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. We are proud to be ranked #2 Best Places to Work in Massachusetts and #51 Best Places to Work in the United States! Why Join Pathways? Work in a supportive team environment and amazing corporate culture. Impact patients' lives directly by providing in-home care. Opportunities for continued growth and professional development. Service Area: Manchester and surrounding areas. Responsibilities: 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. Qualifications: 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. Benefits & Compensation: Per Visit Rate Mileage Reimbursement 401(k) Match Pathways Healthcare is committed to providing exceptional care to our patients and fostering a positive work environment for our team members. If you're passionate about making a difference in people's lives and possess the required qualifications, we encourage you to apply for this exciting opportunity! #J-18808-Ljbffr