Medical Social Worker - Home Health - PRN

Are you ready to bring your talent and passion for delivering exceptional patient care to a team that’s transforming lives?

At Bridge Home Health & Hospice, we are driven by our commitment to excellence in serving communities across California. For over a decade, our vision has remained clear: to set the standard in compassionate post-acute care and provide unwavering support for patients and their families.

Our culture is built on compassion, where every team member plays a vital role in our success. We celebrate diversity, live by our core values, and strive to be both the provider and employer of choice. If you're looking for a career with meaning, growth, and impact, Bridge is the place for you!


Medical Social Worker - Home Health - PRN - Sonoma County

Job Description Summary
The Social Worker employed through the organization is responsible for the implementation of standards of care for medical social work services and for adherence to all conditions in the Service or Employment Agreement which include providing care based on the Social Work Practice Act.

Essential Job Functions/Responsibilities
• Assesses the psychosocial status of patients and families/caregivers related to the patient's terminal illness and environment and communicates findings to the registered nurse and other members of the interdisciplinary group. Provides an assessment of the patient's identified residence and assistance when this is not safe, and another plan is required.
• Carries out social evaluations, including family dynamics, caregiver abilities, communication patterns, high risks for suicide, neglect or abuse and plans intervention based on evaluation findings. Counsels' patients and family/caregivers as needed in relationship to stress, and other identified coping difficulties. Provides crisis intervention when necessary.
• Assesses for, and educates interdisciplinary group, on any special needs related to the culture of the patient and family. Includes communication, role of family, space, and any special traditions or taboos.
• Maintains clinical records on all patients referred to social work prepares clinical and progress notes.
• Educates patients and families on, and assists in, preparation of advanced directives.
• Provides information and referral services for organization patients and families/caregivers regarding practical and environmental needs.
• Provides information to patients and families/caregivers and community agencies.
• Serves as liaison between patients and families/caregivers and community agencies.
• Maintains collaborative relationships with organization personnel to support patient care.
• Maintains and develops contracts with public and private agencies as resources for patients and personnel.
• Participates in the development of the individualized plan of care, involving the patient and family, and attends regularly scheduled interdisciplinary group meetings, assisting the team in recognizing the effects of the psychosocial stresses on the symptoms of the terminal illness.
• Assists physician and other team members in understanding significant social and emotional factors related to health problems and death/dying issues.
• Actively participates in quality assessment performance improvement teams and activities.
• Assists family and patient in planning for funeral arrangements, financial, legal, and health care decision responsibilities.
• Maintain current documentation on EMR system according to organization policies/procedures and applicable laws/regulations.
• Must adhere to the company attendance and reliability guidelines, which are an essential function of the job to ensure quality, and consistent patient care.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbent(s) of this job. The incumbent(s) may be requested to perform job related tasks other than those stated in the description.

Job Qualifications:
Required Candidates:
California only:
• Must have a Master of Social Work (MSW) from a school of social work accredited by the Council on Social Work education and Medicare Hospice COP’s.
General Qualifications for all states:
• Minimum of one (1) years’ experience in health care or hospice and understands hospice philosophy, and issues of death/dying.
• Preferred to have a Licensed Clinical Social Worker (LCSW) issued by the California Board of Behavioral Sciences (BBS), in addition to the required Master of Social Work.
• Demonstrates autonomy, organization, flexibility, and cooperation in performing job responsibilities.
• Demonstrates good verbal and written communication, and organization skills.
• Possesses and maintains current CPR Certification.
• Prolonge