Senior Medical Social Work

Senior Care

Senior Medical
Social Work

Support, advocacy, and resource coordination for older adults and the people who care for them.

What We Do

Medical social workers help older adults and families address emotional, financial, social, and practical issues that affect care at home. Support is centered on patient goals, caregiver needs, available benefits, and planning for changing levels of care.

Who This Service Is For

We support pediatric patients with a wide range of diagnoses, functional needs, and medical complexities. Common populations may include:

Older adults who need hands-on assistance with personal care

Older adults with weakness, mobility limitations, cognitive changes, or chronic illness

Older adults recovering after hospitalization, surgery, or rehabilitation

Patients whose authorized home-health plan includes aide services alongside skilled care

Areas of Focus

Psychosocial assessment, adjustment to illness, grief, and caregiver stress
Depression, anxiety, isolation, family dynamics, and crisis support
Insurance, benefits, veterans’ resources, financial assistance, and community programs
Transportation, meals, housing, adult-day, respite, and caregiver resources
Patient rights, advance-care discussions within scope, and care conferences
Hospital-to-home, long-term-care, palliative, and hospice referral planning when appropriate

Specialized Care May Include

Care is individualized according to each patient’s needs, provider orders, plan of care, authorization, and service availability. Support may include, but is not limited to:

Caregiver and Psychosocial Support

Short-term counseling and care-planning assistance for patients and families.

Adjustment-to-illness and grief support
Caregiver stress and family communication
Crisis intervention within scope
Support groups and caregiver-resource referrals

Aging Resources and Transition Planning

Guidance for accessing services and preparing for changing care needs.

Benefits and community-resource navigation
Meals, transportation, respite, and adult-day referrals
Hospital-to-home and long-term-care planning
Palliative or hospice referrals when appropriate

Not sure if this is right for you?

Our medical social work team can help patients and caregivers identify resources and plan the next steps.

Refer A Patient To Our Care

Healthcare providers can submit referrals easily. Parents can also request appointments for their children.

Refer A Patient

We Accept Insurance Plans

We work with most major insurance providers to make quality
pediatric care accessible to all families.

Where we serve?

Two local offices supporting patients and families across 11 Florida counties and expanding.

LEGEND

Northeast Florida • Region 4

7 Countries
Served

COUNTY COVERAGE

Baker • Clay • Duval • Flagler • Nassau • St. Johns • Volusia

Central Florida • Region 7

4 Countries
Served

COUNTY COVERAGE

Orange • Seminole • Osceola • Brevard

Services offered

Skilled Nursing

Physical Therapy

Occupational Therapy

Speech-Language Therapy

Respiratory Therapy

Medical Social Work

Home-Health Aide

Coverage depends on the service you need.
Contact us to see if our services are available in your area.