Home Health Social Worker - BHS PPV PRN

Job Summary 
Accountable for the evaluation, direction, supervision and provision of medical social services to patients in the 
home. 
Essential Functions 
1. Evaluates and assesses patient’s psychosocial status to identify problems that may affect the patient’s
health status.
2. Assists physician and home health care team members in evaluating patient’s social, emotional and
economical status, and identify community resources and other possible resources that can aid patient and
family in treating and coping with identified problems and issues.
3. Assesses psychosocial and emotional status and initiates Baker Act if needed, for placement in an impatient
psychiatric family.
4. Makes referrals to Adult Protective Services, as needed.
5. Sets realistic goals for patient and incorporates the goals in the plan of care.
6. Provides counseling or intervention to patient according to the plan of care.
7. Prepares clinical and progress notes to treatment provided to patient and submitted in a timely manner.
8. Evaluates effectiveness and outcomes of care provided to patient.
9. Participates in planning for discharge of patient.
10. Participates in staff meetings and patient case conferences.
11. Assesses and screens patients that are suitable for placement in a long-term care or assisted living facility
when no longer feasible to care for patient at home due to patient’s physical or mental state.
12. Establishes and maintains effective working relationships with patients from a wide range of socio- 
economic backgrounds with home health care staff, representatives of other departments and community
agencies.
13. Provides treatment in compliance with the agency policies and procedures and federal and state regulations.
14. Participates in in-service programs.
15. Monitors and supervises performance of the Social Worker Assistant.
This job description represents an overview of the responsibilities for the above referenced position. It is not 
intended to represent a comprehensive list of responsibilities. A colleague should perform all duties as assigned by 
his/ her supervisor. 
Education and Experience 
Master’s Degree in Social Work or in a human services field required, including but not limited to sociology, 
special education, gerontology, rehabilitation counseling, and psychology; and previous experience in a healthcare 
setting working directly with individuals. 
Certifications, Licenses, and other Special Requirements