Medical Social Worker (MSW) - Home Health | O'ahu

Always Best Care Senior Services - Oahu•Honolulu, HI

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 address the emotional, financial, and practical challenges of illness and recovery. The social worker assesses psychosocial needs and provides counseling, advocacy, resource connections, care-transition support, and documentation in coordination with the wider care team.

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 other care team members, and participate in case conferences.
  • Maintain accurate and timely assessments, visit notes, and progress documentation.
  • Participate in quality improvement (QAPI) activities.
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