Medical Social Worker II HomeHealth
Core
Provide clinical social evaluations and care plans to assist patients transitioning from acute/post-acute settings to their homes.
Role type
Medical Social Worker (Home Health)
Builds
Transition plans for patients moving from hospital to home
Domain
Healthcare / Home Health
Required skills
Clinical social work evaluation, care plan development, community resource referral, home visit coordination, multidisciplinary team collaboration
Preferred skills
Home care experience, community field experience
Technologies
Matrix Care
Responsibilities
Participate in case conferences and develop total plans of care with the multidisciplinary team; Provide clinical social evaluations and plan appropriate interventions; Identify patients appropriate for specialty programs and Telehealth; Complete home visits to clients and discuss evaluation findings with Senior Medical Social Worker; Identify appropriate community resource referrals to address client and family needs.
Seniority
Mid-level, hands-on IC