Home Health Medical Social Worker – MSW

Key Responsibilities

• Conduct comprehensive psychosocial assessments to identify patient and family needs, develop individualized care plans, provide interventions, and monitor progress toward patient goals.
• Deliver skilled medical social work services in accordance with physician orders and the CMS Conditions of Participation (CoPs).
• Maintain timely, accurate documentation while ensuring compliance with CMS, payer, and agency standards.
• Collaborate with patients, caregivers, physicians, and the interdisciplinary team to promote safe, effective care and successful discharge planning.
• Provide counseling, emotional support, caregiver education, crisis intervention, and referrals to community resources, financial assistance, transportation, durable medical equipment, long‑term care, and other support services.
• Advocate for patients, address psychosocial barriers to care, and communicate changes in patient status to the care team.

What we’re looking for

• Master’s degree in social work (MSW) from an accredited program.
• Current Michigan Social Work license (LMSW or LLMSW) in good standing.
• Home health or medical social work experience preferred.
• Strong assessment, critical thinking, crisis intervention, and problem‑solving skills.
• Excellent communication, counseling, and interpersonal skills.
• Ability to work independently while collaborating effectively with an interdisciplinary team.
• Reliable transportation, a valid driver’s license, and current auto insurance.