Job Description

Job Summary:

The Medical Social Worker (MSW) in a home health setting provides comprehensive social services to patients and families, focusing on addressing emotional, psychological, and social issues that may affect their health and well-being. This position works closely with the multidisciplinary team to ensure that patients receive the necessary resources, education, and support while transitioning through care at home.

Key Responsibilities:

Patient Assessment:

• Conduct social assessments for patients admitted to home health services, identifying social, emotional, and environmental factors that affect the patient’s well-being and care plan.

Care Planning and Coordination:

• Collaborate with physicians, nurses, and other healthcare providers to develop and implement patient-centered care plans. Assist in determining the social, emotional, and financial needs of patients.

Support Services:

• Provide counseling and emotional support to patients and families, helping them cope with illness, disability, or death. Offer crisis intervention when necessary.

Resource Referral and Advocacy:

• Identify and assist patients and families in accessing community resources, including financial assistance programs, home healthcare services, transportation, and housing.
• Advocate for patients to ensure they receive appropriate services and support.

Discharge Planning:

• Assist with planning for discharge by identifying ongoing home care needs and ensuring adequate support systems are in place for the patient’s transition to home care or a lower level of care.

Documentation:

• Maintain accurate and timely documentation in accordance with federal, state, and agency guidelines, including progress notes, assessments, and care plans.

Education:

• Provide education to patients and families about available community resources, coping strategies, and the patient’s condition, helping them understand the impact on their health and lifestyle.

Collaboration:

• Work closely with other members of the home health team to provide comprehensive care, ensuring continuity of services and addressing any issues that arise during patient care.

Qualifications:

Education:

• Master’s Degree in Social Work (MSW) from an accredited program.

Licensure/Certification:

• Current state licensure as a Social Worker (LCSW, LISW, or equivalent).

Experience:

• At least one year of experience in a healthcare setting, preferably in home health, hospice, or hospital discharge planning.

Skills:

• Strong interpersonal skills and ability to work effectively in a team. Ability to assess and address a variety of psychosocial issues. Knowledge of social work theory and practice as it applies to home healthcare.

Other:

• Ability to work independently, manage a case load, and handle sensitive and confidential information.

Physical Requirements:

• Ability to travel to patient homes.
• May involve some lifting, bending, and walking.

Application Question(s):

• LCSW is required for this role.
• This position will cover territory in Martin and St. Lucie County.

Experience:

• Medical social work: 1 year (Required)

License/Certification:

• Licensed Clinical Social Worker (Required)

Ability to Commute:

• Port Saint Lucie, FL 34952 (Required)

Ability to Relocate:

• Port Saint Lucie, FL 34952: Relocate before starting work (Required)

Work Location: In person

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