Home Health Licensed Clinical Social Worker - Geriatric Population

Optimal Care • Grand Rapids, MI

6d • Onsite

About The Position

The Home Health Licensed Clinical Social Worker provides psychosocial support to patients and families to help address social and emotional barriers to recovery. The role includes assessing psychosocial needs, counseling and educating patients, connecting them with community resources, and collaborating with nurses, therapists, physicians, and other team members on care planning. The clinician supports patients in following treatment plans, accessing services, and working toward independence and wellness.

The position serves Grand Rapids, Michigan, and the surrounding area. It requires daily travel to patient homes and residential facilities, with occasional office meetings. The clinician works independently during visits and stays connected to the care team through regular communication and care conferences. The schedule is three days per week, generally 8:00 a.m. to 5:00 p.m., Monday through Friday, with flexibility to adjust to patient needs and availability. Most visits occur during standard business hours, with occasional schedule adjustments.

The employer provides home health social work orientation, ongoing supervision and support, and professional development opportunities, including training in Medicare home health regulations and documentation, care coordination and discharge planning, community resource development, and interdisciplinary collaboration. Employment is contingent on successful completion of a background check.

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), with clinical designation.
• At least one year of experience as a licensed Master's Social Worker.
• Reliable transportation, valid automobile insurance, and a valid driver's license.
• Willingness to travel daily for home visits within the service area.
• 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.

Nice To Haves

• Previous home health or medical social work experience.
• Knowledge of the Medicare home health benefit and Conditions of Participation.
• Experience with care coordination and discharge planning.

Responsibilities

• Assess and address patients' psychosocial needs.
• Counsel and educate patients and families about illness-related emotional stress and practical solutions.
• Connect patients with community resources and social services.
• Collaborate with nurses, therapists, physicians, and other disciplines on care planning.
• Help patients address financial, environmental, emotional, and other social barriers affecting recovery.
• Support patients in following medical treatment plans and working toward independence.
• Communicate psychosocial issues to medical professionals and participate in care conferences.
• Travel to patient homes and residential facilities within the service area.

Benefits

• Mileage reimbursement.
• Minimum of three weeks of paid time off for full-time employees; part-time and per-diem employees also accrue paid time off.
• Medical, dental, and vision insurance.
• HSA and FSA options, including dependent care.
• Company-paid short-term disability.
• Company-paid life insurance.
• 401(k) with employer match.
• Pet insurance.
• ID and fraud protection.
• Ongoing supervision, support, and professional development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level