SUMMARY: Primary function is to provide coordinated care in the home to clients of all age groups and perform psychosocial assessments, analysis, counseling, and referrals to meet the needs of the patient\/family. Essential Duties and Responsibilities: Provides care utilizing infection control measures that protect both the staff and the patient (OSHA) Demonstrates commitment, professional growth, and competency, i.e., attending in-services, as required by regulation; participates in in-service programs Accepts clinical assignments that are consistent with education and competence to care for patients Monitors assigned cases to ensure compliance with requirements of third party payors Provides effective communication to patient\/family, team members, physician, and other health care professionals to ensure coordination of services; provides appropriate referrals, as necessary Assures continuity of quality patient care delivered according to the plan of care with appropriate documentation Evaluates and assesses home health patients to identify psychosocial (counseling\/intervention), financial, environmental, and community needs to include the POC, documentation, clinical records (clinical and progress notes), case conferences, and community resource referrals. Evaluates effectiveness and outcomes of care Minimum Qualifications: Education\/Licensing\/Certification: Master\u2019s Degree in Social Work required Current state license as a Social Worker LSW or LCSW required Valid Driver\u2019s License Current CPR, negative TB screen and Hepatitis consent\/declination Experience: One year experience as a Social Worker in a health care agency Knowledge and Skills: Working knowledge of community resources Good interpersonal skills COMPANY OVERVIEW: St. Vincent Home Health & Hospice \u00a0is a proud member of Ascension Health at Home, a leading provider in the delivery of compassionate patient-centered healthcare services including home health, infusion therapy and hospice. Formed in 2014, Ascension Health at Home is a national partnership between Ascension Health and Evolution Health. The partnership includes all Ascension-affiliated home health, hospice, home infusion therapy and private duty\/supportive care services. Visit us at to learn more about our organization and view all career opportunities.