Healthcare Social Worker - Discharge & Resources Specialist

Personal Touch Home Health Care Services Inc.; Gaithersburg (MD); On-site; USD 65,000 - 90,000; Full time

Job summary

Personal Touch Home Health Care Services Inc. seeks an LMSW Case Manager to support Community & Social Services within Healthcare & Medical Services.

You will conduct psychosocial assessments, create person-centered care plans, and coordinate medical, social, and community resources for diverse patient populations. Collaborate with physicians, nurses, and behavioral health providers to promote safe discharges, reduce readmissions, and enhance quality of life.

Qualifications

• Conduct psychosocial assessments and evaluate patient needs.
• Develop and implement person-centered care plans.
• Coordinate resources and services across medical and community settings.
• Collaborate with care teams to support safe transitions of care.
• Maintain clear, timely, accurate documentation.
• Demonstrate cultural humility and patient-centered communication.
• Advocate for patients to improve outcomes and access to resources.

Responsibilities

• Perform psychosocial assessments for diverse patient populations.
• Create and implement individualized care plans.
• Coordinate medical, social, and community resources for smooth discharges.
• Work with physicians, nurses, and behavioral health providers.
• Maintain thorough, compliant documentation in all records.
• Engage with patients respectfully, honoring cultural differences.
• Advocate to improve access to services and prevent readmissions.

Skills

Psychosocial assessment

Care planning

Care coordination

Interdisciplinary collaboration

Documentation

Cultural humility

Patient advocacy

Education

MSW (LMSW) degree

Job description

Personal Touch Home Health Care Services Inc. seeks an LMSW Case Manager to support Community & Social Services within Healthcare & Medical Services.

You will conduct psychosocial assessments, create person-centered care plans, and coordinate medical, social, and community resources for diverse patient populations. Collaborate with physicians, nurses, and behavioral health providers to promote safe discharges, reduce readmissions, and enhance quality of life.