The Medical Social Worker participates in interdisciplinary care for home health patients, evaluating and developing personalized plans of care for patients’ emotional and social needs. The role provides direction and supervision to a Social Worker Assistant when that assistant is involved in a patient’s plan of care. The Medical Social Worker works in accordance with CenterWell Home Health policies and procedures, healthcare standards, and applicable laws and regulations. The role assesses patients’ social and emotional circumstances in relation to illness or injury, care needs, treatment response, and care adjustments. It also evaluates how medical and nursing needs relate to the home setting, financial resources, and available community resources. The Medical Social Worker coordinates access to appropriate community resources, communicates with patients, families, and organizational associates, and participates in interdisciplinary care coordination. The role also evaluates the Social Work Assistant’s performance and maintains required documentation.
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