Advance Care Planning Social Worker

Avera-Healt; Sioux Falls (SD); On-site; USD 35,000 - 53,000; Full time

Job summary

Avera is hiring a Social Worker - Advance Care Planning specialist in Sioux Falls. The role coordinates and implements ACP services across ambulatory clinics, guiding patient discussions about goals, values, and future healthcare decisions.

Working with care teams, hospice, and community partners, you will educate on advanced directives, document care plans, and monitor outcomes to improve patient-centered transitions and value-based care.

Qualifications

• Bachelor's in Social Work.
• Active Social Worker licensing in the state of practice.
• Advance Care Curriculum Certification - Respecting Choices within 180 Days.
• Minimum of 3 years in healthcare, care management, hospice, palliative, or serious illness care.
• Experience with advanced care planning and goals-of-care discussions.

Responsibilities

• Coordinates and implements Advance Care Planning (ACP) services across ambulatory clinic settings.
• Facilitates ACP discussions with patients, families, and designated decision-makers regarding goals of care, advance directives, and related forms.
• Collaborates with providers, care managers, social workers, hospice, palliative care, and interdisciplinary teams to identify patients who may benefit from ACP services.
• Provides education, consultation, and support on ACP principles, documentation, and patient rights.
• Monitors program outcomes and quality measures related to ACP, including completion rates and patient engagement.

Education

Bachelor's in Social Work

Job description

Avera is hiring a Social Worker - Advance Care Planning specialist in Sioux Falls. The role coordinates and implements ACP services across ambulatory clinics, guiding patient discussions about goals, values, and future healthcare decisions.

Working with care teams, hospice, and community partners, you will educate on advanced directives, document care plans, and monitor outcomes to improve patient-centered transitions and value-based care.