Home Health Medical Social Worker East/Central

Job Description

Job Description

Benefits:

• 401(k)
• Company parties
• Competitive salary
• Opportunity for advancement

Home Health Medical Social Worker

Company: Anuco Home Health Care LLC
Location: Chicago, Illinois and surrounding communities
Employment: Full-Time, Part-Time, and PRN opportunities
Department: Clinical Services
Reports To: Clinical Manager or Nursing Supervisor

About the Role

Anuco Home Health Care LLC is seeking a compassionate, resourceful, and dependable Medical Social Worker to provide intermittent psychosocial services to patients and families in their homes.

The Medical Social Worker will assess social, emotional, financial, environmental, and caregiver-related barriers affecting the patient’s health and ability to remain safely at home. This position collaborates closely with physicians, nurses, therapists, caregivers, community organizations, and other members of the interdisciplinary team.

The ideal candidate has home health experience, strong knowledge of community resources, proficiency with Axxess Home Health EMR, and a consistent record of accurate and timely documentation.

Responsibilities

• Complete comprehensive psychosocial assessments in accordance with physician orders and the established plan of care.
• Identify social, emotional, financial, environmental, transportation, caregiver, and community-resource needs.
• Assist the physician and interdisciplinary team in understanding factors that may affect the patient’s health, safety, treatment, and recovery.
• Participate in developing and updating the individualized plan of care.
• Establish measurable psychosocial goals, interventions, and expected outcomes.
• Provide short-term counseling, crisis intervention, education, and supportive services within the scope of practice.
• Assist patients and families with advance-care planning, long-term care planning, caregiver support, and adjustment to illness or disability.
• Connect patients with Medicaid, Medicare, food assistance, transportation, housing, utility assistance, medication-support programs, behavioral health services, and other community resources.
• Assist with applications, referrals, and coordination for available public or private assistance programs.
• Participate in discharge planning and help arrange services needed for a safe transition.
• Maintain professional relationships with community agencies, support groups, healthcare providers, and social-service organizations.
• Communicate changes in patient condition, safety concerns, psychosocial risks, suspected abuse or neglect, and unmet needs to the RN and Clinical Manager.
• Report incidents, complaints, hospitalizations, and unusual occurrences promptly.
• Participate in case conferences, staff meetings, peer review, QAPI activities, and required training.
• Serve as a psychosocial and community-resource consultant to agency personnel.
• Protect patient confidentiality and comply with HIPAA and agency policies.

Axxess and Documentation Expectations

• Complete assessments, visit notes, care-coordination notes, progress reports, and discharge documentation accurately in Axxess.
• Submit all documentation within agency-required timeframes.
• Ensure documentation clearly identifies the skilled psychosocial need, interventions provided, patient or caregiver response, and progress toward goals.
• Document referrals, community resources, education, counseling, and communication with the interdisciplinary team.
• Confirm that services provided are consistent with physician orders and the established plan of care.
• Respond promptly to QA corrections and return corrected documentation within the requested timeframe.
• Notify the office immediately if a clinical, scheduling, or technical issue may delay documentation.
• Understand that incomplete or late documentation may delay care coordination, authorization, billing, and future assignments.

Requirements

• Master’s degree in social work from a program accredited by the Council on Social Work Education.
• Current Illinois social work license appropriate to the services provided, such as LSW or LCSW.
• At least one year of social work experience in a healthcare setting preferred.
• Home health experience strongly preferred.
• Three to five years of professional social work experience preferred.
• Axxess Home Health EMR experience preferred.
• Current CPR or BLS certification when required by agency policy.
• Valid driver’s license, reliable transportation, and current automobile insurance.
• Professional liability insurance as required.
• Strong assessment, counseling, crisis-intervention, communication, and care-coordination skills.
• Knowledge of Chicago-area and Illinois community assistance programs.
• Ability to work independently and collaborate with multiple providers and organizations.
• Ability to travel to patient homes and perform essential duties with or without reasonable accommodation.

Clinical Territories

Applicants may select one or more territories they can cover consistently.

East/Central Territory: Chicago, Oak Park, River Forest, Elmwood Park, and Cicero.

Territory assignments depend on patient location, clinician availability, payer requirements, professional competency, and agency needs.

Performance Expectations

Successful candidates will:

• Accept only assignments they can service consistently and safely.
• Schedule and complete visits according to patient needs and physician orders.
• Complete assigned visits and documentation within required timeframes.
• Contact the office immediately regarding scheduling or patient-access problems.
• Communicate safety concerns, psychosocial risks, and changes in patient needs without delay.
• Maintain active licenses, certifications, and insurance.
• Respond promptly to agency communications and QA corrections.
• Maintain professional boundaries and protect patient confidentiality.
• Demonstrate dependable attendance, sound judgment, and effective time management.
• Provide compassionate, respectful, and patient-centered services.

About Anuco Home Health Care

Anuco Home Health Care LLC is a Medicare-certified home health agency serving Chicago and surrounding Illinois communities. We provide compassionate, high-quality in-home care that supports each patient’s recovery, safety, independence, and quality of life. We value clinical excellence, dependable service, teamwork, timely communication, accurate documentation, and effective community partnerships.

Anuco Home Health Care LLC is an equal opportunity employer. Qualified applicants are considered without unlawful discrimination.