Home Health Medical Social Worker

Company: Optimal Care - Evergreen
Location: Saginaw
Posted on: February 19, 2026

Job Description:

Job Description Job Description Optimal Care is where your dedication meets a rewarding career. As a clinician owned and operated company, we create the opportunity and environment for each employee to realize their highest potential while maintaining a personalized focus on our Patients and Families every day. We are the Midwest's premier provider of Physician Services, Home Health, and Hospice Care. Our integrated care delivery model incorporates technology, innovation and best practices. We produce value based outcomes by managing chronic disease process, rehabilitation and end of life care. We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. What does this mean for you? At Optimal Care, you have our resolute commitment to being an exceptional place to work. Your expertise, passion and commitment to exceptional quality care will continue to thrive. With you we can build a remarkable place to work. Exceptional Benefits: Minimum of 3 Weeks Paid Time Off (PTO) Company Vehicle Program Flexible Work Schedule Mentorship Culture Medical, Dental, and Vision Insurance 401(k) with Employer Match Mileage Reimbursement Cutting Edge Technology Home Care Social Worker, LMSW Territory: Saginaw, MI and surrounding area Optimal Care is seeking a full time Medical Social Worker to join our team. Must have a master's degree per Medicare guidelines. Home care experience preferred. We are looking for a highly professional, self-motivated MSW who loves working with the adult and geriatric homebound population. Must be willing to make home visits throughout our service territory. High Compensation in return for Clinical Excellence! Responsibilities: Provides social work services in accordance with the physician's plant of treatment. Accepts only clients referred by the client care manager. Assists the physician and other members of the home health/hospice team to understand the significance of social and emotional factors related to the client's care. The goal is to teach and promote a healthy lifestyle and psychosocial wellness for eventual patient & caregiver independence, utilizing agency materials as appropriate. Assesses and reassesses social and emotional factors in order to help the client and family to cope with problems in daily living and to help them follow medical recommendations to maximize the client's health condition. Counsels clients and families concerning the facilitation of the medical plan of treatment. Recognizes and utilizes community and family resources to assist the client in long-term plans for life in the community or to learn to live within the client's disability. Develops the plan of care with the case manager, physician, client and family to deal with personal, financial and environmental difficulties that may interfere with the health and wellness continuum. Sets appropriate goals for the patient. Participates in discharge planning. Develops, prepares and maintains individualized client care progress records with accuracy, timeliness and according to policies. Keeps abreast of social work trends and knowledge. Participates in in-service program. Coordinates the total plan of care and maintains continuity of client care by liaising with other health professionals. Attends client care conferences. Initiates client care conferences for complex and/or multidisciplinary clients when needed or helpful to ensure good coordination of care. Participates in the agency's quality improvement program. Cooperates with appropriate staff to provide staff education when requested and arranged by the client care manager. Demonstrates a desire to set and meet objectives and to find increasingly efficient ways to perform tasks. Completes work, care and documentation with accuracy and within agency time frames. Requires minimal supervision and is self-directed. Why join Optimal Care? Flexible Schedule Mileage Reimbursement High Compensation for Clinical Excellence Comprehensive Benefit Package (including company paid Short Term Disability and Life Insurance) 401K Company Contribution Paid Time Off (PTO) Qualifications Master's Degree from a school of social work accredited by the Council on Social Work education. Licensed as a social worker in the state in which practicing Minimum of 1 year experience in social work, preferably in a home care agency, hospital, outpatient clinic, rehabilitation center or mental health program. Demonstrates knowledge and skills necessary to provide care primarily to the adult and geriatric populations. Demonstrates knowledge of the principles of growth and development over the life span. Able to assess data reflecting the client's status and interpret the appropriate information needed to identify each client's requirements relative to their age-specific needs Demonstrates computer skills sufficient to use the electronic medical record effectively. Valid Driver's License Current Auto Insurance Reliable Transportation Pay Range $65,000—$70,000 USD Background Screening Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act. Reasonable Accommodations We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Equal Opportunity Employer Optimal Care is an equal-opportunity employer.

Keywords: Optimal Care - Evergreen, Warren , Home Health Medical Social Worker, Social Services , Saginaw, Michigan