Home Health Services

Medical Social Work

What Is Medical Social Work?

Here for What Matters Most

Medical social work helps you navigate the emotional and practical challenges of care. We guide Tennessee families through decisions, connect you to resources, and provide steady support at home.

Our team can help with access to Medicaid and other benefits, food assistance programs, meal services such as Meals on Wheels, Veterans resources, and additional community support options.

How We Help

What Your Visit Includes

Assess Emotional Needs and Coping

Discuss Goals of Care and Planning

Connect You to Local Resources

Coordinate Services and Support

Teach Problem-Solving Skills

Communicate Updates to Your Care Team

Assist With Transitions to Assisted Living, SNF, or Rehab

Support Home Safety and Report Concerns When Needed

Care Logistics

What to Know About Timing, Coverage, and Communication

How Often We Visit

Visit frequency is based on your needs and your physician’s orders. In most cases, medical social work includes one or two visits to help establish a solid plan and connect you with resources.

Cost and Coverage

Medical social work is covered only when another home health service is also ordered. We help confirm eligibility and explain any expected costs.

Your Care Plan and Communication

Your plan is built around your goals, support system, and home situation. We keep you informed, adapt as needs change, and coordinate closely with your care team.

Benefits of Medical Social Work

Navigating care can feel unclear.
We help bring direction and peace of mind.

Emotional Support And Counseling

Help managing stress, anxiety, and adjustment to illness.

Resource Navigation And Referrals

Connect with programs for financial aid, food, transportation, and more.

Care Planning And Advocacy

Clarify goals, complete documents, and speak up for your needs.

Caregiver Guidance And Respite Options

Support for those who help day to day.

Crisis Support And Safety Planning

Assistance during hospitalizations or sudden changes.

Smoother Transitions Of Care

Coordinate services between hospital, rehab, and home.

Coordination With Your Care Team

Timely updates that keep everyone aligned.

Our Locations

Find Care Near You

Your Questions Answered

Frequently Asked Questions

What issues can a medical social worker help with?

Coping with illness, caregiver stress, finances, transportation, food access, housing, advance directives, community resources, and planning.

Do you provide counseling at home?

Yes. We offer supportive counseling, problem-solving, and education, and we can refer to community mental health resources when needed.

Can you help with advance directives or a healthcare proxy?

Yes. We explain options, provide forms, and help you discuss choices with your family and care team.

How do you find community resources for my situation?

We assess your needs and connect you with local programs, benefits, and nonprofits. We also help with applications when appropriate.

Do you coordinate with my nurse, therapists, or physician?

Yes. We share updates, advocate for services, and help align your plan across disciplines.

When should I ask for a social work visit?

Any time you feel overwhelmed by logistics, finances, or stress; during care transitions; or when you want help planning next steps.

More Home Health Services

Learn About Additional Services We Offer

Skilled Nursing

Nurse-led care and treatment at home.

Physical Therapy

Build strength, balance, and safer mobility at home.

Disease Education

Teach condition awareness and daily care routines.

Occupational Therapy

Make daily activities safer and easier.

Family Education

Turn clinical plans into clear daily steps.

Heart Failure Care

Teach symptom monitoring and heart healthy routines.

Speech Therapy

Speech and swallowing therapy at home.

Diabetes Management

Teach monitoring, insulin use, and daily routines.

Dementia Care

Support safety and caregiver guidance at home.

Medication Management

Guided mobility, safe transfers, and toileting.

Vestibular Therapy

Teach balance exercises and manage dizziness.

Home Health Aide

Personal care and hygiene support.

Wound Care

Dressings and infection prevention.

Pelvic Floor Therapy

Teach pelvic floor strength and control.

Ostomy & Catheter Care

Fit, routines, and skin protection to prevent leaks.

Low Vision Support

Teach safety strategies for vision changes.

Pain & Symptom Care

Evaluate symptoms and tailor comfort strategies.

Health Monitoring

Track readings and act early on changes.