ACP Social Worker: Palliative & End-of-Life Planning

Duly Health and Care; Downers Grove (IL); On-site; USD 58,000 - 75,000; Full time

Benefits offered by this job

Comprehensive benefits package

401(k) match

Tuition reimbursement

Parental leave benefit

Volunteer time off

Job summary

Duly Health and Care is seeking an Advanced Care Planning (ACP) Social Worker to drive patient-centered ACP conversations within our Value-Based Care population. You will engage patients with serious illness and multiple chronic conditions, guiding them through advance directives and care planning in collaboration with care teams.

The role emphasizes documentation in Epic, coordination of hospice and palliative referrals, and escalation of high-complexity cases to the ACP APP.

Qualifications

• Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) licensed in Illinois.
• Minimum 2 years of clinical social work experience in healthcare settings.
• Experience conducting serious illness, end-of-life, or goals-of-care conversations.

Responsibilities

• Lead ACP conversations (minimum 8 per day) across channels.
• Guide patients through completion of Advance Directives and related documents.
• Identify patients for hospice/palliative care referrals and coordinate care.
• Escalate complex cases to ACP Advanced Practice Provider and ensure continuity.

Skills

Motivational interviewing

Active listening

Patient engagement

Team collaboration

Education

LCSW/LSW IL license

Tools

Epic EMR

Job description

Duly Health and Care is seeking an Advanced Care Planning (ACP) Social Worker to drive patient-centered ACP conversations within our Value-Based Care population. You will engage patients with serious illness and multiple chronic conditions, guiding them through advance directives and care planning in collaboration with care teams.

The role emphasizes documentation in Epic, coordination of hospice and palliative referrals, and escalation of high-complexity cases to the ACP APP.