Social Worker AIM

Overview

We are looking for a Remote Licensed MSW to join our team, covering Grand Rapids, MI.

Join a mission-driven team that is redefining how care is delivered to patients facing serious illness. As a Social Worker in our Advanced Illness Management (AIM) program, you will provide psychosocial support, guide patients and families through complex care decisions, and help navigate the emotional, spiritual, and social needs that accompany serious illness.

You will work collaboratively with physicians, interdisciplinary teams (IDT), and community partners to deliver compassionate, patient-centered care aligned with individual values and goals.

• Remote position
• Licensure in Michigan
• Monday-Friday, 8am-5pm

Essential Functions of Position

Assess emotional, psychosocial, and mental health needs of patients and families facing serious illness

Identify signs of distress, anticipatory grief, and coping challenges, offering targeted interventions

Guide patients and families through goals-of-care conversations and the completion of Advance Directives or Do Not Resuscitate (DNR) orders

Develop and maintain individualized care plans in collaboration with AIM, IDT, PCPs, and external providers

Identify, coordinate, and advocate for access to community-based resources and support systems

Respect and integrate cultural, spiritual, and family dynamics into care delivery

Maintain thorough and timely documentation of visits, interventions, and care outcomes

Adhere to HIPAA, Medicare regulations, company policies, and ethical social work standards

Maintain updated lists of community resources and stay informed of changes in services or regulations

Provide support through virtual visits from a secure home-based workspace

About You

Education and Licensure

Master’s degree in Social Work (MSW)

Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW)

Must hold or be able to obtain multistate licensure - Licensure in Michigan

Experience Requirements

Minimum 2 years of skilled social work experience

Strong knowledge of health care systems and care options across multiple levels of care

Experience in hospice, palliative care, geriatrics, or oncology preferred

Demonstrated ability to deliver high-quality, compassionate support to patients and families

Specialized Knowledge and Skills

Skilled in crisis intervention, psychosocial assessment, and advance care planning

Excellent communication, organization, and time management skills

Collaborative and customer-service focused

Competence in Microsoft Word, Excel, and Outlook

Traits and Aptitudes

Emotionally resilient and empathetic communicator

Able to work independently while maintaining close collaboration with interdisciplinary teams

Strong observational skills and attention to detail

Committed to honoring the wishes and dignity of every patient

Working Conditions

Remote, work-from-home role supporting patients via telehealth

Must maintain a secure and quiet work environment suitable for patient communications

We Offer

Benefits for All Associates (Full-Time, Part-Time & Per Diem) :

Additional Full-Time Benefits :

Apply today to help us support patients, honor their choices, and guide families through some of life’s most important moments.

Legalese

Hospice Social Worker, Palliative Care Social Worker, Social Worker, MSW, LCSW, Licensed Clinical Social Worker, Licensed Master Social Worker, LMSW, Clinical Social Worker, Medical Social Worker, Behavioral Health Social Worker, Remote Social Worker, Telehealth Social Worker, Virtual Social Worker, Home-Based Social Worker, Telemedicine Social Worker