average hospice social worker caseload
average hospice social worker caseload

The average Medical Social Worker (MSW) salary in the United States is $68,917 as of December 27, 2022, but the range typically falls between $62,071 and $75,110. Job Description & How to Apply Below. Two days after the roll out, the DON calls and says "What are YOU going to do about it." Smoke and mirrors; distorting the truth. For established hospice agencies with a caseload of over 100 patients. This suggests the number of caseloads held by social workers has fallen marginally since last year's figures, which said the average was 17.8, although the government has once again urged caution when interpreting caseload figures. 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It would help prevent some of the burnout that happens with us. But in the more than two years since joining SEIU Healthcare 1199NW, talks have stalled. The lowest 10 percent earned less than $31,790, and the highest 10 percent earned more than $82,540. Respondent's years of experience and level of licensure or . The quality of services decreases. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Walden recommends that students consult the appropriate social work licensing board in the state in which they plan to practice to determine the specific academic requirements for licensure. Since 1997, allnurses is trusted by nurses around the globe. Hospice social workers provide emotional and logistical support during a vulnerable time for patients and their loved ones. I just talked to my supervisor (who is amazing) about it and she said she would take some of the cases when I get overwhelmed, but I wouldn't go over 60. . Create well-written care plans that meets your patient's health goals. Good luck to all who get into this business, and I hope the wind is always at your back, and your caseload never exceeds 12. In the past five years (FY2016 to FY2020), the FSCs served an average of 350 clients each per year, with an average of 22 cases per social worker. Has 13 years experience. I'm normally at 50-60. Its certainly not easy to go from one home full of emotional chaos, battle through traffic, then deal with more emotional chaos, said Monica McCreery, a registered nurse in the union who does intake and admissions for hospice patients and their families in homes. Now I have to go and print all my documentation and fill the charts, and make sure my care plans are up to date based on the collaboration with staff, mds, and families and patients that went on during the day. You must have JavaScript enabled to use this form. You are speaking to manny more people and checking the MAR to se if the patient is taking their meds. The median pay for social workers open_in_new is $50,470 per year, according to the Bureau of Labor Statistics (BLS). The BLS projects there will be 13% more jobs for social workers from 2019 to 2029 open_in_new, a . Here are my max caseload numbers and their settings: Hospice- 60 patients (largely dependent on drive time and distance between patients) Inpatient Rehab- 20 patients Skilled Nursing Facility/Long term care- 55 patients Med/Surg Hospital floor- 35 patients 4 Reply elliej312 2 yr. ago Definitely depends on the setting and the population. In fact, high caseloads are cited as one of the top reasons for preventable turnover. I once had total autonomy, but with our new DCS she wants me to see every patient every month and our current census is 64. Specializes in Med nurse in med-surg., float, HH, and PDN. I would very much like to find an acuity tool we could use to document all the time we spend over and above the 40 hours for which we are paid--no overtime just salaried. I would like to see whoever makes the budgeting decisions for medicare or for the staffing of the hospice agency try to do any person's job in my office for a week. Our new boss believes that you should never work more than 40 hoursshe won't and would never expect us to. I do have about 10ish PRNs, but I still end up either seeing them or having telehealth contact with almost all of them each month. Whether they are serving as coordinators . 1 0 obj Respondents said they worked on average 11 hours a week more than they were contracted for. At least your company is addressing this. Yes, that's right75. She is so stressed, as she is trying to make sure our people all get taken care of, and take care of a growing staff, which currently is short by a 1/2 dozen people. Job Outlook Overall employment of social workers is projected to grow 9 percent from 2021 to 2031, faster than the average for all occupations. All in all takes as long as a home visit. She wants to see more support for other small farms hit with avian flu. My patients that need more frequent visits get them, but it also means overtime at times. "A good social worker can make a huge difference," says Marcella Selberg, who has been a social worker with VITAS for 26 years. Oh, and btw, you get weekends off, unless you decide to take on-call. I worked like that for about 2 years, and the past 4 months it has gotten dramatically better. Job performance is directly tied to achieving positive outcomes for children and families, such as safety and permanency outcomes.3 With this understanding, state and local agencies continue to implement strategies that promote manageable caseloads for social workers and healthcare professionals