Per diem Social Worker - Home Health

Pathways Healthcare is a leading, physician- and nurse practitioner-led home health and hospice organization, committed to redefining recovery through comprehensive, patient-centered care. Our innovative Medical Rehabilitation Program offers a meaningful alternative to institutional rehab, helping people heal at home, with dignity and purpose.

• Main Office location: York, ME
• Service Area: York and surrounding areas.
• Job Type: Per Diem

• →Conduct thorough assessments of patients' psychosocial status in relation to their illness and environment.
• →Communicate assessment findings to the multidisciplinary home health team to ensure a holistic approach to patient care.
• →Carry out social evaluations and develop effective intervention plans based on assessment findings. These interventions will contribute to enhancing the overall patient experience and care outcomes.
• →Maintain accurate and up-to-date clinical records for all patients referred to social work, ensuring continuity and quality of care.
• →Provide valuable information and referral services to patients, families, and caregivers concerning practical and environmental needs, fostering a supportive and informed healthcare environment.
• →Act as a liaison between patients or families/caregivers and community agencies, building collaborative relationships to leverage additional resources for the benefit of patients and organization personnel.
• →Work closely with the interdisciplinary team to develop comprehensive plans of care and participate in case conferences as required, facilitating seamless patient transitions and continuity of care.
• →Assist physicians and other team members in understanding significant social and emotional factors that impact patients' health problems, contributing to a patient-centered care approach.
• →Participate in discharge planning, ensuring patients receive appropriate support and resources after leaving the care setting.

• Holds a master's degree from a school of social work accredited by the Council on Social Work Education, showcasing a strong educational foundation for this role.
• Holds a valid license as an LICSW in good standing, demonstrating expertise and adherence to professional standards.
• Possesses a minimum of one (1) years’ experience in health care, with preference given to candidates experienced in home health care.
• Demonstrates excellent verbal and written communication skills, along with strong organizational abilities to manage caseloads effectively.
• Maintain current BLS CPR certification.
• Possess a valid driver's license and own a reliable, insured vehicle.