Home Health Social Worker: Elevate Patient Care at Home

CenterWell Home Health; Hickory (NC); On-site; USD 53,000 - 73,000; Full time

Job summary

CenterWell Home Health is seeking a Medical Social Worker to join our caring team. You will evaluate patients' social and emotional needs and develop individualized care plans within our clinical framework, guiding the Social Worker Assistant when involved in care.

You will collaborate with an interdisciplinary team, coordinate discharge planning, connect patients with community resources, and document progress to support optimal home-based care. Excellent communication is essential.

Qualifications

• Minimum of one year of experience as a social worker in a health care setting, home health, and/or hospice.
• Social Worker licensure in the state of practice, if required by state law or regulation.
• A valid driver’s license, auto insurance, and reliable transportation.
• Proof of current CPR certification.
• Experience with discharge planning needs, and obtaining community resources (housing, shelter, funeral/memorial service arrangements, legal, information and referral, state/federal financial and medication programs, and eligibility).
• Knowledge of medications and their correct administration.
• Demonstrated ability to organize tasks, develop action plans, set priorities, and function under stressful situations.
• Flexibility in work hours and travel locally.
• Maintain current licensure certifications and meet mandatory continuing education requirements.
• Must read, write and speak fluent English.

Responsibilities

• Assess the patient’s social and emotional state as it relates to their illness or injury, needs for care and their response to such treatment, and adjustments to care.
• Assess any relationships of the patient’s medical and nursing needs in the home setting, financial resources, and available community resources.
• Provide any appropriate action to obtain available community resources to help resolve issues that may impede the patient’s recovery.
• Communicate with patients and their family members, and associates in the organization.
• Provide ongoing assessment of patient and family needs and responses to understanding the treatment process and coping with social and emotional responses.
• Participate as a member of the interdisciplinary care team in care coordination activities and act as a resource to other health team members in the identification and resolution of patient needs.
• Evaluate the performance of the Social Work Assistant (BSW) to assure that all medical social services are provided to patients in compliance with Company, government, and professional standards.
• Maintain and submit documentation as required by the company and/or facility including any case conferences, patient/physician community contacts, visit reports progress notes, and confers with other health care disciplines in providing optimum patient care.

Skills

Social work exp

CPR certification

Driver's license

Discharge planning

Community resources

Communication

Licensure

English fluency

Education

Social Worker licensure (state)

Job description

CenterWell Home Health is seeking a Medical Social Worker to join our caring team. You will evaluate patients' social and emotional needs and develop individualized care plans within our clinical framework, guiding the Social Worker Assistant when involved in care.

You will collaborate with an interdisciplinary team, coordinate discharge planning, connect patients with community resources, and document progress to support optimal home-based care. Excellent communication is essential.