The Medical Social Worker provides coordinated care in the home to clients of all age groups. The role includes psychosocial assessment, analysis, counseling, and referrals to address client and family needs. The position works with patients across age groups in a clinical setting and requires appropriate interactions with all patient populations. The Medical Social Worker supports client admission by assessing psychosocial, financial, environmental, and community needs and documenting findings in care plans and clinical records. The role collaborates with the interdisciplinary team, communicates with clients, families, team members, and other health care professionals, and participates in case conferences and team meetings. The employee maintains knowledge of public and private eligibility standards, participates in in-service programs, and meets continuing education requirements. The position works mostly in an office environment, with local travel and possible availability in person or by telephone during Agency operating hours and possibly after hours for emergencies. Employment is PRN.