Home Health Social Worker, MSW

VitalCaring Group•Clinton, OK

About The Position

VitalCaring is seeking a Master’s Social Worker (MSW) to provide field-based, patient-centered social work services in home health. The role supports patients and families as they address the emotional, social, environmental, and practical challenges associated with illness. The social worker assesses psychosocial needs, develops individualized care plans, provides counseling and guidance, helps patients navigate resources and financial concerns, and supports care planning. The MSW coordinates referrals to community resources, serves as a liaison among patients, families, and community agencies, and builds relationships with local organizations. Working with nurses, physicians, therapists, and other interdisciplinary team members, the role contributes to holistic care, case conferences, and safe discharge transitions. Responsibilities also include maintaining accurate and timely documentation in the electronic medical record, communicating updates to the care team and referring providers, and meeting professional and regulatory standards. VitalCaring describes the role as autonomous and flexible, with ongoing training and advancement opportunities. The company is a home health and hospice provider founded in 2021, with more than 100 locations nationwide.

Requirements

Master’s degree in Social Work (MSW) from an accredited program.
Active licensure in the state of practice, as required.
Current CPR certification.
Valid driver’s license, reliable transportation, and auto insurance.
Strong empathy and emotional intelligence.
Ability to navigate complex family dynamics and social situations.
Resourceful, solution-oriented approach.
Excellent communication and organizational skills.
Passion for patient-centered, home-based care.

Nice To Haves

At least 1 year of healthcare experience; home health experience is strongly preferred.

Responsibilities

Assess patients’ psychosocial needs related to illness, environment, and support systems.
Develop and implement individualized care plans addressing emotional, social, and practical needs.
Provide counseling, guidance, and support to patients and caregivers.
Help patients and families navigate resources, financial concerns, and care planning.
Coordinate referrals to community resources and support services.
Serve as a liaison among patients, families, and community agencies.
Build and maintain relationships with local organizations to support patient needs.
Partner with nurses, physicians, therapists, and interdisciplinary team members to provide holistic care.
Participate in case conferences and contribute to comprehensive care planning.
Support discharge planning to ensure safe and successful transitions.
Maintain accurate, timely documentation in the electronic medical record (EMR).
Communicate patient needs and updates with the care team and referring providers.
Uphold professional standards and regulatory requirements.