Home Health Medical Social Worker

CenterWell•Goldsboro, NC

About The Position

The Medical Social Worker reports to the Clinical Manager and participates in interdisciplinary care for home health patients. The role evaluates patients' emotional and social needs and develops personalized plans of care. It may also direct and supervise a Social Worker Assistant involved in a patient's care plan. The position operates in accordance with CenterWell Home Health policies and procedures, applicable healthcare standards, laws, and regulations. The Medical Social Worker assesses patients' social and emotional circumstances, care needs, financial resources, and available community resources; helps connect patients with resources that may support recovery; and communicates with patients, family members, and organizational associates. The role participates in care coordination and supports other members of the health team. It also evaluates the Social Work Assistant's performance and maintains required documentation and care-team communications. This is a patient-facing home health role involving local travel. The position requires TB screening and participation in Humana's driver safety program. The schedule is 40 hours per week.

Requirements

Completion of a Master's degree in Social Work.
At least one year of experience as a social worker in home health and/or hospice.
Valid driver's license, auto insurance, and reliable transportation.
Current CPR certification.
Experience with discharge planning and obtaining community resources, including housing, shelter, funeral or memorial service arrangements, legal resources, information and referral, state or federal financial and medication programs, and eligibility.
Knowledge of medications and their correct administration.
Ability to organize tasks, develop action plans, set priorities, and function under stressful situations.
Flexibility in work hours and local travel.
Maintain current licensure and certifications and meet mandatory continuing education requirements.
Fluent in reading, writing, and speaking English.

Responsibilities

Assess patients' social and emotional state in relation to illness or injury, care needs, treatment responses, and adjustments to care.
Assess how medical and nursing needs relate to the home setting, financial resources, and available community resources.
Take appropriate action to obtain community resources that may help resolve issues impeding a patient's recovery.
Communicate with patients, family members, and associates in the organization.
Continuously assess patient and family needs, their understanding of the treatment process, and their coping with social and emotional responses.
Participate in interdisciplinary care-team coordination and serve as a resource to other health team members in identifying and resolving patient needs.
Evaluate the Social Work Assistant's performance to ensure medical social services comply with company, government, and professional standards.
Maintain and submit required documentation, including case conferences, patient/physician and community contacts, visit reports, and progress notes.
Confer with other healthcare disciplines to provide optimum patient care.
Provide direction and supervision to the Social Worker Assistant when involved in the patient's plan of care.