Social Worker: Care Coordination & Home Visits

Your Health; Blythewood (SC); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Competitive compensation package

Employer matched 401K

HDHP insurance plan

Employer matched HSA

Generous PTO

Career development & growth

Mileage reimbursement

Job summary

Your Health in Columbia area is seeking a qualified Social Worker to support patients across multiple facilities and homes. The role involves visiting patients at homes and facilities, requiring reliable daily travel and a Monday–Friday, 8-hour shift schedule (8am–5pm).

The Social Worker will engage in advance care planning, cognitive assessments, placement, and resource coordination, while building strong relationships with facilities and families.

Qualifications

• Must be able to travel daily to patients' homes and facilities.
• Strong compassion and customer-service mindset.
• Excellent communication with patients, families, and care teams.

Responsibilities

• Initiate Advance Care Planning for patients across assigned care team.
• Complete Daily Comprehensive Assessments on patients.
• Develop Daily Care Plans for patients.
• Document Chronic Care Management time daily.
• Meet Daily Productivity Goals.
• Coordinate discharges at contracted facilities.
• Coordinate placement and access to services.
• Maintain relationships with referral sources and care teams.

Skills

Home visits

Customer service

Social work

Communication

Reliable transportation

Job description

Your Health in Columbia area is seeking a qualified Social Worker to support patients across multiple facilities and homes. The role involves visiting patients at homes and facilities, requiring reliable daily travel and a Monday–Friday, 8-hour shift schedule (8am–5pm).

The Social Worker will engage in advance care planning, cognitive assessments, placement, and resource coordination, while building strong relationships with facilities and families.