Hospital Case Manager (Licensed Social Worker)

Community PhysiciansWinfield, IL
Onsite

About The Position

Community Physicians is seeking a compassionate and experienced Hospital Case Manager (LSW/LCSW) to join our Transitions of Care Department. In this critical role, you’ll do more than coordinate discharges—you’ll help guide each patient’s recovery journey. As a bridge between acute hospital care and post-acute services, you’ll help medically complex older adults transition safely, preserve dignity, and access the resources needed to reduce avoidable readmissions.

Requirements

  • Bachelor’s or Master’s degree in Social Work (BSW/MSW)
  • Active Illinois Social Work license (LSW or LCSW)
  • 3–5 years of experience in hospital case management, discharge planning, medical social work, or transitional or post-acute care.

Nice To Haves

  • Knowledge of Medicare/Medicaid guidelines and payer systems
  • Familiarity with DuPage County community resources
  • Strong advocacy, critical thinking, and problem-solving skills
  • Ability to manage complex cases in a fast-paced hospital environment

Responsibilities

  • Collaborate daily with physicians, therapists, nursing staff, and interdisciplinary teams to develop and support individualized discharge plans.
  • Conduct comprehensive psychosocial assessments to identify social, emotional, financial, and environmental barriers to safe discharge.
  • Coordinate post-acute and community-based services, including: Skilled Nursing Facilities (SNF), Home Health, Rehabilitation Services, Hospice and Palliative Care, Community support resources and long-term services.
  • Maintain timely and accurate EMR documentation to ensure compliance with regulatory and payer requirements.
  • Provide counseling, crisis support, caregiver education, and guidance through complex care transitions.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service