Medical Social Worker


Job Title: Medical Social Worker (MSW) Reports to:  Branch Director
Employment Status:  Full Time, Part-time or Per Visit Status Designation:  Exempt

The MSW is a certified social worker in the state in which he/she practices, with a Master’s degree from a school of social work accredited by the Council of Social Work Education. The MSW administers social services to clients requiring intermittent professional services and teaches the client, family and other members of the health care team.  These services are performed in accordance with the physician’s orders and the established plan of care, under the direction and supervision of the Branch Director.


Education, Skills & Experience (Essential): Must have a Master’s degree from a school of social work accredited by the Council on Social Work Education, and must possess one year of social work experience in a health care setting.

Education, Skills & Experience (Desired):  Medicare home health or hospice experience is preferred.


Qualifications:  Must be organized, detail-oriented and possess effective communication skills. Must be capable of making independent decisions relevant to client’s needs. Must be capable

of prioritizing and handling multiple tasks of critical importance simultaneously. Must

function well in atmosphere of stress and interruption.


  • Must possess a valid state driver’s license and wear seat belts at all times while driving
  • Must possess automobile liability insurance and dependable transportation kept in good working condition
  • Must be able to drive an automobile in all types of weather conditions
  • Must be currently licensed in the state of employment


  1. Participate in staff development meetings and in-services.
  2. Prepare for and participate in the weekly Case Conference meetings ensuring you have adequate knowledge to decide if patient’s care should be continued into another health care episode.
  3. May be required to serve on at least two agency wide committees per year.
  4. Adhere to and participate in the Agency’s mandatory HIPAA/Privacy Program and Employee Compliance Program.


  1. Perform client visits in a timely, professional, and appropriate manner per standards of care.  Ensure in-home visit time fully meets the needs of the patient.
  2. Complete all appropriate documentation and submit to the agency timely per protocols, policies and procedures.
  3. Contact physician regarding patient changes, receive and write verbal orders.
  4. Notify the physician and designated agency office staff of significant changes in the patient’s status.  Complete any paper documentation on approved agency forms.
  5. Report the need for add-on services to the Branch Director and/or Clinical Field Staff Supervisor.
  6. Coordinate client care including interdisciplinary communication with other health care providers, office and physician and document on appropriate agency forms.
  7. Use appropriate community resources, which may be accomplished either by referring the clients to these resources or by acting as an intermediary on behalf of the clients in their dealings with other health and welfare agencies.
  8. Provide rehabilitative and supportive casework geared toward restoring clients to their optimum level of social and health adjustment, including helping clients and their families to understand, accept, and follow medical recommendations.
  9. Help clients and their families with personal and environmental difficulties, which predispose them toward illness or interfere with their ability to obtain the maximum benefits from medical care.  These range from counseling members of the client’s family to helping patients with admission to a nursing home to preparing clinical progress notes.
  10. Cooperate and assist other healthcare-related agencies providing or assuming health care services to enhance continuity of care.
  11. Follow company policy and direction in a timely manner for software / mobile device updates.
  12. Ensure that missed patient visits are re-scheduled in the same Medicare week in order to adhere to the patient’s plan of treatment.

Quality Control

  1. Obtain continuing education to improve care by broadening knowledge of changes in health care delivery and to meet any licensure requirements.
  2. Provide appropriate supervision to BSW as required by Practice Act but not limited to
    1. Annual in home social work visit with BSW for purpose of personal, professional and case evaluation.
    2. Review and co-sign all notes completed by BSW being supervised.
    3. Be available as needed for consult of Bachelor’s Social Worker.
  3. Will adhere to the applicable Professional Standards of Conduct and Ethics

Documentation and Performance Expectations

MSW Performance Requirement
In Home Time (in minutes) 45
% Documentation Completed in the Home 80
Average Time to Synch  (in hours) 12
Productivity Average (applicable to FT employees)
Average Hours per Week Worked

Human Resources

  1. Read and adhere to Agency policies and procedures and Employee Handbook Guidelines.
  2. Ensure that all renewable employee information (e.g. car insurance or CPR certification) is provided to the agency prior to expiration and that professional license(s) are always current.

Key Contributions to Agency Success

  1. COORDINATION OF CARE – Coordinate total client care including interdisciplinary communication with other health care providers, office and physician and document on the appropriate Agency forms.
  2. CUSTOMER SERVICE – Maintain a E.A.M focus in every interaction.

THINK – Be thoughtful, stay prepared and maintain a positive mental attitude to pave the way for great customer service.

ENGAGE – Consistently interact in a positive and professional manner consistently when representing the organization.

ACT – Take action to ensure all needs are met.

MOTIVATE – Respond to excellence and encourage the culture of service to thrive.


The following competencies are required for this position:

Communication ·         Effectively communicate with supervisors, subordinates, patients and coworkers maintaining a high level of professionalism and courtesy

·         Demonstrate an appropriate level of tolerance and even temperament when dealing with people while using sound judgment

·         Provide timely solutions to patient and facility issues

Team work ·         Support team effort by positively contributing to Agency goals

·         Demonstrate kindness, consideration and courtesy to others.  Serve as a role model to staff

·         Willingness to modify work schedule to meet work demands and assist personnel in completion of tasks to support Agency efficiency

Problem Solving ·         Able to make effective decisions to manage projects appropriately

·         Capable of gathering and analyzing statistical information to keep Agency successful in patient care

Dependability ·         Maintain confidentiality and adhere to HIPAA regulations

·         Refrain from conducting personal business during work hours

·         Adhere to all Agency policies and procedures

Time Management ·         Consistently meet productivity goals per company standards

·         Able to prioritize and multitask assignments

·         Punctual to work and effectively manage personnel work schedules

Job Knowledge ·      Display understanding of job duties and responsibilities

·      Have a thorough understanding of home health or hospice regulations

Initiative ·         Promote the mission of the Company of “A Better Way to Care”

·         Demonstrate interest in professional growth and development


Reports to:  Branch Director

Manages: None


Employees are responsible and accountable for:

·       Compliance with Agency policies and procedures and HIPAA/ Privacy Program, Compliance Program, and Code of Conduct and Ethics.  Act as a Compliance Liaison for the company

·       Adherence to Employee Handbook

·       Adherence to company’s minimum documentation and performance requirements as outlined in the SOP per discipline, including biweekly productivity minimums if a fulltime employee

·       Active participation in activities associated with the management of workplace health and safety

·       Identification and reporting of health and safety risks, accidents, incidents, injuries and property damage at the workplace

·       Correct utilization of appropriate personal protective equipment

Risk Category:   I

·         May anticipate exposure to blood and/or body fluids during the performance of job duties.

·         May be exposed to extremes in temperature and humidity when traveling and in client homes.

·         May be exposed to dust, gas, fumes, and odors when traveling.

Physical Demands:

·       Travel to other branch offices, parent office and/or client’s homes

·       Manual dexterity to operate patient care equipment.

·       Operate office equipment including, but not limited to, computers, printers and/or copiers.

·       Visual acuity to evaluate and peruse employee documentation.

·       See additional physical demands attached.


This job description has been designed to indicate the general nature and level of work performed by employees. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the role.

Interested applicants can apply at our web site at

Ron Jackson, LCSW


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