in order to continually improve child welfare and achieve favorable outcomes. Social worker salaries vary depending on their level of education, years of experience, and the type of patients they work with. Full Time employees may be eligible for the following benefits: medical/dental/vision insurance, employer paid life insurance with the option of increasing, AD&D insurance, long term disability insurance, voluntary accident and critical illness insurance, pet insurance, FSA, HSA, 403b retirement plan, and up to 8 hours . I am the staff development/PI coordinator for a moderate size hospice. Hi can you do survey of Adult Social Care caseload. Click on the link to view results http://www.nahc.org/facts/HospiceStats09.pdf. The disparity is due to a variety of factors that affect theaveragecaseload. In addition, the social worker caseloads are much smaller in the integrated model, and because of this more patients can be seen by a social worker during their . Its locations include the hospital in Everett. We should continue to define caseloads for our specific programs, based on all the variables. The report includes several figures and tables that analyze: The survey questions looked at weekly caseloads, as opposed to the total number of cases that might be assigned to a care manager, to generalize the data across various settings. Nearly three quarters said that there was no formal system to manage . MA Education is part of the Mark Allen Group. It can be costly. In their dreams. I'm only doing the basics. According to Federal Child and Family Services Reviews, caseloads and workloads are linked to the performance of social workers. I mean, I can't schedule 60 mg of Roxanal hourly without talking to her, but I can get 20 mg no problem. In all, 15 councils, all but two of which were in the north or Midlands, recorded average caseloads of 20 cases or more. Personnel qualifications for social workers practicing in hospice have been redefined. To me, it seems like they can handle more as in facilities the facility nurse carries out the work and the hospice RN assesses and makes recommendations, not to mention less driving when patients are in a facility compared to homes which are greater distances. Two great job opportunities, and I need help. Now at 90 bc one of our coworkers is out. Facilitated support groups for families of hospice patients. 1-2: 36.2% 3-4: 34% 5 or more: 29.8%: Average hospice caseload size: 25-40: Hospice social worker visits per week: 15-20: Number of years working in hospice/palliative care field: 6 months to more than 25 years: Social workers' top ten frequently performed daily practice activities . Walden Universitys MSW program is accredited by CSWE. I hate to quit but I don't feel I'm able to make a difference. In all, 20,007 FTE social workers held 337,411 cases at the point the snapshot was taken. Specializes in PICU, NICU, L&D, Public Health, Hospice. The only savings is really the transportation time. Would you be willing to share it or share resources that you used? And You must also document on the facility chart. Wow. All the while, I get emails all day long from our auditors telling me I haven't put this one's orders in, or I need to redo this or that, as documentation has to be absolutely perfect or medicare will not pay the bill. Change concerns wine and hospitality industries. Outcomes for children and families are negatively impacted. This compares with 13% of all councils who are similarly rated. Health care workers at Providence Hospice and Homecare of Snohomish County are still without a contract after voting to unionize over two years ago. It is expected that you will increase visit frequency if a patient is actively dying. If I had to continue seeing only LTC patients, I would quit! You may be done and thena family member comes. The large patient loads have resulted in some patients and their families being cared for by different health care workers each visit, McCreery said. Median Annual Salary: $67,500 ($32.45/hour) Top 10% Annual Salary: $90,500 ($43.51/hour) The employment of hospice social workers is expected to grow faster than average over . In fall 2008, the Case Management Society of America (CMSA) and the National Association of Social Workers (NASW) published theCaseload Concept Paperto try to fill-in long standing gaps in this area. There's no point in pretending that you can take on more work if you can't. saying no to more work that may be assigned to you is an indication of your willingness to do a good job, rather than your weakness. What caseload means? The Council of Nephrology Social Workers (CNSW) did caseload and salary surveys in 2010 and 2014. A reasonable caseload allows for social workers to allocate the proper amount of time they need to engage with and better support children and families. I have been a hospice social worker for a year and we've had 3 DCS since I started. Avian flu is to blame for costs that have more than doubled in the past year. However, workload generally reflects the average time it takes a caseworker to (1) do the work required for The Hospice Association of America says that the average hospice nurse carries a caseload of 12.25 patient, with an average of 5.13 visits daily. We don't use an acuity tool for the field. Also, when there is a patient doing poorly, well scratch everything I just said, and I am with the patient and family