operators license, reliable personal automobile during business hours, and active automobile insurance coverage in accordance with Agency policy.

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.

Standard Hours Per Week: 1

Pay Per Visit

Shift Details: PPV MSW position