Home Health Medical Social Worker-Per Diem

CenterWell•Temple, TX

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 also provides direction and supervision to a Social Worker Assistant when that assistant is involved in a patient’s plan of care. The position follows CenterWell Home Health policies and procedures, applicable healthcare standards, laws, and regulations. The Medical Social Worker assesses patients’ social and emotional circumstances, home-care needs, financial resources, and available community resources. The role helps patients and families address issues that may impede recovery, supports their understanding of treatment and coping, and coordinates care with the interdisciplinary team. It also evaluates the Social Work Assistant’s performance and maintains required clinical and coordination documentation. This is a per-diem, patient-facing role involving local travel. The position requires TB screening and participation in Humana’s driver safety program. The advertised schedule is one scheduled hour per week.

Requirements

At least 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 ability to travel locally.
Ability to read, write, and speak fluent English.
Must undergo TB screening if selected for the patient-facing role.
Must maintain personal vehicle liability insurance in accordance with state minimum limits or the higher limits specified in the posting.

Responsibilities

Assess patients’ social and emotional state in relation to 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 a patient’s recovery.
Communicate with patients, family members, and associates in the organization.
Continuously assess patient and family needs, their understanding of the treatment process, and their responses to social and emotional challenges.
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 meet company, government, and professional standards.
Maintain and submit required documentation, including case conferences, patient or physician and community contacts, visit reports, and progress notes.
Confer with other healthcare disciplines to support optimum patient care.
Maintain current licensure and certifications and meet mandatory continuing education requirements.