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Job description
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Medical Social Worker - PRN Home Health
Professional Ocala, FL, US
Join a Team That Puts Care First
At Elite Home Health, we believe healing happens best at home. As a Medicare-certified home health agency serving communities across Florida, we provide high-quality, compassionate care that helps patients recover, maintain independence, and improve their quality of life.
We are seeking compassionate Medical Social Workers who are dedicated to supporting patients and families through the emotional, social, and environmental challenges that impact health and recovery.
If you are passionate about advocacy, patient support, and connecting individuals to meaningful resources, we would love to meet you.
Position Summary
The Medical Social Worker (MSW) provides skilled social work services to patients in their homes in accordance with physician orders, the plan of care, agency policies, and applicable state and federal regulations.
The MSW assesses patients’ psychosocial needs, provides counseling and support, and connects patients and families with community resources to promote safety, independence, and overall well-being.
Reporting Structure
This position reports to the Director of Nursing (DON), Clinical Manager, or designated clinical leadership. The MSW functions as part of the interdisciplinary care team and collaborates with nursing, therapy, and administrative staff to support patient care.
Scope of Practice
The Medical Social Worker performs services within the scope of applicable licensure or qualifications, Medicare Conditions of Participation, physician orders, and agency policies. This role includes assessment, counseling, care coordination, and resource connection, but does not provide medical or nursing care.
Essential Job Functions
1. Psychosocial Assessment & Care Planning
Perform initial and ongoing psychosocial assessments of patients and families
Identify social, emotional, financial, and environmental factors impacting patient care
Participate in development and implementation of the interdisciplinary plan of care
Assist with discharge planning and transition of care needs
2. Patient & Family Support
Provide counseling and emotional support to patients and families
Assist patients in coping with illness, disability, and life changes
Support patient rights, dignity, and autonomy in care decisions
Address family dynamics and caregiver stress as appropriate
3. Resource Coordination
Connect patients and families with community resources and support services
Assist with referrals for financial assistance, housing, transportation, and other needs
Coordinate with external agencies and service providers as appropriate
Advocate for patient access to necessary services
4. Documentation & Compliance
Complete timely and accurate documentation of assessments, interventions, and patient interactions
Maintain compliance with Medicare requirements, state regulations, and agency policies
Ensure documentation supports the patient’s plan of care and service needs
Communicate with physicians, nurses, therapists, and interdisciplinary team members regarding patient needs
Participate in care conferences, case discussions, and discharge planning
Attend required in-services, staff meetings, and training sessions
Qualifications
Master’s degree in Social Work (MSW) from an accredited program required. Current licensure as a Licensed Clinical Social Worker (LCSW) or Licensed Master Social Worker (LMSW), as required by state regulations, required. Minimum of one (1) year of experience in a healthcare setting required; home health, hospice, or medical social work experience preferred.
Home health, hospice, or medical social work experience preferred
Current CPR certification required
Valid driver’s license, reliable transportation, and auto insurance
Ability to pass background screening and all compliance requirements
Skills We Value
Strong assessment and counseling skills
Compassionate and patient-centered approach
Excellent communication and interpersonal abilities
Resource coordination and advocacy skills
Ability to work independently in a home health setting
Strong documentation and organizational skills
Commitment to patient dignity, privacy, and confidentiality
Physical Requirements
Frequent travel to patient homes within assigned territory
Ability to sit, stand, and navigate home environments as needed
Ability to communicate effectively with patients, families, and care teams
Ability to use electronic documentation systems
Ability to work in homes with varying accessibility conditions
Work is performed in patient homes and community settings with exposure to variable environmental conditions, including pets, smoke, infectious diseases, and weather-related travel conditions.
Why Elite Home Health?
We know great professionals have options. Here’s why they choose Elite:
Competitive compensation
Supportive leadership and collaborative culture
Opportunities for professional growth
Meaningful work that directly impacts patient well-being
A mission-driven organization focused on compassionate care
At Elite Home Health, you are not just providing support—you are helping patients and families navigate life’s challenges with dignity and care.
Join a team where your work truly makes a difference.
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Worksite address
ocala, FL, 34470, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.