Medical Social Worker
About The Position
The Medical Social Worker provides psychosocial support to patients and families in a home health agency setting, addressing economic, social, and emotional needs related to illness and end-of-life care. The role supports safe and effective care transitions, advocates for patient rights, and contributes to interdisciplinary care planning. The position includes assessing patient and family needs, evaluating mental health status and available insurance or financial assistance, developing discharge plans, coordinating services with physicians and the care team, and providing counseling and crisis intervention. The Medical Social Worker maintains accurate records and complies with agency policies, applicable regulations, accreditation standards, and HIPAA requirements. The role also contributes to quality improvement and community education, coordinates with community resources and contracted providers, and supports staff orientation and professional development. Patient care takes place in home and community settings, and daily travel is required. The role involves frequent standing and walking and occasional lifting up to 35 pounds. Tasks do not routinely involve exposure to blood or body fluids, though unplanned tasks may involve exposure; employees must receive exposure-control training and access to PPE. A screening through the Care Provider Background Screening Clearinghouse is required.
Requirements
- Master’s Degree in Social Work from an accredited institution.
- Minimum one year of experience in a healthcare setting.
- Strong communication, documentation, and problem-solving skills.
- Ability to work collaboratively within an interdisciplinary team.
- Commitment to patient-centered, safe, and compassionate care.
- Ability to travel daily for work in home and community settings.
- Must complete screening through the Care Provider Background Screening Clearinghouse.
Nice To Haves
- Home health experience preferred.
Responsibilities
- Assess patients and families to identify psychosocial needs related to illness and end-of-life care.
- Evaluate mental health status, insurance coverage, and financial assistance options.
- Develop comprehensive discharge plans using interdisciplinary input and case management principles.
- Communicate with physicians and the care team to coordinate services.
- Participate in regular team meetings and provide on-call social work coverage as needed.
- Facilitate discharge planning from hospitals to home or nursing facilities.
- Provide counseling and crisis intervention, including guidance on Advanced Directives and bereavement support.
- Maintain timely and accurate clinical records and complete required documentation accurately and on time.
- Ensure adherence to agency policies, state and federal regulations, and accreditation standards.
- Contribute to quality improvement initiatives and community education.
- Protect patient confidentiality, promote patient rights, and promptly report concerns.
- Follow infection control and emergency response procedures.
- Collaborate with patients, families, and colleagues and support staff orientation and ongoing professional development.
- Maintain clinical competency and serve as a positive role model for teamwork.
- Coordinate with community resources and contracted providers.
- Manage time effectively to meet productivity standards while delivering high-quality care.
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What This Job Offers
Job Type
Full-time