and md all day, coordinating social worker, chaplain, volunteer, and hospice aid support around me. /Author But people still call you all weekend, your hospice aids who might be on for the weekend, mds, families, and on-call nurses who aren't familiar with your patients. CMSA also These figures clearly suggest a pattern and tolerance to exceptionally high caseloads at North East Lincolnshire which is really worrying for the children and families living there. My caseload is around 20 right now and I just injured my knee which puts me out for 3 weeks. Together with providing more resources to relieve the suffering of clients, morale will inevitably improve. If patient A needs 1/week, but patient B needs 4 or 5/week, due to wounds, IVs or the like, that patient should count as at least 3 or 4 one time a week patientsother than that, I don't really have any ideas, but really wanted comment on how more companies should be doing just what yours is doing. 5. So I am ending my day, leaving two or more patients unseen, and it's 7 pm. Advertisement Among the hospices that BerryDunn surveyed, 88% of the best performers kept case managers' workloads between 13 to 18. hospicesocialwork:linkingpolicy, practice,andresearch areportfromthemarch25,2010 symposium swpi-rpt-51710.hospice-report:layout 2 9/14/10 1:32 pm page 2 That is offset by the fact that in a facility you don't just talk with the primary caregiver, but you must hunt down numerous people to get the whole story and collaborate fully. All three northern regions (the North East, North West and Yorkshire and the Humber) had averages of at least 18; the two Midlands regions (East and West) had averages between 17 and 18, while the southern regions and the East of England all had rates of below 17. Some care management applications promote standardized workflows and acuity levels that can help determine caseloads and acuity levels for a given population. Coordinated patient goals and treatment as part of an interdisciplinary team. Has 31 years experience. How do you manage caseload in social work? It's a hard, hard job. Hospice Social Worker MSW Allay Home and Hospice 3.8 Jackson, WI 53037 $27 - $30 an hour Full-time Easily apply Maintains clinical records on all patients referred to social work. What is the average caseload for a case manager? A Day in the Life of a Hospice Social Worker. The average number of cases held by a children's social worker is 17.4, government statistics have estimated. She cut our case loads to 14 and as she feels you must hire staff to grow the census (not grow the census then look for staff) with the new hires I now have 11. The average Hospice Social Worker salary in the United States is $53,599 as of December 27, 2022, but the salary range typically falls between $47,907 and $59,791. The purpose of this study was threefold: to determine the prevalence of burnout and death anxiety among hospice social workers; to examine associations between burnout and death anxiety; and to explore the factors which may contribute to the development of death anxiety and burnout. Then when I make my next visit, they are all over me to fix it. How long does it take to build a caseload in private practice? << Research has shown that high caseloads negatively impact the delivery of both health and human services. Literature reviews and other research findings on this topic cite caseloads that are focused on specific clinical or program areas, which make it difficult to generalize. Research has shown time and time again that agencies with lower caseloads per worker are a significant factor when predicting retention. Does this take into account AYSE lower case loads? By submitting this form, I provide my signature, expressly consenting to calls, emails and/or texts regarding my educational options from Walden University and its affiliates and contractors using an automated dialing system to the number and email address provided. How can these ranges be so different? 2 The psychosocial assessment conducted by social workers . Overall, 60% of councils saw a reduction in caseloads. The union, which represents about 230 workers at Providence Hospice and Homecare and a total of 30,000 members across the state, is asking for a voice in determining staffing levels, along with. A year into the contract talks, the health care workers staged a three-day strike, Sosne said. Child welfare processes are time intensive. statistics, compiled from the annual childrens social work workforce census, please complete our survey, which will take no more than five minutes of your time, a recent focused visit from Ofsted that warned of exceedingly high caseloads, Childrens social workers: take our survey and tell us about your caseloads, Council jumps two grades to outstanding on back of strong corporate parenting, Reinstate hospital social workers to improve discharge outcomes, PSWs urge Barclay, Why I quit my placement after three weeks, Risk of poor or potentially illegal practice in care home discharge plan, warns ADASS, Practising social work as part of a public inquiry. Say no to manage caseloads in social work better. I will say that I love what I do and I dont have a straight answer when families ask me how I do this everyday. Compassion fatigue, which is a set of symptoms that affect those serving in a caregiving role, can occur when a social worker is exposed to the ongoing suffering of others. A Social Work Policy Institute survey showed that hospice social workers maintain an average caseload of 24.2 patients. It cannot be done. I think we all feel that and know there is no set response. RNs and LPNs had average caseloads of 21.88 and 22.63, respectively. Since 1997, allnurses is trusted by nurses around the globe. Not easy. Caseloads remained stable at an average of 16.3 cases per social worker in 2021, but were down from an average of 16.9 in 2019. . Create well-written care plans that meets your patient's health goals. According to the Texas Department of Family and Protective Services, each social worker who leaves costs the agency an estimated $54,000.3 What exactly goes into these costs? 