Home Health Medical Social Worker-Per Diem

CenterWell•Murfreesboro, TN

About The Position

The Medical Social Worker participates in interdisciplinary care for home health patients and reports to the Clinical Manager. The role evaluates patients’ emotional and social needs and develops personalized plans of care. It may include directing and supervising a Social Worker Assistant involved in a patient’s plan of care. The Medical Social Worker follows CenterWell Home Health policies and procedures, applicable healthcare standards, and governmental laws and regulations. The position assesses patients’ social and emotional circumstances, care needs and responses to treatment, as well as home-setting needs, financial resources, and available community resources. The Medical Social Worker works with patients, families, organizational associates, and the interdisciplinary care team to coordinate care, address barriers to recovery, and support patients and families in understanding treatment and coping with its social and emotional effects. The role also evaluates the Social Work Assistant’s performance and maintains required documentation.

Requirements

  • Minimum of one year of experience as a social worker in a healthcare setting, home health, and/or hospice.
  • Social Worker licensure in the state of practice, if required by state law or regulation.
  • Valid driver’s license, auto insurance, and reliable transportation.
  • Current CPR certification.
  • Experience with discharge planning and obtaining community resources, including housing, shelter, funeral or memorial service arrangements, legal resources, information and referral, state or federal financial and medication programs, and eligibility.
  • Knowledge of medications and their correct administration.
  • Ability to organize tasks, develop action plans, set priorities, and function under stressful situations.
  • Flexibility in work hours and local travel.
  • Maintain current licensure and certifications and meet mandatory continuing education requirements.
  • Fluent in reading, writing, and speaking English.
  • Must complete TB screening if selected for the patient-facing role.
  • Must maintain personal vehicle liability insurance in accordance with state minimum limits or the stated higher limits.

Responsibilities

  • Assess patients’ social and emotional state in relation to their illness or injury, care needs, treatment response, and adjustments to care.
  • Assess how medical and nursing needs relate to the home setting, financial resources, and available community resources.
  • Take appropriate action to obtain community resources that may help resolve issues impeding recovery.
  • Communicate with patients, family members, and associates in the organization.
  • Continuously assess patient and family needs and their responses to understanding treatment and coping with social and emotional issues.
  • Participate in interdisciplinary care-team coordination and serve as a resource to other health team members in identifying and resolving patient needs.
  • Evaluate the Social Work Assistant’s performance to ensure services comply with company, government, and professional standards.
  • Maintain and submit required documentation, including case conferences, patient or physician community contacts, visit reports, and progress notes.
  • Confer with other healthcare disciplines to provide optimum patient care.
  • Provide direction and supervision to the Social Worker Assistant when involved in the patient’s plan of care.

Benefits

  • Paid time off
  • 401(k) retirement savings plan
  • Employee assistance program
  • Business travel and accident benefits
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