Home Health Medical Social Worker

Optimal Care•Jackson, MI

5h•$70,000 - $80,000•Hybrid

About The Position

Help patients overcome the social and emotional challenges that impact their ability to recover and remain independent at home. As a Home Health Medical Social Worker, you’ll provide compassionate psychosocial support that helps patients and families navigate illness, chronic conditions, and barriers to successful recovery. Through assessments, counseling, education, and resource coordination, you’ll help patients access the support, tools, and resources they need while ensuring their emotional, social, and environmental needs are addressed as part of their overall care plan. This role is ideal for a licensed MSW who is passionate about making a meaningful impact through whole-person care. You’ll collaborate with nurses, therapists, physicians, and caregivers to develop individualized care plans, connect patients with community resources, identify barriers to recovery, and support patient and caregiver independence. Your clinical expertise, communication skills, and commitment to compassionate service will help improve outcomes, strengthen care coordination, and enhance the healthcare experience for patients and families.

Requirements

Master's or doctoral degree from a CSWE-accredited school of social work
Current State License as a Master's Social Worker (MSW/LMSW/LCSW)
Minimum 1 year of experience as a licensed Master's Social Worker
Reliable transportation with valid automobile insurance
Willingness to travel daily for home visits within service area

Nice To Haves

Previous home health or medical social work experience
Knowledge of Medicare home health benefit and Conditions of Participation
Experience with care coordination and discharge planning
Strong clinical assessment and counseling skills
Ability to identify and address social determinants of health
Knowledge of community resources and social service systems
Excellent communication and patient education abilities
Skill in navigating complex family dynamics and emotional stress
Cultural sensitivity and tolerance for diverse lifestyles
Strong time management and organizational skills
Ability to work independently while collaborating with multidisciplinary teams
Understanding of how psychosocial factors impact medical recovery

Responsibilities

Provide compassionate psychosocial support to patients and families navigating illness, chronic conditions, and barriers to recovery.
Conduct assessments, counseling, education, and resource coordination to help patients access necessary support, tools, and resources.
Ensure patients' emotional, social, and environmental needs are addressed as part of their overall care plan.
Collaborate with nurses, therapists, physicians, and caregivers to develop individualized care plans.
Connect patients with community resources.
Identify barriers to recovery.
Support patient and caregiver independence.