Cornerstone VNA
  • Wolfeboro, NH, USA
  • Full Time

Full Benefit Package - Mileage Reimbursement - Generous Earned Time Benefits

Medical Social Worker

About Us

Founded in 1913, Cornerstone Visiting Nurse Association is an independent nonprofit home, health and hospice organization serving New Hampshire and Maine.

Cornerstone VNA places great value on transforming the home health care experience and is proud to provide care for all ages, from birth though end of life. We are committed to the philosophy that the needs of each patient are best served by the thoughtful integration of specialized programs and services delivered by a multidisciplinary team of professionals. With our deep commitment to providing high quality care, Cornerstone VNA continues to be recognized for excellence, and many of our clinicians have been recognized with professional awards for their outstanding achievements.

Our work would not be possible without our dedicated clinicians, support staff, volunteers, leadership team, Board of Directors, community members and donors who give in countless ways to make this organization what it is today.

Job Description:

The social worker will complete a comprehensive and culturally competent assessment of the client's psychosocial, environmental and financial needs. Which includes appropriately adding SW pathway and involving client, family and other health care practitioners in assessment. Develops goal plans that incorporate assessment data, identify expected outcomes and enhance the clients' ability to manage their disease process or disability. Develop individualized pathways and revise based on pt/cg needs, resources, finances and psychosocial deficits. Ensures patient is scheduled out correctly using correct codes. Communicates appropriate data to other persons involved in the individual's or family's care such as other team members and/or other health providers. Social worker will develop goal plans that incorporate assessment data, identify expected outcomes and enhance the clients' ability to manage their disease process or disability. Social worker utilizes appropriate intervention strategies to assist the home health client to meet their goals. Adapt intervention strategies to work effectively with clients from different age groups, cultures, socioeconomic backgrounds and differing states of mental health and disability. Documentation will be done in the home or prior to the next patient. Correct template will be used to document coordination notes. Orders are done correctly including spelling, description, when to send or not to send, correct scheduling codes, etc.). Patients are prepared for discharge in accordance with the NASW Code of Ethics and Cornerstone VNA discharge process. The social worker will demonstrate knowledge of the available community resources which may be engaged on behalf of any client of the home health agency. Establish and maintain professional relationships within the community. Advocate and educate clients and families, as appropriate, to access resources and implement services. System of providers is accessed through network and data base resources which is maintained and updated by the social work department. The social worker evaluates his or her own social work practice in relation to professional practice standards. The social worker engages in performance self-appraisal on a regular basis, seeks constructive feedback from peers and management, identifying areas of strength as well as areas for professional development. Effective preceptor to new employees. Participates in educational activities in-house and office to maintain NASW licensing. Actively participates in the agencies Quality Improvement Performance Improvement (QAPI) plan and projects. Seeks opportunities in the agency and/or community to provide education or improvement in care initiatives. The social worker is responsible for adhering to agency policy and guidelines concerning completion of time logs accurately, tact, attitude, punctuality, attendance, discretion, dependability, and productivity.


  • Ability to represent Cornerstone VNA in a trusted and professional manner
  • Strong communication skills
  • Exceptional assessment skills
  • Excellent critical thinking and organizational skills
  • Valid driver's license in good standing and vehicle insurance required


  • Medical/Dental/Life Insurance/STD, covered in full for employee
  • On-going education/training
  • Generous earned time benefits
  • Tuition reimbursement
  • AAA Basic Coverage, free for employee
  • Mileage Reimbursement, government rate
  • Exceptional and supportive work environment
  • 403(B) with employer matching


Full Job Description
Cornerstone VNA
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