Home Health Social Worker (MSW) - PRN

The role

Medical Social Workers address psychosocial barriers impacting patient recovery and quality of life. You will conduct assessments, connect families with community resources, and collaborate with interdisciplinary teams.

What you will do

• Conduct comprehensive psychosocial assessments to identify patient and family needs.
• Evaluate the relationship between medical/nursing needs and available resources in the home setting.
• Connect patients and families with community resources.
• Provide counseling and education to patients and families on coping with emotional and social challenges.
• Collaborate with physicians and interdisciplinary team members.
• Participate in development and ongoing evaluation of the physician's Plan of Care.
• Monitor and report changes in patient condition and psychosocial status.
• Participate in discharge planning.
• Serve as a resource to the interdisciplinary team.
• Supervise, instruct, and evaluate Social Work Assistants when applicable.

Required qualifications

• Master's or doctoral degree from a CSWE-accredited school of social work
• Michigan LMSW or LCSW license (or state licensure if required by state law)
• Minimum 1 year of social work experience in a healthcare setting
• CPR certification (BLS)
• Valid driver's license, auto insurance, and reliable transportation
• Strong knowledge of community resources including housing, financial assistance programs, mental health services, and legal/funeral planning
• Excellent oral and written communication and interpersonal skills
• Ability to organize tasks, set priorities, and function effectively in high-autonomy field-based work
• Flexibility with work hours and ability to travel locally
• Fluency in English (written and spoken)

Nice to have

• home health, hospice, hospital, or community health preferred
• Previous home health or hospice social work experience
• Familiarity with Homecare Homebase (HCHB) or similar EMR
• Experience with discharge planning and care transitions
• Bilingual (Spanish preferred in Texas markets)

Benefits

• Mileage reimbursement
• Referral program
• Flexible scheduling

About the company

Adaptive Home Health is building a higher-acuity, patient-centered home health model. They support field clinicians with technology and operations designed to reduce administrative burden.