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Social Worker

Join the Optimal Care Team! 
Rated one of the Top Workplaces 2014-2023 by Detroit Free Press
Optimal Care, Inc. is a 4.5 Star Rated Medicare Certified/CHAP Accredited home health care agency. 
We serve homebound adult patients in Wayne, Oakland, Macomb, and southeast Livingston Counties.

Home Care Social Worker
Territory: All Service Areas - Wayne, Macomb, Oakland, and Southeast Livingston Counties 

Optimal Care, Inc. 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  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 services in 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 health/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.
  • Assesses 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.

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 of Michigan.
  • 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

 

Optimal Care, Inc.

  • Nurse Owned and Operated - Established in 2006
  • Skilled Services Provided: NP, RN, PT, OT, ST, MSW, HHA, RD, Spiritual Care
  • Member of the National Association for Home Care & Hospice (NAHC)
  • 69% of Current Employees have been referred by a current Employee
  • Over 40% of Employees have worked for Optimal Care for 3 years or more

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