The Medical Social Worker in Home Health provides personalized care by assessing patients' social, emotional, and environmental needs to support their recovery and well-being at home. They collaborate with interdisciplinary health teams to develop and update care plans, connect patients with community resources, and assist in discharge planning. Additionally, they supervise Social Worker Assistants and maintain compliance with healthcare policies and documentation standards.
Assesses the patient’s social and emotional state as it relates to his or her illness or injury, needs for care and his or her response to such treatment, and adjustments to care.
Assesses any relationships of the patient’s medical and nursing needs in the home setting, financial resources, and available community resources.
Provides any appropriate action to obtain available community resources to assist in resolving issues that may be impeding the patient’s recovery.
Instructs patients and families in treating and coping with social and emotional response connected with Provides ongoing assessment of patient and family needs and responses to teaching
Assists the physician and other health team members in understanding the significant social and emotional factors related to the patient’s health Participates in the development and periodic re-evaluation of the physician's Plan of Care for the patient.
Observes, records, and reports changes in patients’ condition and response to treatment to the Clinical Manager and the Participates in the discharge planning process
Participates as a member of the interdisciplinary care team in care coordination activities and acts as a resource to other health team members in the identification and resolution of patient needs
Supervises instructs and evaluates 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
Maintains and submits 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.
Required Skills/Experience
Masters or doctoral degree from a school of social work accredited by the Council on Social Work Education.
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 are required.
Proof of current CPR certification
Minimum of one year of experience as a social worker in a health care setting, home health, and/or hospice.
Knowledge of and the ability to assist with discharge planning needs, and to obtain community resources (housing, shelter, funeral/memorial service arrangements, legal, information and referral, state/federal financial and medication programs, and eligibility.
Excellent oral and written communication and interpersonal skills.
Scheduled Weekly Hours
1Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
medical social worker, home health care, patient assessment, care coordination, discharge planning, community resources, social and emotional support, healthcare compliance, interdisciplinary care, supervision
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