Medical Social Worker- MSW

Hope At Home Health Care•Southfield, MI
•Onsite

About The Position

Hope at Home Health Care is a Medicare-certified home health agency based in Southfield, Michigan, serving patients throughout Oakland, Macomb, Wayne, and Livingston Counties. The agency’s interdisciplinary team helps patients recover safely at home after hospitalization, illness, or injury. The Medical Social Worker makes home visits on a flexible, per-visit basis, working alongside nurses and therapists to address social, emotional, and financial issues that affect patients’ recovery and independence. The role includes psychosocial assessments, care planning, connecting patients and families with resources, short-term counseling, care planning assistance, safety reporting, timely documentation, and collaboration with the clinical manager and interdisciplinary team. Compensation is $70–$80 per visit. Scheduling is flexible and PRN; the worker chooses availability and coverage area. The position is field-based in Southfield, Michigan, and surrounding counties.

Requirements

  • Master’s degree in Social Work (MSW) from a CSWE-accredited program.
  • Active Michigan LMSW license.
  • At least 1 year of social work experience in a health care setting.
  • Valid driver’s license, reliable transportation, and auto insurance.
  • Current CPR/BLS certification.

Nice To Haves

  • Experience in home health or hospice.
  • Knowledge of Medicare home health and community resources in Southeast Michigan.
  • Experience with an EMR; Kinnser/WellSky experience is a plus.

Responsibilities

  • Complete psychosocial assessments in patients’ homes and help develop the plan of care.
  • Connect patients and families with community resources, including Medicaid, Medicare, the MI Choice waiver, Area Agencies on Aging, Meals on Wheels, transportation, housing, and caregiver support.
  • Provide short-term counseling related to adjustment to illness, caregiver stress, grief, and end-of-life decisions.
  • Assist with advance directives, long-term care planning, and placement.
  • Identify and report concerns about safety, abuse, neglect, or self-neglect.
  • Document visits accurately and on time in Kinnser/WellSky.
  • Communicate with the clinical manager and interdisciplinary team, and participate in case conferences.
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