About The Position

Always Best Care Senior Services - O’ahu is hiring a Medical Social Worker to join its home health team. The role supports patients and families in their homes as they work through the emotional, financial, and practical challenges associated with illness and recovery. The Medical Social Worker assesses psychosocial and emotional needs, family dynamics, the home environment, and financial concerns. The position provides counseling, emotional support, crisis intervention, advocacy, and education; connects patients and caregivers with community resources; supports discharge planning and transitions of care; coordinates with the care team; maintains timely documentation; and participates in quality improvement activities.

Requirements

  • Master’s degree in social work.
  • Current Hawaii LSW license that meets home health medical social services requirements.
  • Knowledge of community resources and social service programs.
  • Strong assessment, counseling, communication, documentation, advocacy, and organizational skills.
  • Valid driver’s license, reliable transportation, and automobile insurance when required by agency policy.

Nice To Haves

  • At least one year of experience in healthcare, home health, or social services is preferred.

Responsibilities

  • Assess patients’ psychosocial and emotional needs, family dynamics, home environment, and financial concerns.
  • Provide counseling, emotional support, crisis intervention, advocacy, and education.
  • Connect patients and caregivers with community resources, including financial, housing, transportation, legal, and long-term care services.
  • Support discharge planning and transitions of care.
  • Coordinate with physicians, nurses, therapists, and the rest of the care team, and take part in case conferences.
  • Keep accurate, timely assessments, visit notes, and progress documentation.
  • Take part in quality improvement (QAPI) activities.
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