Social Worker

Jobot; Portage (MI); On-site; USD 62,000 - 72,000; Full time

Job summary

Jobot is seeking a Social Worker for our mission-driven healthcare team in Portage, Michigan. This permanent, on-site role supports patients across home health, rehabilitation-to-home transitions, elder care, and palliative care, with a strong emphasis on dignity, independence, and quality of life.

You will collaborate with an interdisciplinary team to assess psychosocial needs, coordinate care plans, discharge planning, and connect families with community resources.

Qualifications

• Requires MSW and valid state social work license.
• Experience in healthcare social work or related clinical settings.
• Familiarity with home health, LTSS, palliative and end-of-life care.

Responsibilities

• Conduct comprehensive psychosocial assessments identifying patient strengths and barriers to care.
• Develop and coordinate individualized care plans with patients and families.
• Support discharge planning and resource coordination for home health/transitions.
• Connect patients with LTSS, elder care resources, and community supports.
• Provide counseling and support for terminal illness, grief, and complex decisions.
• Collaborate with palliative and behavioral health teams to address needs.
• Coordinate with psychiatry and other professionals for ongoing support.
• Help patients navigate healthcare systems, benefits, and service eligibility.
• Advocate for patient autonomy and culturally responsive care.
• Maintain timely documentation per policy and standards.

Skills

Care coordination

Discharge planning

Counseling

Patient advocacy

Interdisciplinary collaboration

Education

Master's degree in Social Work

Current social work licensure

LMHC credentials or equivalent experience

Job description

$62000 - $72000 per year | Portage, MI | On-site | Permanent

Social Worker

Take Your Career to New Heights While Getting to Work Within True Clinic Hours + Join a Remarkable Team Operating at the Intersection of Versatile Hands-on Settings + Excellence in Clinical Care - An Established Group Making a Genuine Difference

A bit about us:

We are a mission-driven, community-based healthcare organization with deep roots in Southwest Michigan. Our interdisciplinary team of a few hundred people delivers integrated care across multiple locations in the region. We've been recognized nationally as a top place to work more than once, and we believe that's because our people care deeply about the work and each other. One Organization. Multiple Care Settings. Endless Opportunities to Grow. Join an exceptional clinical team delivering meaningful, patient-centered care across a diverse continuum of healthcare services.

Why join us?

Join an established, mission-driven healthcare organization offering a unique opportunity to diversify your clinical experience across multiple care settings, including in-home care, outpatient clinics, adult day programs, and rehabilitation-to-home services. Enjoy the variety of hands-on nursing, meaningful patient relationships, and interdisciplinary collaboration while expanding your clinical skill set beyond traditional bedside care. This is an exceptional opportunity for an RN seeking professional growth, greater clinical versatility, and the ability to make a genuine difference in patients' lives - all within one supportive, patient-centered organization.

Job Details

Make a meaningful difference when patients and families need support most. This permanent Social Work opportunity in healthcare offers the chance to guide individuals through complex care transitions, strengthen access to essential services, and deliver compassionate support throughout serious illness and end-of-life care.

You will collaborate with an interdisciplinary team to promote patient dignity, independence, and quality of life across home health, rehabilitation-to-home transitions, elder care, and palliative care. This role is ideal for an experienced professional who combines strong clinical judgment with empathy, advocacy, and a commitment to person-centered care.

Responsibilities

• Conduct comprehensive psychosocial assessments to identify patient strengths, behavioral health concerns, caregiver needs, safety risks, and barriers to care.
• Develop and coordinate individualized care plans with patients, families, caregivers, and interdisciplinary healthcare teams.
• Support rehabilitation-to-home transitions through discharge planning, resource coordination, and follow-up that promotes continuity of care.
• Connect patients with home health services, Long-Term Services and Supports (LTSS), elder care resources, and community-based assistance.
• Provide compassionate counseling and support to individuals facing terminal illness, grief, loss, and complex healthcare decisions.
• Collaborate with palliative care and end-of-life care teams to address psychosocial needs and support patient preferences.
• Coordinate with psychiatry and other behavioral health professionals to facilitate appropriate assessment, treatment, and ongoing support.
• Help patients and families navigate healthcare systems, benefits, service eligibility, and available financial or community resources.
• Advocate for patient autonomy, culturally responsive care, and equitable access to services.
• Maintain accurate, timely documentation in accordance with organizational policies, confidentiality requirements, and applicable professional standards.

Qualifications

• At least 5 years of relevant professional experience in healthcare social work or a closely related clinical setting.
• Master's degree in Social Work from an accredited institution.
• Current social work licensure appropriate to the role and applicable regulatory requirements. LMHC credentials or equivalent behavioral health experience are valued but do not replace required social work licensure.
• Demonstrated experience or equivalent expertise in home health, rehabilitation-to-home transitions, psychosocial assessments, end-of-life care, palliative care, terminal illness, psychiatry, LTSS, and elder care.
• Strong skills in care coordination, discharge planning, counseling, crisis intervention, and patient advocacy.
• Ability to assess complex psychosocial needs and translate findings into practical, person-centered care plans.
• Excellent communication and collaboration skills, including confidence supporting patients and families through sensitive conversations.
• Knowledge of community resources, healthcare benefits, caregiver support services, and ethical standards relevant to healthcare social work.
• Ability to manage competing priorities while maintaining sound clinical judgment, thorough documentation, and compassionate care.

Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot's policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.

Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.

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