Home Health Medical Social Worker-Per Diem

CenterWell•Peachtree City, GA

About The Position

The Medical Social Worker reports to the Clinical Manager and participates in interdisciplinary care for home health patients. The role evaluates patients’ emotional and social needs and develops personalized plans of care. The Medical Social Worker may direct and supervise a Social Worker Assistant involved in a patient’s plan of care, and works in accordance with company policies and procedures, healthcare standards, and applicable laws and regulations. The role assesses patients’ social and emotional circumstances, care needs, responses to treatment, and adjustment to illness or injury. It also identifies relevant medical and nursing needs in the home, financial resources, and available community resources, and takes appropriate action to connect patients with resources that may support recovery. The Medical Social Worker communicates with patients, families, and organizational associates; contributes to care coordination as an interdisciplinary team member; and serves as a resource to other team members. The Medical Social Worker evaluates the Social Work Assistant’s performance to help ensure services meet company, governmental, and professional standards. The role also maintains and submits required documentation, including case conferences, patient and physician or community contacts, visit reports, and progress notes, and consults with other healthcare disciplines to support optimal patient care. This is a per-diem, patient-facing role that involves local travel and flexible work hours. The position is subject to Humana’s TB screening and driver safety programs.

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; maintain vehicle liability insurance at the applicable state minimum or the stated higher coverage limits.
Current CPR certification.
Experience with discharge planning and obtaining community resources, including housing, shelter, funeral or memorial arrangements, legal resources, information and referral, state and 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.
Maintain current licensure and certifications and meet mandatory continuing education requirements.
Fluent in reading, writing, and speaking English.
Complete TB screening if selected for the role.

Responsibilities

Assess patients’ social and emotional state in relation to their illness or injury, care needs, treatment response, and adjustment to care.
Assess the relationship between patients’ medical and nursing needs in the home, 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 organizational associates.
Continuously assess patient and family needs and their understanding of the treatment process and responses to social and emotional challenges.
Participate in interdisciplinary care-team coordination and act as a resource to other health team members in identifying and resolving patient needs.
Evaluate the Social Work Assistant’s performance to help ensure services comply with company, governmental, and professional standards.
Maintain and submit required documentation, including case conferences, patient, physician, and community contacts, visit reports, and progress notes.
Confer with other healthcare disciplines to provide optimal patient care.
Direct and supervise the Social Worker Assistant when involved in the patient’s plan of care.