Medical Social Worker Per Visit

AlpineCare•Flint, MI

10d•Remote

About The Position

Alpine Care Home Health is dedicated to providing expert, compassionate care in the home setting. Our team of skilled clinicians help individuals remain safe and independent in their homes, with personalized care that respects the individuals’ goals, values, and overall well-being. Our team brings deep expertise in physical therapy, occupational therapy, speech therapy, wound care, and complex care management, and more. We offer customized tools and hands-on support to improve mobility, accelerate recovery, and encourage lasting self-reliance. We take pride in offering personalized, evidence-based care. We work closely with primary care providers, families, and specialists to create care plans that are proactive, holistic, and aligned with each patient’s priorities. Through access to a full range of physical and mental health services, we aim to support patient independence and long-term stability. We’re building a purpose-driven team passionate about making a difference. If you’re excited to shape the future of home-based care, here’s what the role involves. POSITION OVERVIEW The Medical Social Worker Per Visit (MSW) is a qualified professional who, in accordance with the plan of treatment, assists the physician and other team members in understanding the significant social and emotional factors related to the health problems. The MSW PRN also participates in the development of the plan of treatment, prepares clinical and progress notes, works with the family, utilizes appropriate community resources, participates in discharge planning and in-service programs and acts as a consultant to other agency personnel.

Requirements

A Master's degree (MSW) or doctoral degree from a school of social work accredited by the Council on Social Work Education
Active CPR Certification
Current unencumbered State professional license
Must maintain a valid driver's license and good driving record
An automobile to be used for work
One (1) year of social work experience in a health care setting as per §484.115(m)
Proficiency in clinical skills
The ability to make sound professional clinical judgment
The ability to assess and document patient needs and formulate individualized patient care plans to meet those needs
Excellent verbal and written communication
Proficiency in personal computer use including email, clinical, word processing, and spreadsheet software
Able to lift 40 pounds from floor to shoulder
Repetitive walking, standing, sitting, bending, and use of hand
Able to drive a car 2-4 hours per day

Responsibilities

Provide medical social work services where appropriate, to individuals and families receiving skilled services from the Agency
Resolve social or emotional problems that are or are expected to be an impediment to the effective treatment of the patient's medical condition or rate of recovery
Develop and implement a plan of care that necessitates the skills of a qualified medical social worker to be performed safely and effectively
Assess the relationship of the patient's medical and nursing requirements to the patient's home situation, financial resources and availability of community resources
Take appropriate action to obtain available community resources to assist in resolving the patient's problem
Provide counseling services that are required by the patient
Provide medical social services to the patient's family member or caregiver on a short-term basis (i.e. 2-3 visits) when the HHA can demonstrate that a brief intervention by a medical social worker is necessary to remove a clear and direct impediment to the effective treatment of the patient's medical condition
Complete evaluation paperwork and patient care plan submitted to Clinical Supervisor per agency policy and procedure
Provide medical social services including assessment, evaluation, procedures, teaching and training activities as outlined in the patient Plan of Care
Submit completed visit notes, communication notes per agency policy and procedure
Submit change orders per agency policy
Maintain open lines of communication to all members of the continuum of care team
Act as a preceptor in the orientation of new medical social work staff as requested
Attend staff meetings, team conferences and educational in-services per agency requirements
Participate in Process Improvement (PI) program by assisting with collection of data and serves on PI team upon request
Participate in discharge planning process in accordance with Medicare Criteria and agency policy and procedure
Follow agency policies and procedures
Maintain productivity level at 90%
Perform these and all other duties as assigned by the Administrator
Responsible to ensure the use of the 4Ms (What Matters to the patient, Medications, Mentation, and Mobility) and provides Age-Friendly Care
Other duties as assigned