Home Health Medical Social Worker-Per Diem

CenterWell•Bluffton, SC

About The Position

The Medical Social Worker participates in interdisciplinary care for home health patients and evaluates and develops personalized plans of care addressing patients’ emotional and social needs. The role works in accordance with CenterWell Home Health policies and procedures, applicable healthcare standards, and governmental laws and regulations. It reports to the Clinical Manager and provides direction and supervision to a Social Worker Assistant when the assistant is involved in a patient’s plan of care. The position assesses patients’ social and emotional circumstances in relation to illness or injury, care needs, treatment response, and adjustments to care. It evaluates home, financial, and community-resource factors affecting medical and nursing needs; helps patients access appropriate community resources; and supports patients and families in understanding treatment and coping with social and emotional responses. The Medical Social Worker coordinates with patients, families, organizational associates, and the interdisciplinary care team, and documents services and coordination activities as required. This is a per-diem, patient-facing role with local travel. The position requires a valid driver’s license, auto insurance, and reliable transportation, as well as current CPR certification and compliance with TB screening requirements.

Requirements

At least one year of experience as a social worker in a healthcare setting, home health, and/or hospice.
Social Worker licensure in the state of practice, if required by state law or regulation.
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 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 ability to travel locally.
Ability to read, write, and speak fluent English.
Must undergo TB screening if selected for the patient-facing role.
Must maintain personal vehicle liability insurance at least at the residing state minimum limits or the higher limits specified in the posting.

Responsibilities

Assess patients’ social and emotional states as they relate to illness or injury, care needs, treatment responses, and adjustments to care.
Assess how patients’ 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.
Continually assess patient and family needs and their responses to understanding the treatment process and 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 (BSW) to ensure medical social services meet 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.
Maintain current licensure and certifications and meet mandatory continuing education requirements.