Social Worker LGSW House Call Program

MedStar Health is looking for a Social Worker Licensed Graduate Social Worker to join our team at MedStar Health House Call Program! We are looking for a licensed social worker with demonstrated high level problem solving, communication, and independent judgment skills. Customer service and community outreach oriented.

The Social Worker Makes home visits to provide care coordination, psychosocial support, and community outreach to a panel of frail elders receiving home-based primary care in a defined geography. Member of an interdisciplinary team of providers that includes physician, nurse practitioner, and care coordinator who are all responsible for ensuring outcomes aligned with goals of care for their panel of patients.

Join one of the largest healthcare systems in the Baltimore-Washington metro region, also recognized as one of the "Healthiest Maryland Businesses". Apply today and learn how MedStar Health can be your next great career move!

Primary Duties:

• Conducts home visits and phone assessments with patients, family members, and caregivers to evaluate medical, psychosocial, financial, and environmental needs. Formulates an accurate assessment, an intervention plan, and assists with enrollment in all eligible programs. Assists the patient, family members, and caregivers in resolving psychological barriers that impede optimum social and health adjustment. Maximizes the patient, family member, and caregiver's ability to comply with medical recommendations and goals of care.

• Maintains timely documentation of all work conducted with patients including, but not limited to, completion of the comprehensive initial psychosocial assessment and creates a comprehensive plan.

• Provides case management services to patients in jurisdictions where MHCP is enrolled as programmatic provider for case management to 1915 (c) Home & Community-Based Services Waiver. Maintains waiver of service requirements including orientation, training, documentation, and billing processes. Determines patient level of care criteria according to State's designated instrument and conducts comprehensive annual reevaluation, and periodic review according to program guidelines.

• Provides education, advocacy within service networks, emotional support, referrals to community agencies, and crisis intervention as needed to patients and families. Complete applications with patients, as needed.

• Collaborates closely with the interdisciplinary MHCP team and available community resources.

Qualifications:

• Master's degree in social work Required.

• 1-2 years' experience Preferred.

• Home health care Preferred.

• LGSW- Licensed Graduate Social Worker LGSW in respective state of employment Upon Hire Required.