Medical social services help eligible patients and families address social, emotional, caregiving, and community-resource concerns connected to the patient’s health condition and plan of care.
At-Home Health medical social workers help patients and authorized family members understand available resources, identify barriers to care, and plan for changing needs.
How This Service May Help
- Assess social and emotional concerns related to illness or recovery
- Connect patients and families with community resources
- Provide guidance concerning caregiving needs
- Help identify transportation, meal, housing, or support resources
- Assist with long-term planning discussions
- Support communication among patients, families, and the care team
- Help address barriers that may interfere with the plan of care
- Provide short-term counseling and supportive guidance within the home health scope
Who May Benefit
Medical social services may help eligible patients and families facing concerns such as these.
- Caregiver stress
- Limited support at home
- Difficulty locating resources
- Financial or transportation barriers
- Uncertainty about longer-term care needs
Services depend on eligibility, medical necessity, provider orders when applicable, coverage requirements, staffing availability, and the individualized plan of care.
Coordinated Around the Plan of Care
Medical social services are provided when ordered and medically connected to the patient’s home health needs. The medical social worker coordinates with the clinical team and does not replace an attorney, financial adviser, emergency service, or long-term private case manager.
Ask About Home Health Services
Call At-Home Health to discuss the patient’s needs, referral status, and possible next steps. Services depend on eligibility, provider orders, clinical need, coverage requirements, staffing availability, and the individualized plan of care.
For medical emergencies, call 911.