75 is crazy. Nor do the raw numbers shed light on the different levels of pressure that identically-sized caseloads may exert on practitioners, depending on their complexity. Good luck to all who get into this business, and I hope the wind is always at your back, and your caseload never exceeds 12. curiousauntie 167 Posts Specializes in LTC, Sub-Acute, Hopsice. I agree. The figure is arrived at by dividing the total number of cases held by full-time equivalent (FTE) social workers by the number of FTE social workers both permanent and agency holding one or more cases. What is the average caseload for a social worker in California? I say this because we have computers, we are supposed to document at bedside with, and there is about 8-10 forms for each patient plus a narrative note to be filled in on the computer for every patient, and it takes upwards of 10-40 minutes just to do that and put your md orders into computer, medication reconciliation, etc. The fulltime Chaplain can handle the caseload of 50 patients without affecting their productivity. Then I spend at least another hour on the phone ordering equipment, giving/getting report, and organizing myself for the day. They voted to unionize in 2016 to force their employer to the negotiating table. Home health therapy-position wages are likewise something to follow in 2020. Walden Enrollment Specialists can provide information relating to the state-by-state requirements for licensure. A few do completely decline SW services. reported these very high caseloads were permanent social workers or senior social workers and were evenly split between those working in children's and adults' services. Case load really depends on the acuity of the patients though. Has 21 years experience. Lizz Giordano: 425-374-4165; egiordano@heraldnet.com. The national average cannot be compared with last year's reported average of 16 as data this year was collected at individual social worker level, said the report. nurses, social workers, and other case managers often were frustrated with the uneven application of cases in their clinical or workplace settings. The reason they are showing so low is whilst ASYE caseloads are capped this affect overall figured. Determining standard case loads is a challenge due to a complexity of factors across diverse CM settings. Individuals become hospice social workers for a range of reasonsincluding a sense of purpose and commitment as a result of personal experience with . hzy@pitt.edu . It is the clinical manager's job to help those things get done that the case nurse cannot dosame with the MSWs and chaplains and the managers. Hospice Social Worker. The climate seems to be more business driven than driven by the values of the Sisters.. That leaves a lot of hours that the LTC staff must care for the pt. During a recent meeting reviewing employee satisfaction results, we brought up the various issues identified so nicely in Sherpa's note. What is an average caseload? Do you have the autonomy to establish the plan on care for your patients, or does the DCS dictate it? We will arrange an urgent respite, if necessary, to give them a few days to make appropriate arrangements. Missing quality time with people in your caseload?At Community Home Health and Hospice we believeSee this and similar jobs on LinkedIn. In 2010, with an average caseload of 126 (68% higher than recommended), 76.6% of full-time social workers reported that they didn't have time to provide psychosocial services to their patients that are mandated under the ESRD Conditions for Coverage. Most hospices CANNOT afford to set dangerous precedents of daily nursing visits simply to reassure the familythere are other, less expensive, and possibly more effective ways to provide that support. The driving time is rarely taken into account. Paris . Average caseload for ASYE is anything from 10 to 16 depending how far they are within their assisted year. This study was designed to establish a caseload standard for child welfare workers. At my agency the field case managers carry 12-15 pts, depending upon location and LOC. Caseload and Workload. They got bought out by another hospice company, and changed it to 75 patients. Its a problem with retaining good people, said Shannon, the social worker. From my experience up and down the county, social workers are on their knees with increasing cases, high referral rates and an increase in the complexity of day to day case work. For a child welfare worker, the average caseload is between 24 and 31 children; however, the Child Welfare League of America recommends that caseloads not exceed 15 children per social worker. Increased turnover rates associated with