Home Health Social Worker

• Role: Medical Social Worker (MSW)

• Comp: $65.00 - $75.00 per point

• Mileage reimbursement

• Location: Field-based

Adaptive Home Health is building a higher-acuity, patient-centered home health model. Our Medical Social Workers play a critical role in addressing the psychosocial barriers that impact patient recovery and quality of life.

Who We Are:

We support our field clinicians with technology and operations designed to reduce administrative burden. Our charting product streamlines documentation, and our scheduling product (launching soon) will improve visit coordination and protect clinician time.

If you are passionate about addressing social determinants of health and helping patients navigate complex systems, this role offers meaningful impact with strong operational support.

What you will do:

• Conduct comprehensive psychosocial assessments to identify patient and family needs related to illness, recovery, and adjustment to care.

• Evaluate the relationship between medical/nursing needs and available resources in the home setting, including financial, community, and caregiver support.

• Connect patients and families with community resources to address barriers such as housing, transportation, financial assistance, medication programs, legal services, and funeral/memorial planning.

• Provide counseling and education to patients and families on coping with emotional and social challenges related to illness and treatment.

• Collaborate with physicians and interdisciplinary team members to communicate significant psychosocial factors affecting patient health and treatment adherence.

• Participate in development and ongoing evaluation of the physician's Plan of Care, ensuring social and emotional needs are addressed.

• Monitor and report changes in patient condition, psychosocial status, and response to interventions to the Clinical Manager and care team.

• Participate in discharge planning to ensure continuity of care and successful transitions.

• Serve as a resource to the interdisciplinary team for identifying and resolving patient psychosocial needs.

• Supervise, instruct, and evaluate Social Work Assistants (BSW) when applicable, ensuring services are provided in compliance with company, government, and professional standards.