Medical Social Worker Per Visit

Medical Social Worker Per VisitFlint, Michigan Alpine Care Home Health is dedicated to providing expert, compassionate care in the home setting. Our team of skilled clinicians help individuals remain safe and independent in their homes, with personalized care that respects the individuals' goals, values, and overall well-being. Our team brings deep expertise in physical therapy, occupational therapy, speech therapy, wound care, and complex care management, and more. We offer customized tools and hands-on support to improve mobility, accelerate recovery, and encourage lasting self-reliance. We take pride in offering personalized, evidence-based care. We work closely with primary care providers, families, and specialists to create care plans that are proactive, holistic, and aligned with each patient's priorities. Through access to a full range of physical and mental health services, we aim to support patient independence and long-term stability. We're building a purpose-driven team passionate about making a difference. If you're excited to shape the future of home-based care, here's what the role involves.

Provide medical social services to the patient's family member or caregiver on a short-term basis (i.e. 2-3 visits) when the HHA can demonstrate that a brief intervention by a medical social worker is necessary to remove a clear and direct impediment to the effective treatment of the patient's medical condition Complete evaluation paperwork and patient care plan submitted to Clinical Supervisor per agency policy and procedure Provide medical social services including assessment, evaluation, procedures, teaching and training activities as outlined in the patient Plan of CareSubmit completed visit notes, communication notes per agency policy and procedure Submit change orders per agency policy Maintain open lines of communication to all members of the continuum of care team Act as a preceptor in the orientation of new medical social work staff as requested Attend staff meetings, team conferences and educational in-services per agency requirements Participate in Process Improvement (PI) program by assisting with collection of data and serves on PI team upon request Participate in discharge planning process in accordance with Medicare Criteria and agency policy and procedure Follow agency policies and procedures Maintain productivity level at 90%Perform these and all other duties as assigned by the Administrator Able to lift 40 pounds from floor to shoulder Repetitive walking, standing, sitting, bending, and use of hand Able to drive a car 2-4 hours per day Responsible to ensure the use of the 4Ms (What Matters to the patient, Medications, Mentation, and Mobility) and provides Age-Friendly CareOther duties as assigned Required Knowledge, Skills and ExperienceA Master's degree (MSW) or doctoral degree from a school of social work accredited by the Council on Social Work Education Active CPR Certification Current unencumbered State professional license Must maintain a valid driver's license and good driving record An automobile to be used for work One (1) year of social work experience in a health care setting as per §484.115(m) Proficiency in clinical skills The ability to make sound professional clinical judgment The ability to assess and document patient needs and formulate individualized patient care plans to meet those needs Excellent verbal and written communication Proficiency in personal computer use including email, clinical, word processing, and spreadsheet software

Every person on our team helps shape the future of Alpine Care Home Health. If you're excited by meaningful work and shared impact, we'd love to hear from you.