Home Health Medical Social Worker

Optimal Care is growing and proactively building our talent pipeline for future opportunities. While this role may not be immediately available, we invite you to submit your resume to this posting. A member of our Recruiting team will reach out to discuss opportunities with you. Optimal Care are is where your dedication meets a rewarding career. Top Work Places for 12 consecutive years, Great Places to Work certified for 6 consecutive years, and we believe that exceptional care starts with exceptional people. We’re committed to supporting your professional growth, valuing your expertise, and creating an environment where you can do your best work every day. As a clinician‑owned and operated organization, we empower our team members to provide personalized, compassionate care to patients and families every day. We are a leading provider of Physician Services, Home Health, and Hospice that encourages collaboration, innovation, and clinical excellence. From chronic disease management and rehabilitation to end‑of‑life care, our focus is on improving outcomes and enhancing quality of life. We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. Home Care Social Worker, LMSW Territory: Grand Rapids, MI and surrounding area Optimal Care is seeking a full time Medical Social Worker to join our team. Must have a master's degree per Medicare guidelines. Home care experience preferred. We are looking for a highly professional, self‑motivated MSW who loves working with the adult and geriatric homebound population. Must be willing to make home visits throughout our service territory. High Compensation in return for Clinical Excellence! Responsibilities: Provides social work servicesin accordance with the physician’s plant of treatment. Accepts only clients referred by the client care manager. Assists the physician and other members of the home he alth/hospice team to understand the significance of social and emotional factors related to the client’s care. The goal is to teach and promote a healthy lifestyle and psychosocial wellness for eventual patient & caregiver independence, utilizing agency materials as appropriate. A ssesses and reassesses social and emotional factors in order to help the client and family to cope with problems in daily living and to help them follow medical recommendations to maximize the client’s health condition. Counsels clients and families concerning the facilitation of the medical plan of treatment. Recognizes and utilizes community and family resources to assist the client in long‑term plans for life in the community or to learn to live within the client’s disability. Develops the plan of care with the case manager, physician, client and family to deal with personal, financial and environmental difficulties that may interfere with the health and wellness continuum. Sets appropriate goals for the patient. Participates in discharge planning. Develops, prepares and maintains individualized client care progress records with accuracy, timeliness and according to policies. Keeps abreast of social work trends and knowledge. Participates in in‑service program. Coordinates the total plan of care and maintains continuity of client care by liaising with other health professionals. Attends client care conferences. Initiates client care conferences for complex and/or multidisciplinary clients when needed or helpful to ensure good coordination of care. Participates in the agency’s quality improvement program. Cooperates with appropriate staff to provide staff education when requested and arranged by the client care manager. Demonstrates a desire to set and meet objectives and to find increasingly efficient ways to perform tasks. Completes work, care and documentation with accuracy and within agency time frames. Requires minimal supervision and is self‑directed. Flexible Schedule Mileage Reimbursement High Compensation for Clinical Excellence Comprehensive Benefit Package (including company paid Short Term Disability and Life Insurance) 401K Company Contribution Paid Time Off (PTO) Qualifications Master's Degree from a school of social work accredited by the Council on Social Work education. Licensed as a social worker in the state in which practicing Minimum of 1 year experience in social work, preferably in a home care agency, hospital, outpatient clinic, rehabilitation center or mental health program. Demonstrates knowledge and skills necessary to provide care primarily to the adult and geriatric populations. Demonstrates knowledge of the principles of growth and development over the life span. Able to assess data reflecting the client's status and interpret the appropriate information needed to identify each client's requirements relative to their age‑specific needs Demonstrates computer skills sufficient to use the electronic medical record effectively. Valid Driver's License Current Auto Insurance Reliable Transportation Pay Range $65,000 - $70,000 USD How We Care for You Minimum of 3 Weeks Paid Time Off (PTO) Medical, Dental, and Vision Insurance HSA and FSA options including Dependent Care Company paid Short Term Disability 401(k) with Employer Match Mileage Reimbursement Company Vehicle Programfor field roles Pet Insurance ID and Fraud Protection And more... Employment is contingent upon the successful completion of a background check. Screening is completed by a third‑party administrator, the Michigan Long‑Term Care Partnership, and is performed in compliance with the Fair Credit Report Act. Reasonable Accommodations We offer reasonable accommodations throughout the application process, interview stages, and during employment to ensure all team members can thrive. Please reach out to us if you would like to request a reasonable accommodation. Equal Opportunity Employer We believe an exceptional place to work begins with diverse perspectives. We are proud to be an equal‑opportunity workplace that prohibits discrimination and harassment of any kind based on race, color, religion, sex, national origin, age, disability, or any other protected characteristic. #J-18808-Ljbffr