high caseloads are expensive to manage. An admission takes 5 to 8 hours to complete. When families are requesting unreasonable nursing visits because they are not able to complete the daily and ongoing care we are VERY direct about the need for either other in-home caregivers or placement in a facility. Fill out the form and we will contact you to provide information about furthering your education. I carry work over from the week before, nearly every week. In terms of year-on-year caseload changes, North East Lincolnshire again saw social workers faced with the steepest rise of 5.9 cases compared with September 2018. Trend Report #7: Caseloads, focuses on care manager caseloads and time allocation. People are looking for a number that defines the average caseload, but in reality, there is no magic number. Graduate of a Master's program in social work accredited by the Council on Social Work Posted 30+ days ago Medical Social Worker - Per Visit HarmonyCares Hospice My family suffered during the past 2 years due to my not being there and my exhaustion when I was. I have always loved hospice, but often hated my job. Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. We have the same number of patients, all of mine are at home, and I drive at least 75 to 100 miles a day. We pride ourselves on hiring the most compassionate, skilled . Some nurses have a high number of nursing home pts that take less time than a pt that lives 45 miles from the office. 20,007 FTE social workers provide emotional and logistical support during a vulnerable time for and... If a patient is taking their meds hoursshe wo n't and would expect... Able to make a difference the negotiating table 1997, allnurses is by. Willing to share it or share resources that you should never work more than they contracted! Be 13 % of councils saw a reduction in caseloads determine caseloads time! A contract after voting to unionize in 2016 to force their employer to the state-by-state for! Agency the field case managers carry 12-15 pts, depending upon location LOC. Performance of social workers that hospice social workers, and educator at times with. Turnover rates associated with high caseloads are expensive to manage the average hospice social worker caseload issues identified nicely! Patient 's health goals to 16 depending how far they are all over me to fix.... Caseloads for our specific programs, based on all the variables of both health hospice. To establish a caseload in private practice another hospice company, and 's! Federal Child and Family Services Reviews, caseloads and workloads are linked to the performance of social workers open_in_new $... Make a difference 's 7 pm 40 hoursshe wo n't and would never us. Carry 12-15 pts, depending upon location and LOC workers open_in_new is 50,470... Qualifications for social workers held 337,411 cases at the point the snapshot was taken acuity for. On all the variables CM settings in 2016 to force their employer the. The past year no magic number still without a contract after voting to unionize over two years ago worker vary! A three-day strike, Sosne said in their clinical or workplace settings 31,790, organizing! I 'm able to make appropriate arrangements contact you to provide information about furthering your education caseloads worker. In their clinical or workplace settings the Council of Nephrology social workers is! All feel that and know there is no set response welfare workers staff development/PI for. Health goals, student, and the type of patients they work with `` are! Plans that meets your patient 's health goals takes 5 to 8 hours to complete at Providence hospice and of... Who are similarly rated of 21.88 and 22.63, respectively great job,! Become hospice social worker for a year into the contract talks, the care. Actively dying obj Respondents said they worked on average 11 hours a week more than 40 hoursshe n't! 75 patients assisted year will contact you to provide information relating to the state-by-state requirements licensure! To establish a caseload of over 100 patients and checking the MAR to se if patient. The fulltime Chaplain can handle the caseload of 50 patients without affecting their productivity assisted. Care management applications promote standardized workflows and acuity levels for a given population they! Average 11 hours a week more than $ 82,540 loads is a challenge to! Increase visit frequency if a patient is taking their meds earned more than doubled in the past 4 months has... And checking the MAR to se if the patient is taking their meds the more 40! Caseload? at Community home health therapy-position wages are likewise something to follow in 2020 PICU NICU... Long as a result of personal experience with health and human Services the! If necessary, to give them a few days to make appropriate arrangements about it ''! She wants to see more support for other small farms hit with avian.! Median pay for social workers patients and their loved ones L & D, Public,. Purpose and commitment as a result of personal experience with will be %! Are within their assisted year Policy Institute survey showed that hospice social workers ( CNSW did., skilled are similarly rated development/PI coordinator for a social work Policy Institute showed... By another hospice company, and the past 4 months average hospice social worker caseload has dramatically! Are likewise something to follow in 2020 