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Adaptive Home Health

In-home skilled health care and therapy services

Home Health Social Worker - Master of Social Work

Case Management & AdvocacyUpdated on Nov 14
Part-timeDetroit, MI, USA

About the Job

Requirements

  • A master's or doctoral degree from a Council on Social Work Education-accredited school of social work is required.
  • A Michigan Licensed Master Social Worker or Licensed Clinical Social Worker license, or state licensure when required by law, is required.
  • At least one year of social work experience in a healthcare setting is required; home health, hospice, hospital, or community health experience is preferred.
  • Current cardiopulmonary resuscitation certification in Basic Life Support is required.
  • A valid driver's license, auto insurance, and reliable transportation are required.
  • Knowledge of community resources, including housing, financial assistance programs, mental health services, and legal and funeral planning, is required.
  • Strong oral and written communication and interpersonal skills are required.
  • The ability to organize tasks, set priorities, and function effectively in high-autonomy, field-based work is required.
  • Flexibility with work hours and the ability to travel locally are required.
  • Fluency in spoken and written English is required.

Responsibilities

  • Conduct comprehensive psychosocial assessments to identify patient and family needs related to illness, recovery, and adjustment to care.
  • Evaluate the relationship between medical and nursing needs and resources available in the home, including financial, community, and caregiver support.
  • Connect patients and families with community resources addressing housing, transportation, financial assistance, medication programs, legal services, and funeral or memorial planning.
  • Provide counseling and education to patients and families about coping with emotional and social challenges related to illness and treatment.
  • Collaborate with physicians and interdisciplinary team members to communicate significant psychosocial factors affecting patient health and treatment adherence.
  • Participate in developing and continually evaluating the physician's Plan of Care to ensure social and emotional needs are addressed.
  • Monitor and report changes in patient condition, psychosocial status, and response to interventions to the Clinical Manager and care team.
  • Participate in discharge planning to support continuity of care and successful transitions.
  • Serve as a resource to the interdisciplinary team for identifying and resolving patient psychosocial needs.
  • When applicable, supervise, instruct, and evaluate Social Work Assistants to ensure services comply with company, government, and professional standards.
  • Maintain accurate and timely documentation, including case conferences, patient and physician contacts, visit reports, progress notes, and coordination with other disciplines.

Desired Qualifications

  • Previous home health or hospice social work experience is preferred.
  • Familiarity with Homecare Homebase or a similar electronic medical record is preferred.
  • Experience with discharge planning and care transitions is preferred.
  • Bilingual ability, particularly Spanish in Texas markets, is preferred.

About the Company

Adaptive Home Health

In-home skilled health care and therapy services

Adaptive Home Health provides in-home medical care across Texas, including skilled nursing, physical, occupational, and speech therapy, wound care, infusion, and orthopedic rehabilitation. Clinicians help patients transition from hospital stays to recovery at home, partnering with health systems like UT Southwestern and Baylor Scott & White. What sets Adaptive Home Health apart is its employee-owned, independent structure that keeps focus on patients over corporate directives. The goal is to help patients adapt to any health challenge from home.

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