Hospice Social Worker (MSW)

Heritage Healthcare Services; Albuquerque (NM); Remote; USD 60,000 - 76,000; Full time

Job summary

Heritage Healthcare Services in Albuquerque, NM seeks a licensed Master Social Worker to provide patient-centered psychosocial support within hospice care. The role involves conducting psychosocial assessments, developing care plans, and collaborating with the interdisciplinary team to honor patient values and goals.

The MSW will support families with advance care planning, bereavement needs, and community resource coordination, while ensuring compliance with CMS requirements and state

Qualifications

• Master’s Degree in Social Work from a CSWE-accredited program is required.
• Licensed MSW (LMSW) or LCSW in New Mexico is required.
• Valid driver’s license and reliable transportation are required.
• Ability to work independently in a home-based field environment is required.
• Strong communication, counseling, and crisis management skills are required.

Responsibilities

• Conduct initial and ongoing psychosocial assessments.
• Develop, implement, and evaluate individualized care plans.
• Provide counseling for grief, anxiety, family conflict, coping, and adjustment.
• Assist with advance care planning and goals-of-care discussions.
• Provide crisis intervention when needed.
• Attend and participate in IDG meetings with the interdisciplinary team.
• Coordinate with RN Case Managers, Chaplains, Providers, CNAs and leadership to ensure coordinated care.
• Educate patients and families about hospice philosophy and benefits.
• Connect families with community resources, benefits, financial assistance and caregiving support.
• Assist with safety planning, housing concerns, funeral planning, and caregiver burden.
• Advocate for vulnerable patients per New Mexico Adult Protective Services guidelines.
• Complete timely, accurate clinical documentation and maintain HIPAA compliance.

Skills

Driver's license

Independent home-based work

Communication skills

Crisis management

Education

Master’s Degree in Social Work (CSWE-accredited)

LMSW or LCSW in New Mexico

Tools

EMR documentation

Job description

Position Summary

The Hospice Master of Social Work (MSW) provides compassionate, patient-centered psychosocial support to individuals and families facing terminal illness. The MSW helps patients navigate emotional, social, financial, and practical needs while ensuring care aligns with the patient’s values and goals. This role is essential to the interdisciplinary team and complies with CMS Conditions of Participation and New Mexico hospice licensing requirements.

Key Responsibilities

Patient & Family Support

• Conduct initial and ongoing psychosocial assessments
• Develop, implement, and evaluate individualized care plans
• Provide counseling related to grief, anxiety, family conflict, coping, and adjustment
• Assist with advance care planning, including health care decisions and goals-of-care discussions
• Provide crisis intervention when needed

Interdisciplinary Team Participation

• Attend and participate in IDG (interdisciplinary group) meetings
• Collaborate with RN Case Managers, Chaplains, Providers, CNAs, and leadership to ensure coordinated, holistic care
• Communicate significant changes in patient or family status

Education, Advocacy & Resource Coordination

• Educate patients and families about hospice philosophy and benefits
• Connect families with community resources, benefits, financial assistance, and caregiving support
• Assist with safety planning, housing concerns, funeral planning, and caregiver burden
• Advocate for vulnerable patients, including reporting concerns per New Mexico Adult Protective Services guidelines

Documentation & Compliance

• Complete timely, accurate clinical documentation in alignment with state and federal regulations
• Maintain confidentiality and HIPAA compliance
• Participate in QAPI initiatives and agency performance improvement projects

Bereavement & End-of-Life Care

• Support families with anticipatory grief
• Provide bereavement risk assessments
• Collaborate with the bereavement program for follow-up services

Qualifications

Required

• Master’s Degree in Social Work from a CSWE-accredited program
• Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) in New Mexico
• Valid driver’s license and reliable transportation
• Ability to work independently in a home-based field environment
• Strong communication, counseling, and crisis management skills

Preferred

• Hospice or palliative care experience
• Knowledge of Medicare Hospice Benefit and interdisciplinary care models
• Bilingual highly valued in New Mexico markets
• Experience with EMR documentation