Under the general supervision of the Clinical Nurse Manager, the Medical Social Worker assists all health team members, including physicians, to understand the significant social and emotional factors related to health problems. S/he participates in direct patient care, works with families, utilizes appropriate community resources, participates in discharge planning and inservice education, and acts as a consultant to other agency personnel.
Job Responsibilities and Functions
The function of the Medical Social Worker is to provide direct medical social services in accordance with a plan of treatment, which the social worker helps to develop and revise as necessary in collaboration with the patient/family, the NVNA health care team, and which is approved by individual patients’ physicians. Responsibilities include internal and external interdisciplinary patient care coordination to ensure compliance with practice and regulatory guidelines; referrals to appropriate community agencies/resources where appropriate to promote quality care and positive outcomes.
- Master’s degree from an accredited school of social work
- Licensure (LICSW) by the Board of Registration in Social Work
- Minimum of one year healthcare and/or community health experience
- Current valid driver’s license, reliable transportation and current auto insurance
Leadership and Practice Responsibilities
- Plans and participates with other agency personnel in periodic case conferences, evaluation of patient care programs, and clinical record reviews.
- Establishes realistic measurable goals when implementing care plans, involving the patient/family in all aspects of care.
- Promotes agency mission, values and philosophy to ensure quality patient care
- Demonstrates professional development by identifying areas in which to improve clinical practice. Keeps knowledge of medical social service practice current and acquires new skills as needed by attending workshops, courses, and inservice sessions.
- Provides inservice education for agency staff and other community agency personnel as needed.
Operational and Care Coordination Functions
- Regularly evaluates patient care plans and goals and adjusts them in collaboration with the patient according to patient progress.
- Considers social and environmental factors affecting the patient’s condition and incorporates these into the care plan. Social, cultural, religious, and ethical issues/conflicts are addressed involving the patient, family, physician, and appropriate NVNA staff.
- Assists with orientation and training of newly-hired agency staff, relative to the role of medical social workers in home health care.
- Acts as a resource person for clinical staff.
Personal and Professional Development
- Participates in the agency Quality Assurance/Improvement activities.
- Participates in agency’s Wellness Program by offering community programs in area of expertise, as requested and as time permits.
- Maintains proficiencies necessary to perform role and functions
- Actively participates in home health industry initiatives and activities
- Potential exposure to a variety of diseases which may be communicable in nature
- Latex exposure can be expected as some environments are not latex free
- May travel from office to meetings, patient homes and other facilities for extended periods of time and in a variety of weather conditions
- Some non-standard work hours are required
- Additional certifications may be required, including basic life support depending on work area
About Natick Visiting Nurse Association:
Looking to join one of the most technologically-innovative, well-respected home health agencies in Massachusetts? Natick VNA, has earned the coveted double 5-star designation from CMS and is a nationally-recognized, Home Care Elite Agency – honored for its excellent clinical outcomes and exceptional patient satisfaction – is looking for some talented, home care-passionate clinicians to become members of its Home Care Team. As one of only two Massachusetts agencies accredited by the Community Health Accreditation Program (CHAP), Natick VNA is committed to its patients, its staff, and the community.