Medical Social Worker
Home Sweet Home Health Agency•Phoenix, AZ
•$65 - $85•Onsite
About The Position
The Medical Social Worker (MSW) provides medical social services to home health patients and their families in the patient's residence. Under physician guidance and in collaboration with the interdisciplinary team, the MSW assesses social, emotional, and environmental factors affecting patients' health and ability to remain safely at home. The MSW educates and supports patients and caregivers, connects them with community resources and entitlement programs, and helps families understand their options and cope with disease progression.
Requirements
- Active social work license in good standing in the state of practice: Arizona LMSW or LCSW, or California LCSW, as applicable.
- Master's or doctoral degree in social work from a Council on Social Work Education (CSWE)-accredited program.
- At least one year of social work experience in a healthcare setting.
- Proficiency with community resources and entitlement programs, and understanding of the needs of older adults and chronically ill patients, including people affected by Alzheimer's disease and related dementias and the impact on family dynamics.
- Comfort and competence working with patients in their homes.
- Valid driver's license, reliable transportation, and current auto insurance for travel to patient homes.
- Successful completion of a background check and required health clearances or immunizations.
Responsibilities
- Conduct initial and ongoing psychosocial assessments of patients' social, emotional, and environmental needs, including caregiver capacity and home safety, to support the plan of care.
- Observe and document changes in patient status and responses to interventions.
- Provide social work support, education, and resource guidance to patients and caregivers, including support with coping with illness, understanding disease progression, and adjusting to changing care needs.
- Collaborate with physicians, nurses, therapists, and other interdisciplinary team members to develop and update individualized plans of care.
- Participate in care conferences as required.
- Identify and connect patients and families with community resources, entitlement programs, and benefits, including state Medicaid programs.
- Support home safety evaluations and coordinate necessary modifications.
- Facilitate care transitions and discharge planning.
- Deliver services in patients' residences based on assessed needs.
- Complete visit documentation and case files promptly and in accordance with Medicare Conditions of Participation, state regulations, payer requirements, and company procedures.
