Social Worker AIM

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

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

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

• Competitive Pay
• 401(k) with Company Match
• Career Advancement Opportunities
• National & Local Recognition Programs
• Teammate Assistance Fund

Additional Full-Time Benefits:

• Medical, Dental, Vision Insurance
• Mileage Reimbursement or Fleet Vehicle Program
• Generous Paid Time Off + 7 Paid Holidays
• Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
• Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
• Free Continuing Education Units (CEUs)
• Company-paid Life & Long-Term Disability Insurance
• Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

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

• This is a safety-sensitive position
• Employee must meet minimum requirements to be eligible for benefits
• Where applicable, employee must meet state specific requirements
• We are proud to be an EEO employer
• We maintain a drug-free workplace

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At Illumia, part of Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.

Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.

Our nationwide reach is powered by a family of trusted brands that include:

• Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon
• Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care
• Home health care: Heartland Home Health
• Advanced illness management: Illumia Health

With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.