Home Health Licensed Clinical Social Worker - Geriatric Population

Optimal Care • Grand Rapids, MI

7d • Onsite

About The Position

Optimal Care is hiring a licensed clinical social worker to provide home health psychosocial support to patients and families in Grand Rapids and surrounding areas. The role focuses on helping patients address social and emotional barriers to recovery, follow medical treatment plans, access community resources, and work toward independence and wellness. The social worker collaborates with nurses, therapists, physicians, and other care team members to support patient outcomes.

The position requires daily travel to patient homes and residential facilities within the service area, with occasional office meetings. The social worker works independently during visits while keeping in contact with the care team through regular communication and care conferences. Schedule flexibility is important to accommodate patient needs, referrals, changing conditions, and family availability. Most visits occur during standard business hours, with occasional adjustments.

The organization provides comprehensive orientation to home health social work, ongoing supervision and support, and professional development opportunities, including training on Medicare home health regulations and documentation, care coordination and discharge planning, community resource development, and interdisciplinary collaboration.

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 1 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.
• Connect patients with community resources.
• Collaborate on care planning with the multidisciplinary team.
• Maintain clinical excellence.
• Travel to patient homes and residential facilities for visits.
• Communicate regularly with the care team and participate in care conferences.

Benefits

• Mileage reimbursement.
• Minimum of 3 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 and support.
• Professional development opportunities.

What This Job Offers

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