Impactful Home Health MSW — Social Work & Care Coordination

Lorian Health; Elk Grove (CA); On-site; USD 62,000 - 65,000; Part time

Benefits offered by this job

Mileage reimbursement

Competitive salary

401(K) with match

Employee assistance program

Professional development

Collaborative team

Job summary

Lorian Health, a trusted home health provider serving the surrounding Sacramento area, is hiring a part-time Home Health MSW. You will assess patients' social, emotional, and environmental needs and connect them with community resources to support independence at home.

Collaborating with physicians, case managers, and the interdisciplinary team, you will help integrate social needs into Plan of Care, provide counseling to patients and families, and document findings in the health record in

Qualifications

• Graduate of an accredited school approved by the Council on Social Work Education.
• Master’s degree from a CSWE-accredited program.
• Valid driver’s license and insured personal vehicle (per Lorian requirements).
• Minimum of one year of recent Home Health or Hospice experience.

Responsibilities

• Assess patients’ social, emotional, and environmental needs and identify community resources, in-home support services, and other available assistance.
• Collaborate with physicians, case managers, and interdisciplinary team members to incorporate social and emotional needs into the patient’s Plan of Care (POC).
• Provide counseling, education, and support to patients and families regarding social needs, community resources, advance directives, and available services.
• Connect patients and families with appropriate community resources and coordinate services to support patient well‑being and independence.
• Monitor and communicate changes in patients’ social and support needs to the care team and document relevant findings in the patient health record.
• Participate in discharge planning and care coordination to support a safe and effective transition from home health services.
• Maintain accurate, timely, and confidential electronic clinical documentation in accordance with Lorian policies, HIPAA, and applicable regulations, while participating in continuing education and in-service programs.

Skills

Counseling skills

Interdisciplinary collaboration

Electronic health record documentation

Community resource coordination

Education

MSW (Master of Social Work)

CSWE-accredited program

Tools

EHR systems

Job description

Lorian Health, a trusted home health provider serving the surrounding Sacramento area, is hiring a part-time Home Health MSW. You will assess patients' social, emotional, and environmental needs and connect them with community resources to support independence at home.

Collaborating with physicians, case managers, and the interdisciplinary team, you will help integrate social needs into Plan of Care, provide counseling to patients and families, and document findings in the health record in