This research presents as proposal the analysis of the work of the social worker in a health care modality little problematized by the profession: Home Care. In the process of research, we sought to reflect on the category of labor and its specificities in the capitalist mode of production, as well as its transformations and current situation in the Brazilian scenario. Some questions guide our studies, especially the question about the work of the social worker in Health policy and its role in the modality of attention analyzed here. The particularities of the work and the understanding of the relation of the current situation of the health policy in the city of Rio de Janeiro with the broader societal dynamics bring important elements to understand the implications in the way of life and daily work of the social worker in Home Care to the Saúde. In this context, we identify two main aspects: the first one is the fact that care is carried out at home - a private space, intimate for the user and his family, where professionals will find different ways of life, stories and habits. This means that for work in Home Care it is indispensable to get rid of prejudiced views, not to lead the work towards a conservative bias. The second aspect concerns care being taken from family orientations, what used to happen in the hospital environment and by health professionals, now happens under the responsibility of the family. The female figure assumes centrality in this type of health care modality and besides the domestic tasks assumed by the women in their homes because of the gender differences reproduced in our patriarchal society, the woman also assumes the role of caregiver. Thus, there is a movement that we consider to be contradictory: if, on the one hand, the return home is significant for the quality of life of the users and their family, on the other hand it can bring an immeasurable health care and household responsibility burden to those who adhere to this type of program. For the work of the social worker such considerations are fundamental, since it can be a potential space in the professional contribution to the guarantee of rights and improvement of the quality of life of the population, but it can also be a productive soil for conservative traps.