The Medical Social Worker participates in interdisciplinary care for home health patients and reports to the Clinical Manager. The role evaluates patients’ emotional and social needs and develops personalized plans of care. It may provide direction and supervision to a Social Worker Assistant when that assistant is involved in the patient’s plan of care. The Medical Social Worker works in accordance with CenterWell Home Health policies and procedures, applicable healthcare standards, and governmental laws and regulations. The position assesses patients’ social and emotional status in relation to illness or injury, care needs, treatment responses, and adjustments to care. It also evaluates the relationship between medical and nursing needs in the home, financial resources, and available community resources, and takes appropriate action to help resolve issues that may impede recovery. The Medical Social Worker communicates with patients, families, and organizational associates; continually assesses patient and family needs and coping; participates in care coordination as part of the interdisciplinary team; evaluates the Social Work Assistant’s performance; and maintains and submits required documentation.
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