Home Health Social Worker

Responsibilities

• Conduct comprehensive psychosocial assessments to identify patient and family needs related to illness and recovery
• Evaluate the relationship between medical needs and available resources including financial and community support
• Connect patients and families with community resources for housing, transportation, and financial assistance
• Provide counseling and education to patients and families on coping with emotional and social challenges
• Collaborate with physicians and interdisciplinary team members to communicate psychosocial factors affecting treatment
• Participate in the development and evaluation of the physician's Plan of Care
• Monitor and report changes in patient condition and psychosocial status to the Clinical Manager
• Participate in discharge planning to ensure continuity of care
• Supervise and evaluate Social Work Assistants when applicable
• Maintain accurate and timely documentation including visit reports and progress notes

Requirements

• Master's or doctoral degree from a CSWE-accredited school of social work
• Texas LMSW or LCSW license
• Minimum 1 year of social work experience in a healthcare setting
• CPR certification (BLS)
• Valid Texas driver's license, auto insurance, and reliable transportation
• Strong knowledge of community resources
• Excellent oral and written communication skills
• Ability to function effectively in high-autonomy field-based work
• Fluency in English

Preferred Qualifications

• Previous home health or hospice social work experience
• Familiarity with Homecare Homebase (HCHB) or similar EMR
• Experience with discharge planning and care transitions
• Bilingual (Spanish preferred)

Benefits

• Mileage reimbursement
• Referral program
• Flexible scheduling
• 401(k) eligibility

About the Company

Adaptive Home Health is building a higher-acuity, patient-centered home health model across Texas, focusing on addressing social determinants of health and reducing administrative burden for clinicians through advanced technology.