Job Description
Job Summary: Provides coordinated care in the home to patients/clients of all age groups and performs psychosocial assessments, analysis, counseling, and referrals to meet the needs of the patient/client and family. Participates in the coordination of care.
Coverage Areas - Mount Pleasant, Hughes Springs, Avinger, Pittsburg, Daingerfield, and Lone Star, TX surrounding areas! Job Qualifications: - Education : Master’s degree in social work from a Council on Social Work Education (CSWE) accredited social work program; or doctoral degree in social work from an accredited university acceptable by the CSWE; or a baccalaureate degree in social work from a CSWE accredited social work program and is supervised by a licensed medical social worker (LMSW) and has one year of social work experience in a healthcare setting.
- Licensure : Current and valid license (LMSW) or (LBSW) as a social worker issued by the Texas Board of Social Worker Examiners. Current driver’s license.
- Experience : One year of experience as a medical social worker in a healthcare setting.
- Skills : Working knowledge of community resources. Good interpersonal skills. Proof of current CPR certification.
- Transportation : Reliable transportation and valid auto liability insurance.
Environmental and Working Conditions: Works in patients’/clients’ homes in various conditions; possible exposure to infectious diseases; ability to travel locally; some exposure to unpleasant weather.
Physical and Mental Effort: Prolonged standing, walking, and sitting required. Requires working under some stressful conditions to meet deadlines and patient/client and family needs, and to make quick decisions and resource acquisition; meet patient/client and family psychosocial needs.
Essential Job Functions
- Performs ongoing clinical assessment of home health patients/clients to identify psychosocial, financial, environmental, and community resource needs as evidenced by the Plan of Care (POC), documentation, clinical records, case conferences, and community resource referrals.
- Develops and evaluates the plan of care in partnership with the patient/client, representative (if any), and caregiver(s).
- Accepts clinical assignments that are consistent with education and competence to meet the needs of the patients/clients.
- Provides services that are ordered by the physician as indicated in the Plan of Care, including patient/client, caregiver, and family counseling, and patient/client and caregiver education. Prepares clinical notes.
- Uses effective interpersonal relations and communication skills; facilitates the use of these skills by other team members to achieve desirable outcomes.
- Communicates with all physicians involved in the Plan of Care and other healthcare practitioners related to the current Plan of Care.
- Meets mandatory continuing education requirements of the Agency and licensing board.
- Demonstrates commitment, professional growth, and competency by maintaining a working knowledge of public and private eligibility standards and requirements.
- Promotes the Agency philosophy and administrative policies to ensure quality of care.
- Collaborates with the interdisciplinary team to promote coordination of patient/client care.
- Participates in the Agency’s QAPI program.
- Participates in the Agency sponsored in-service trainings.
- Provides supervision of social work assistants, if applicable.
Benefits
Health & Wellness
- Multiple major medical plans available, including spousal coverage
- Medical benefits offered to both full-time and part-time employees
Compensation & Time Off
- PTO
- 401(k) retirement plan with company support
- Mileage reimbursement
- Employee referral bonus program
Work Environment & Support
- 24/7 clinical and administrative staff support
- Paid training and onboarding
- Electronic charting with Kinnser (WellSky) system
Job Tags
Full time, Part time, Work experience placement,