Home Health Medical Social Worker

CenterWell•Cumming, GA

About The Position

The Medical Social Worker reports to the Clinical Manager and participates in interdisciplinary care for home health patients. The role evaluates patients’ emotional and social needs and develops personalized plans of care. It also provides direction and supervision to a Social Worker Assistant when involved in a patient’s plan of care. The Medical Social Worker works in accordance with CenterWell Home Health policies and procedures, applicable healthcare standards, and governmental laws and regulations. The position includes assessing patients’ social and emotional circumstances in relation to illness or injury, care needs, treatment response, and adjustments to care. The Medical Social Worker considers the relationship between medical and nursing needs in the home, financial resources, and available community resources, and takes appropriate action to connect patients with resources that may help resolve barriers to recovery. The role communicates with patients, family members, and organizational associates; continually assesses patient and family needs and responses; participates in interdisciplinary care coordination; and serves as a resource to other health team members. The Medical Social Worker evaluates the Social Work Assistant’s performance to help ensure services meet company, governmental, and professional standards. The role maintains and submits required documentation, including case conferences, patient and physician community contacts, visit reports, progress notes, and coordination with other healthcare disciplines. This is a patient-facing position subject to Humana’s TB screening program and driver safety program. The position is scheduled for 40 hours per week and requires local travel and flexibility in work hours.

Requirements

At least one year of experience as a social worker in a healthcare setting, home health, and/or hospice.
Social Worker licensure in the state of practice, if required by state law or regulation.
Valid driver’s license, auto insurance, and reliable transportation.
Experience with discharge planning and obtaining community resources, including housing, shelter, funeral or memorial arrangements, legal resources, information and referral, state and federal financial and medication programs, and eligibility.
Knowledge of medications and their correct administration.
Ability to organize tasks, develop action plans, set priorities, and function under stressful situations.
Flexibility in work hours and ability to travel locally.
Ability to read, write, and speak fluent English.
Maintain personal vehicle liability insurance that meets the residing state’s minimum required limits or the stated $25,000 per person/$25,000 per event bodily injury and $10,000 property damage limits, whichever is higher.
Undergo TB screening if selected for the patient-facing role.

Responsibilities

Assess patients’ social and emotional state in relation to illness or injury, care needs, treatment response, and adjustments to care.
Assess the relationship between patients’ medical and nursing needs in the home, their financial resources, and available community resources.
Take appropriate action to obtain community resources that may help resolve issues impeding recovery.
Communicate with patients, family members, and associates in the organization.
Continually assess patient and family needs and responses related to understanding treatment and coping with social and emotional responses.
Participate in interdisciplinary care coordination and serve as a resource to other health team members in identifying and resolving patient needs.
Evaluate the Social Work Assistant’s performance to help ensure medical social services comply with company, government, and professional standards.
Maintain and submit required documentation, including case conferences, patient and physician community contacts, visit reports, and progress notes.
Confer with other healthcare disciplines to provide optimum patient care.
Provide direction and supervision to the Social Worker Assistant when involved in a patient’s plan of care.
Maintain current licensure and certifications and meet mandatory continuing education requirements.