Medical Social Worker Liaison – Central Region (Full-Time)

Job Summary/Purpose

The Medical Social Worker Liaison works closely with hospital discharge planners, physicians, palliative care team members, social workers, and RN unit staff throughout the Central Region to assist with admitting patients to the Ohio’s Hospice program. This position serves as a resource to hospitals and healthcare professionals in facilitating safe and timely transitions of care to extended care facilities (ECFs), home, or Hospice Care Centers.

The Medical Social Worker Liaison collaborates with Ohio’s Hospice Admissions and Referrals Department and Care Team Coordination Department to ensure patients and families receive education, support, and guidance throughout the transition to hospice care.

Key Responsibilities

• Work with patients and families experiencing complex psychosocial issues.
• Engage patients and families in thorough discussions regarding goals of care, providing education on how hospice can support those goals and, when appropriate, identifying additional community resources.
• Provide emotional support to patients and families as they navigate the challenges and crisis that may accompany end-of-life decisions.
• Educate patients and families regarding available care setting alternatives, including home, long-term care, skilled nursing facilities, private-duty caregiving, and hospice houses.
• Ensure patients and families understand the Medicare Hospice Benefit and facilitate informed consent.
• Address insurance coverage and financial concerns, including completing financial assessments as appropriate.
• Assist patients and families with advance care planning and advance directive needs.
• Communicate and collaborate with hospital staff to establish coordinated plans of care that reflect the hospice philosophy for both new patients and existing Ohio’s Hospice patients hospitalized for any reason. Help facilitate timely transitions to appropriate care settings.
• Assist with obtaining required hospice consents and related documentation.
• Provide initial and ongoing comprehensive psychosocial assessments for patients in facility-based contracted beds.
• Provide social work case management for Ohio’s Hospice patients admitted to the hospital for symptom management.
• Serve as a resource and liaison for hospital partners throughout the Central Region, building strong relationships and supporting consistent coordination of hospice services across the region.

What You Need to Know About the Medical Social Worker Liaison Role

• This is a full-time position, with a standard schedule of 8:00 AM–5:00 PM.
• This position will support all hospitals throughout the Central Region, providing flexibility to travel between hospital locations based on organizational and patient care needs.
• Regional travel is required to support hospital partnerships, patient and family needs, and timely transitions of care.

What We Offer

• Competitive salary and comprehensive benefits package.
• Mileage reimbursement and company-provided technology.
• Continuing education and professional development opportunities.
• A supportive culture where your work is valued and celebrated.
• The opportunity to make a lasting difference in the lives of patients and families every single day.

Join a Team That Cares

The mission of Ohio’s Hospice is to celebrate the lives of those we have the privilege of serving by providing superior care and superior services to each patient and family.

Working in hospice is more than a career—it's a calling. If you're passionate about providing comfort, compassion, and exceptional support to patients and families during life's most meaningful moments, we'd love to hear from you.

Ohio’s Hospice complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Ohio’s Hospice is proud to be platinum certified through SAGECare, which provides training and consulting on LGBT aging issues to service providers. Ohio’s Hospice welcomes individuals in the LGBT community and is committed to providing an inclusive and supportive environment for all.