Home Health Social Worker (MSW) - PRN

About the role

• Role: Medical Social Worker (MSW)
• Comp: $65.00 - $75.00 per point
• Mileage reimbursement
• Location: Field-based

Adaptive Home Health is building a higher-acuity, patient-centered home health model. Our Medical Social Workers play a critical role in addressing the psychosocial barriers that impact patient recovery and quality of life.

What You Will Do

• Conduct comprehensive psychosocial assessments to identify patient and family needs related to illness, recovery, and adjustment to care.
• Evaluate the relationship between medical/nursing needs and available resources in the home setting, including financial, community, and caregiver support.
• Connect patients and families with community resources to address barriers such as housing, transportation, financial assistance, medication programs, legal services, and funeral/memorial planning.
• Provide counseling and education to patients and families on coping with emotional and social challenges related to illness and treatment.
• Collaborate with physicians and interdisciplinary team members to communicate significant psychosocial factors affecting patient health and treatment adherence.
• Participate in development and ongoing evaluation of the physician's Plan of Care, ensuring social and emotional needs are addressed.
• Monitor and report changes in patient condition, psychosocial status, and response to interventions to the Clinical Manager and care team.
• Participate in discharge planning to ensure continuity of care and successful transitions.
• Serve as a resource to the interdisciplinary team for identifying and resolving patient psychosocial needs.
• Supervise, instruct, and evaluate Social Work Assistants (BSW) when applicable, ensuring services are provided in compliance with company, government, and professional standards.
• Maintain accurate and timely documentation including case conferences, patient/physician contacts, visit reports, progress notes, and coordination with other disciplines.

Why Adaptive

• Operations that back you up: You are supported by an experienced clinical and operational team so you can focus on patient care.
• Schedule flexibility: Part-time and per diem opportunities with scheduling designed to support work-life balance.
• Cutting-edge tech built for clinicians: Our charting tools reduce documentation burden, and our scheduling product (launching soon) will streamline visit coordination.
• Mission-driven work: We are here to expand access to high-quality home health care and address barriers to recovery.

Must-haves

• Master's or doctoral degree from a CSWE-accredited school of social work
• Michigan LMSW or LCSW license (or state licensure if required by state law)
• Minimum 1 year of social work experience in a healthcare setting (home health, hospice, hospital, or community health preferred)
• CPR certification (BLS)
• Valid driver's license, auto insurance, and reliable transportation
• Strong knowledge of community resources including housing, financial assistance programs, mental health services, and legal/funeral planning
• Excellent oral and written communication and interpersonal skills
• Ability to organize tasks, set priorities, and function effectively in high-autonomy field-based work
• Flexibility with work hours and ability to travel locally
• Fluency in English (written and spoken)

Nice-to-haves

• 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 in Texas markets)

Focus Areas

• Home Health
• Psychosocial Assessment and Intervention
• Care Coordination and Discharge Planning
• Community Resource Linkage
• Patient and Family Counseling

Benefits

• Mileage reimbursement
• Referral program
• Flexible scheduling

#INDGROWTH