Job Description

Position: Medical Social Worker (BSW) - Home Health and Hospice

Supervisor: Manager of Support Services

Department: Home Health and Hospice

Job Summary:

The Medical Social Worker (BSW) provides social work services to patients and families receiving skilled care from the Home Health and Hospice Agency. Under the supervision of a qualified Master of Social Work (MSW), the BSW supports the social, emotional, and resource needs of clients coping with acute or chronic illness in the home setting. This position complies with the Pennsylvania Department of Health regulations for licensed home health agencies and the Medicare Conditions of Participation.

This role aligns with the agency’s strategic goals and core values of Integrity, Respect, Teamwork, and Excellence , and supports our mission to deliver exceptional healthcare in the home.

Primary Responsibilities:

Social Work Services:

• Conduct psychosocial assessments under MSW supervision.
• Assist in developing individualized care plans that address the patient’s social and emotional needs.
• Provide short-term counseling, education, and supportive interventions to patients and families.
• Facilitate access to community resources, financial aid, and long-term care planning.
• Educate and assist patients with advance directives and healthcare planning.
• Support care coordination, including transitions to other levels of care (e.g., inpatient, skilled nursing, respite).
• Collaborate with the interdisciplinary care team and participate in case conferences.
• Document all services per agency, state, and federal guidelines.

Resource Utilization:

• Maintain an organized and efficient caseload and visit schedule.
• Demonstrate understanding of home health billing and compliance.
• Maintain accurate and timely clinical documentation.
• Participate in quality improvement activities as requested.
• Adhere to policies and procedures, and uphold ethical and professional standards.

Customer Service Excellence:

• Demonstrate empathy, professionalism, and respect in all interactions.
• Respond to patient/family needs and concerns promptly and compassionately.
• Support agency efforts to deliver high-quality, patient-centered care.

Professional Development:

• Participate in audits and chart reviews as requested.
• Contribute to departmental and agency-wide improvement initiatives.
• Engage in training, in-services, and educational activities to enhance performance.

Secondary Responsibilities:

• Attend agency meetings, in-services, and staff development activities.
• Participate in community outreach and educational sessions when assigned.
• Perform other related duties as required.

Physical Requirements and Working Conditions:

• Communication: Strong verbal and written communication skills.
• Mobility: Ability to drive to and work in patient homes and community settings.
• Physical demands: Ability to sit, stand, walk, bend, and lift as required to perform job functions.
• See attached Physical Requirements Form.

Qualifications:

• Education: Bachelor of Social Work (BSW) degree from a Council on Social Work Education (CSWE)-accredited program.
• Experience: Minimum of one (1) year of social work experience in a healthcare setting, home health preferred.

Licensure/Certification:

• BSWs must practice under the supervision of a Licensed Social Worker (LSW). 
• CPR certification required. 
• Valid driver’s license and insurance in accordance with PA law.

Core Values:

• Integrity: We build trust through responsible actions and honest relationships.
• Respect: We value the potential in each individual and treat all with dignity and compassion.
• Teamwork: We work together without barriers and encourage creativity through empowerment.
• Excellence: We pursue the highest standards in care and service.

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