Population Health Coordinator

Medical Social Worker (MSW) – Home Health Freedom at Home is a Veteran‑Owned Home Health Agency, and we're looking for compassionate, dedicated Medical Social Workers (MSWs) to join our growing team. If you're passionate about helping patients and families navigate life's challenges while working for a company that values its clinicians, supports work‑life balance, and encourages collaboration—we'd love to meet you. What We Offer Competitive pay Full‑Time, Part‑Time, and PRN opportunities Paid mileage Flexible scheduling Supportive leadership team Positive, clinician‑focused culture Opportunities for growth as we expand The chance to make a meaningful difference in patients' lives every day Responsibilities Conduct psychosocial assessments to identify patient and family needs. Develop and implement individualized care plans in collaboration with the interdisciplinary team. Provide counseling, emotional support, and education to patients and caregivers. Connect patients and families with community resources, financial assistance programs, and support services. Assist with discharge planning and long‑term care planning when appropriate. Advocate for patients to ensure they receive the services and resources needed to remain safely at home. Collaborate with physicians, nurses, therapists, and other healthcare professionals to coordinate patient care. Complete accurate, timely clinical documentation and participate in case conferences and quality improvement activities. Qualifications Master's or Doctoral degree in Social Work from a program accredited by the Council on Social Work Education (CSWE). Current, unrestricted Ohio Social Worker license (LSW or LISW, as applicable). Current CPR certification. Minimum of one year of medical social work experience required. Home Health experience is preferred but not required. Valid driver's license, reliable transportation, and auto insurance. Why Freedom at Home? At Freedom at Home, our clinicians are our greatest asset. We believe in treating our employees with the same compassion and respect they provide to our patients. We foster a culture built on teamwork, integrity, clinical excellence, and mutual respect. As we continue to grow, you'll have the opportunity to build your career with a company that truly values your expertise, encourages your input, and supports your success. If you're passionate about advocating for patients, supporting families, and helping people remain safe and independent in their homes, we'd love to have you on our team. Apply today and become part of the Freedom at Home family! #J-18808-Ljbffr