Social Worker (LSW) - Home Health

Role Overview

The Home Services Social Worker assesses psychosocial needs of patients and families, providing interventions such as resource support, short-term counseling, and crisis management in collaboration with interdisciplinary teams.

Responsibilities

• Conducts psychosocial assessments to identify emotional, social, and environmental strengths and challenges related to diagnosis and treatment.
• Develops bereavement care plans and interprets cultural and faith traditions impacting care.
• Educates patients and families, overcoming barriers, and facilitating understanding of advanced directives and life care decisions.
• Documents assessments, interventions, and care plans in electronic medical records, ensuring timely updates and compliance.
• Implements and evaluates social work plans to enhance family support, resource utilization, environment, dignity, and coping skills.
• Addresses indicators of imminent death and supports patient/family needs during end-of-life scenarios.
• Assists with referrals for transportation, food, housing, financial aid, Medicaid, elder abuse, and other community resources.
• Practices with sensitivity to palliative care principles, ensuring support aligns with hospice benefits and patient preferences.

Qualifications & Skills

• Master’s Degree in Social Work
• Licensure as LCSW or LSW
• Experience in hospice care
• Valid driver’s license and auto insurance
• Strong assessment, communication, and documentation skills
• Focus on patient-centered, culturally sensitive care