Medical Social Worker - Per Visit

Company: HarmonyCares
Location: Fort Monroe
Posted on: July 2, 2025

Job Description:

Overview HarmonyCares is one of the nation’s largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health, HarmonyCares Hospice, and Grace Hospice. Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care. Our Shared Vision – Every patient deserves access to quality healthcare. Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other. Why You Should Want to Work with Us 401K Retirement Plan (with company match) Paid Orientation and Training Home Hospice locations in 7 states Great Place to Work Certified More details about the benefits we offer can be found at https://careers.harmonycares.com/benefits . Responsibilities The Medical Social Worker (MSW) is a qualified professional who, in accordance with the plan of treatment, assists the physician and other team members in understanding the significant social and emotional factors related to the health problems. Essential Duties and Responsibilities Provide social casework as an entity, where appropriate, to individuals and families receiving nursing or other services from the Agency Assess, when appropriate, a family's financial situation taking into consideration the patient's prognosis and medical needs, and referring to an Agency for financial assistance if indicated, interpreting the medical situation to the referring Agency and generally facilitating the process of referral Respond to referrals for casework by Agency staff or professionals from outside the Agency providing service as appropriate Participate in Agency IDG team conferences identifying social problems, their severity, and their inter-relatedness to the medical situation, as well as assessing a family's strengths and weaknesses and discussing alternate methods of alleviating the situation Refer patients and families to community agencies with appropriate follow-up Participate in case conferences with other agencies Interpret social resources to staff and health services to special agencies Be responsible to ensure the use of the 4Ms (What Matters to the patient, Medications, Mentation, and Mobility) and provide Age-Friendly Care Qualifications Required Knowledge, Skills and Experience Master's degree (MSW) from a school of Social Work accredited by the Council on Social Work Education Has a current Social Worker License in the state of practice in accordance with state licensure requirements Must maintain a valid driver’s license and good driving record Proficiency in clinical skills Be available at all times during agency operating hours or as needed The ability to make sound professional clinical judgment The ability to assess and document patient needs and formulate individualized patient care plans to meet those needs Excellent verbal and written communication skills Proficiency in personal computer use including email, clinical, word processing, and spreadsheet software Preferred Knowledge, Skills and Experience Advanced Palliative Hospice Social Worker Certification-APHSW-C, through Social Work and Palliative Care Network. Two years’ experience within hospice Certified in Volunteer Administration (CVA), through Council for Certification in Volunteer Administration EMR experience Pay Transparency Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations. Notice HarmonyCares and HarmonyCares Hospice are not affiliated with Harmony Hospice Care. HarmonyCares Hospice does not conduct business in OH. HarmonyCares Hospice conducts business in MI, VA, WI, TX, IN, IL.

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