About The Position

Join Cleveland Clinic’s Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world class and caregivers are family. Here, you will work alongside a passionate and dedicated team, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. As a Case Management Social Worker, you’ll play an important role in supporting patients with complex psychosocial needs and helping them navigate barriers that may impact their care and recovery. Through comprehensive psychosocial assessments, individualized support, and collaboration with the care team, this role helps patients and families access the resources and services needed throughout their care journey. The role partners closely with patients, families, healthcare professionals, and community organizations to coordinate services, provide supportive counseling, and facilitate safe transitions of care. Responsibilities also include crisis intervention and discharge planning for high-risk patients, helping address social and emotional barriers while connecting patients with appropriate community resources and ongoing support.

Requirements

  • Master’s degree in social work (MSW) or Master of Science in Social Administration (MSS)
  • Current state licensure as a Social Worker (LSW, LISW or LISW-S)
  • Basic Life Support (BLS) certification through the American Heart Association (AHA) OR the American Red Cross
  • Flexible, open-minded and adaptable to change

Nice To Haves

  • Certification as a Case Manager within one year of eligibility from an approved professional organization
  • Three years of experience in a healthcare system that includes exposure to and experience in pre- and post-acute care
  • Hospital social work experience
  • Knowledge of community services

Responsibilities

  • Coordinate the care and services of select patients.
  • Intervene with patients who have complex psychosocial and discharge planning needs.
  • Conduct detailed psychosocial assessments and coordinate with community resources and supportive counseling.
  • Offer crisis interventions to patients and families with psychosocial needs and facilitate the transition of care for high-risk patients facing barriers to care.
  • Manage all aspects of discharge planning for assigned patients in order to ensure a timely discharge and provide appropriate connection with post-discharge care providers.
  • Work with families exhibiting complex family dynamics.
  • Communicate with interdisciplinary team regarding the discharge planning status of all patients that are referred.
  • Educate patients, families and physicians regarding post-acute options and address freedom of choice and financial concerns.
  • Conduct initial and ongoing psychosocial assessment and interventions and make treatment recommendations to engage patients and families in adherence to the treatment plan by reducing or eliminating the social, psychological, financial, behavioral and regulatory barriers to successful medical outcomes.
  • Serve as a resource person to provide counseling and intervention related to treatment decisions and end-of-life issues.
  • Advocate for patients and families by providing intervention in cases involving child abuse and neglect, domestic violence, elderly abuse, institutional abuse and sexual assault.
  • Advocate for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system and community.
  • Meet core social work competencies and adhere to regulations.
  • Remain current with regulations which impact the care of patients and regulatory compliance.
  • Promote individual, professional growth and development and meet mandatory and continuing education requirements.
  • Serve as a preceptor, mentor, and resource to less experienced caregivers and represent the department on committees.

Benefits

  • Drug free environment
  • Influenza vaccination program
  • Equal employment opportunity
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