Home Health Medical Social Worker South

• 401(k)
• Company parties
• Competitive salary
• Opportunity for advancement

Company: Anuco Home Health Care LLC

Location: Chicago, Illinois and surrounding communities

Employment: Full-Time, Part-Time, and PRN opportunities

Department: Clinical Services

Reports To: Clinical Manager or Nursing Supervisor

Anuco Home Health Care LLC is seeking a compassionate, resourceful, and dependable Medical Social Worker to provide intermittent psychosocial services to patients and families in their homes.

The Medical Social Worker will assess social, emotional, financial, environmental, and caregiver-related barriers affecting the patient’s health and ability to remain safely s position collaborates closely with physicians, nurses, therapists, caregivers, community organizations, and other members of the interdisciplinary team.

The ideal candidate has home health experience, strong knowledge of community resources, proficiency with Axxess Home Health EMR, and a consistent record of accurate and timely documentation.

• Complete comprehensive psychosocial assessments in accordance with physician orders and the established plan of care.
• Identify social, emotional, financial, environmental, transportation, caregiver, and community-resource needs.
• Assist the physician and interdisciplinary team in understanding factors that may affect the patient’s health, safety, treatment, and recovery.
• Participate in developing and updating the individualized plan of care.
• Establish measurable psychosocial goals, interventions, and expected outcomes.
• Provide short-term counseling, crisis intervention, education, and supportive services within the scope of practice.
• Assist patients and families with advance-care planning, long-term care planning, caregiver support, and adjustment to illness or disability.
• Connect patients with Medicaid, Medicare, food assistance, transportation, housing, utility assistance, medication-support programs, behavioral health services, and other community resources.
• Assist with applications, referrals, and coordination for available public or private assistance programs.
• Participate in discharge planning and help arrange services needed for a safe transition.
• Maintain professional relationships with community agencies, support groups, healthcare providers, and social-service organizations.
• Communicate changes in patient condition, safety concerns, psychosocial risks, suspected abuse or neglect, and unmet needs to the RN and Clinical Manager.
• Report incidents, complaints, hospitalizations, and unusual occurrences promptly.
• Participate in case conferences, staff meetings, peer review, QAPI activities, and required training.
• Serve as a psychosocial and community-resource consultant to agency personnel.
• Protect patient confidentiality and comply with HIPAA and agency policies.

• Complete assessments, visit notes, care-coordination notes, progress reports, and discharge documentation accurately in Axxess.
• Submit all documentation within agency-required time frames.
• Ensure documentation clearly identifies the skilled psychosocial need, interventions provided, patient or caregiver response, and progress toward goals.
• Document referrals, community resources, education, counseling, and communication with the interdisciplinary team.
• Confirm that services provided are consistent with physician orders and the established plan of care.
• Respond promptly to QA corrections and return corrected documentation within the requested timeframe.
• Notify the office immediately if a clinical, scheduling, or technical issue may delay documentation.
• Understand that incomplete or late documentation may delay care coordination, authorization, billing,…