Home Health Medical Social Worker (MSW) – Per Visit / PRN Hope at Home Health Care – Southfield, MI (field-based) About us Hope at Home Health Care is a Medicare-certified home health agency based in Southfield. We serve patients throughout Oakland, Macomb, Wayne and Livingston Counties. Our interdisciplinary team helps patients recover safely at home after a hospitalization, an illness or an injury. The role We’re looking for a Medical Social Worker to make home visits to our patients on a flexible, per-visit basis. You’ll work alongside our nurses and therapists to address the social, emotional and financial issues that stand in the way of a patient’s recovery and independence. Responsibilities • Complete psychosocial assessments in patients’ homes and help develop the plan of care • Connect patients and families with community resources: Medicaid, Medicare, MI Choice waiver, Area Agencies on Aging, Meals on Wheels, transportation, housing and caregiver support • Provide short-term counseling for adjustment to illness, caregiver stress, grief and end-of-life decisions • Assist with advance directives, long-term care planning and placement • Identify and report concerns about safety, abuse, neglect or self-neglect • Document visits accurately and on time in Kinnser/WellSky • Communicate with the clinical manager and the interdisciplinary team, and take part in case conferences Requirements • Master’s degree in Social Work (MSW) from a CSWE-accredited program • Active Michigan LMSW license • At least 1 year of social work experience in a health care setting • Valid driver’s license, reliable transportation and auto insurance • Current CPR/BLS certification Preferred • Experience in home health or hospice • Knowledge of Medicare home health and community resources in Southeast Michigan • Experience with an EMR (Kinnser/WellSky a plus) Pay & schedule • $70-$80 per visit • Flexible PRN scheduling: you choose your availability and coverage area