Social Worker - Primary Care At Home
Core
Provide social work services, assessments, and discharge planning for adult and geriatric homebound patients in their residences and via telehealth.
Role type
Licensed Clinical Social Worker (IC)
Builds
Safe discharge plans and community linkage for patients with complex psychosocial and economic needs
Domain
Healthcare / Home-based care
Deliverable
physical/clinical work
Required skills
psychosocial assessment, crisis intervention, discharge planning, care coordination, psychotherapy, advocacy, resource coordination, treatment plan development, supervision
Preferred skills
LCSW licensure, ACSW certification, Master's degree in Social Work, maternal/child population experience, acute hospital experience
Technologies
telehealth platforms
Responsibilities
Travel to patient homes to deliver services; administer and interpret psychosocial tests; develop and implement treatment plans; supervise and train lower-level social workers; coordinate with care teams for seamless discharge; provide crisis-oriented psychotherapy; identify at-risk populations and refer to ancillary support.
Seniority
Mid-level, hands-on IC