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The Medical Social Worker provides medical social services to patients in the home as prescribed by the attending physician. This position is a key member of the interdisciplinary team and supervises the Social Work Assistant. The Medical Social Worker reports directly to the Clinical Manager.

Essential Duties and Responsibilities

  • Provide rehabilitative and supportive casework aimed at restoring patients to their optimal level of social and health adjustment.

  • Assist patients and their families in understanding, accepting, and following medical recommendations.

  • Help patients utilize family and community resources by referring them or acting as an intermediary with health and welfare agencies.

  • Address personal and environmental difficulties interfering with medical care, including counseling and assistance with long-term care placement.

  • Develop a care plan in collaboration with the physician, patient, family, and other team members.

  • Supervise the Social Work Assistant through conference calls, record reviews, direct supervision, and home visits.

Documentation

  • Complete medical social service evaluations and visit reports on the day of service, adhering to agency documentation timelines.

  • Prepare discharge/transfer summaries in accordance with agency timelines.

  • Submit weekly visiting schedules and maintain accurate records of work hours.

  • Document Social Work Assistant supervisory activities.

Communication

  • Respond to referral requests within 24 hours and complete initial visits within 72 hours unless dictated otherwise by the physician or patient needs.

  • Consult with physicians and interdisciplinary team members to provide insight into social, emotional, and environmental factors affecting patient health.

  • Maintain confidentiality of patient information in compliance with HIPAA regulations.

  • Provide case updates to the primary nurse/case manager regarding patient status, concerns, and changes in needs.

  • Collaborate with the healthcare team to ensure coordinated care.

  • Report immediate clinical needs to the supervising nurse or designee.

Professional Standards

  • Maintain a professional image and adhere to agency policies and standards.

  • Follow infection control and safety procedures.

  • Comply with Social Work Practice Act regulations and Social Work Practice Standards.

Professional Development

  • Attend all mandatory in-services and additional staff meetings.

  • Participate in educational sessions, quality improvement programs, and professional development activities.

  • Continue to expand knowledge through formal education, workshops, conferences, and independent study.

Additional Responsibilities

  • Perform other duties as assigned.

Qualifications

  • Master’s degree in Social Work from a Council on Social Work Education-accredited program.

  • Licensed Social Worker in the Commonwealth of Pennsylvania.

  • Minimum one year of experience in a healthcare setting.

  • Reliable transportation for travel between assignments; valid driver’s license and insurance required.

  • Current CPR and First Aid certification.

  • Clear criminal history report and required regulatory clearances (e.g., Childline, FBI, OIG, Medicheck, EPLS/SAM).

Work Environment and Physical Requirements

  • Moderate exposure to communicable diseases; Hepatitis B vaccine offered.

  • Ability to lift up to 25 lbs., carry up to 20 lbs., and perform tasks requiring bending, pushing, pulling, reaching, twisting, and repetitive motions.

  • Ability to navigate stairs and uneven walkways.

  • Strong verbal, hearing, and visual acuity required to assess and educate patients and communicate with healthcare professionals.

  • Proficiency with medical equipment, supplies, charts, and computer systems.

This position offers an opportunity to make a meaningful impact on patient care by providing essential social work services in a home healthcare setting. If you are passionate about patient advocacy and interdisciplinary collaboration, we encourage you to apply!

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