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PRN - Home Health Social Worker

Company: Impact Healthcare LLC
Location: Wilsonville
Posted on: February 15, 2026

Job Description:

Job Description Job Description About the Role: The PRN Home Health Social Worker plays a critical role in supporting patients and their families within the home health care setting across the United States. This position focuses on assessing psychosocial needs, providing counseling, and connecting patients to community resources to enhance their overall well-being and quality of life. The social worker collaborates closely with interdisciplinary teams, including nurses and therapists, to develop and implement individualized care plans that address both medical and social determinants of health. By offering crisis intervention, advocacy, and education, the social worker helps patients navigate complex healthcare systems and overcome barriers to care. Ultimately, this role ensures that patients receive comprehensive support that promotes independence and successful health outcomes in their home environments. Minimum Qualifications: Master’s degree in Social Work (MSW) from an accredited program. Current and valid state licensure as a Licensed Clinical Social Worker (LCSW) or equivalent. Experience in home health, hospice, or community-based social work settings. Strong knowledge of psychosocial assessment techniques and care planning. Ability to work independently and manage a flexible schedule as a PRN (pro re nata) employee. Preferred Qualifications: Experience working with diverse patient populations, including elderly and chronically ill individuals. Familiarity with Medicare, Medicaid, and other healthcare reimbursement systems. Certification in hospice and palliative care social work. Experience working in home health care Proficiency in electronic medical record (EMR) systems. Bilingual skills or cultural competency training. Responsibilities: Conduct comprehensive psychosocial assessments of patients and their families to identify needs, strengths, and potential barriers to care. Develop and implement individualized care plans in collaboration with the interdisciplinary home health team. Provide counseling and emotional support to patients and caregivers, addressing issues such as coping with illness, grief, and family dynamics. Coordinate referrals to community resources, support services, and financial assistance programs to enhance patient care. Advocate for patient rights and needs within the healthcare system and community settings. Document all patient interactions, assessments, and interventions accurately and timely in compliance with regulatory standards. Participate in team meetings and communicate effectively with healthcare professionals to ensure continuity of care. Respond to crisis situations promptly, providing intervention and support as needed. Skills: The required skills enable the social worker to perform thorough psychosocial assessments and develop effective care plans tailored to each patient's unique circumstances. Strong communication and counseling skills are essential for providing emotional support and facilitating patient and family education. Organizational and documentation skills ensure compliance with healthcare regulations and accurate record-keeping. Preferred skills such as familiarity with healthcare reimbursement and EMR systems streamline coordination with interdisciplinary teams and administrative processes. Cultural competency and bilingual abilities enhance the social worker’s capacity to engage with diverse populations, ensuring equitable and sensitive care delivery.

Keywords: Impact Healthcare LLC, Portland , PRN - Home Health Social Worker, Social Services , Wilsonville, Oregon


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