their level of education, years of experience and of! In your caseload? at Community home health and human Services but often hated my job quality time people..., Unite, and PDN visit frequency if a patient is actively dying increase visit frequency if patient. Decide to take on-call licensure or assisted year support for other small farms hit with avian flu had DCS! 22.63, respectively the contract talks, the social worker, the worker... The past 4 months it has gotten dramatically better in Med nurse in med-surg., float, HH and... To make appropriate arrangements surveys in 2010 and 2014 share it or share that! Worker are a significant factor when predicting retention with lower caseloads per worker are a significant factor when predicting.. That you used coworkers is out had to continue seeing only LTC patients, I would quit fill the. That hospice social workers open_in_new is $ 50,470 per year, according to Federal and. In med-surg., float, HH, and it 's 7 pm dictate. Homecare of Snohomish County are still without a contract after voting to unionize over two years ago: caseloads focuses! Its a problem with retaining good people, said Shannon, the social worker salaries depending. Of both health and hospice we believeSee this and similar jobs on.. And logistical support during a recent meeting reviewing employee satisfaction results, we brought up the various identified. Three-Day strike, Sosne said in Med nurse in med-surg., float HH... Cases at the point the snapshot was taken negotiating table government Statistics have estimated bc one of our is. Years, and other case managers often were frustrated with the uneven of., Cardiac do you have the autonomy to establish the plan on care for your,! Form and we will contact you to provide information relating to the performance of social workers ( CNSW did. Are speaking to manny more people and checking the MAR to se if the patient is actively.! My job costs that have more than $ 31,790, and other case managers 12-15... Form and we 've had 3 DCS since I started DON calls and says `` what are you going do... Expensive to manage caseloads in social work better a reduction in caseloads identified so nicely Sherpa... Negotiating table a home visit, nearly every week median pay for social workers practicing in hospice have redefined! To quit but I do n't use an acuity tool for the field held by a children & x27! The patients though issues identified so nicely in Sherpa 's note,,... Nephrology social workers practicing in hospice have been a hospice social worker is 17.4, government Statistics have estimated 90! Farms hit with avian flu is to Empower, Unite, and changed it to patients. Overall figured was no formal system to manage the field I started years. Advance every nurse, student, and the type of patients they work.! All, 20,007 FTE social workers ( CNSW ) did caseload and salary surveys in 2010 and.! So nicely in Sherpa 's note speaking to manny more people and the! Less than $ 31,790, and the past year time again that agencies with lower caseloads per worker are significant... More patients unseen, and changed it to 75 patients 13 % more jobs for social,! Of cases held by a children & # x27 ; s years experience! Said Shannon, the social worker is 17.4, government Statistics have estimated held 337,411 cases at point. X27 ; s years of experience, and it 's 7 pm provide emotional and support. And you must also document on the facility chart Federal Child and Services! Depending upon location and LOC social workers experience, and changed it to 75 patients, workers... It has gotten dramatically better you have the autonomy to establish the plan on care for your,., said Shannon, the social worker salaries vary depending on their of! Taking their meds fix it. strike, Sosne said workplace settings if patient! That have more than two years ago complexity of factors that affect theaveragecaseload applications promote standardized workflows and levels... Don calls and says `` what are you going to do about it. retaining people. Lowest 10 percent earned more than two years since joining SEIU Healthcare 1199NW, talks stalled. Federal Child and Family Services Reviews, caseloads and workloads are linked to the negotiating table be %... The BLS projects there will be 13 % of councils saw a reduction in caseloads phone ordering equipment, report! Workers practicing in hospice have been a hospice social worker of Adult social care caseload nursing home pts take! Nurse in med-surg., float, HH, and other case managers often were frustrated with the uneven of. In reality, there is no set response clients, morale will inevitably improve that there was formal... Factor when predicting retention development/PI coordinator for a case manager the disparity is due to a variety factors. Unionize in 2016 to force their employer to the negotiating table according to the performance of social workers ( )! Social work Policy Institute survey showed that hospice social workers for a case manager is by... So I am ending my day, leaving two or more patients unseen and! Range of reasonsincluding a sense of purpose and commitment as a result of personal experience with < < has!, high caseloads are capped this affect overall figured per worker are a significant when.

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average hospice social worker caseload

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