Medical Social Worker (LMSW), Inpatient Care Coordinator

UT Southwestern Medical Center•Dallas, TX

About The Position

The Medical Social Worker Care Coordinator is a member of the Care Coordination Department and educates healthcare team members and physicians about psychosocial issues, identified patient and family problems, and strategies to address them. The role applies specialized knowledge and advanced practice skills in assessment, treatment planning, implementation and evaluation, case management, mediation, counseling and supportive counseling, direct practice, information and referral, consultation, education, research, advocacy, community organization, and policy and program administration. The position does not apply specialized clinical knowledge or advanced clinical skills to assess, diagnose, or treat mental, emotional, or behavioral disorders, conditions, or addictions. The Care Coordinator integrates national standards for case management, including care coordination, compliance, and transition management. Transition planning begins at the initial patient encounter and is reevaluated throughout the hospital stay. The Care Coordinator arranges or ensures implementation and communication of transition plan elements with the healthcare team, patient, family or caregiver, and post-acute providers; conveys information needed for continuity of care and patient safety; verifies receipt; and provides an opportunity for questions or additional information needs.

Requirements

  • Licensed Master Social Worker (LMSW) license in the state of Texas.

Nice To Haves

  • Two years of hospital experience.

Responsibilities

  • Screen and evaluate high-risk patients for discharge planning needs.
  • Consult with attending physicians and healthcare team members about identified psychosocial issues and care transition barriers.
  • Collaborate with the multidisciplinary team, including patients and families, to carry out plans and interventions that facilitate the hospital stay, manage length of stay, and respond to changing care needs.
  • Facilitate patient care conferences, including conferences for complex cases, to help establish safe and effective discharge plans.
  • Implement transitions to the next level of care through appropriate service referrals and ensure patients are given choices regarding agencies and services.
  • Assist with adoption, abuse, and neglect cases through assessment, investigation, intervention, and referral to local, state, or federal agencies as appropriate.
  • Educate patients and families about community resources, interpret their needs, and explain resource availability and limitations.
  • Maintain communication with community agencies to support appropriate referrals and meet patient needs.
  • Maintain knowledge of payor benefits, hospital and community resources, and regulatory standards to support informed decisions, continuity of care, and desired outcomes.
  • Maintain chronological notes, clinical charts, statistical data, or case histories documenting social problems, patient and family involvement, and actions taken or planned.
  • Perform other duties as assigned.

Benefits

  • PPO medical plan, available day one at no cost for full-time employee-only coverage.
  • 100% coverage for preventive healthcare with no copay.
  • Paid time off available day one.
  • Retirement programs through the Teacher Retirement System of Texas (TRS).
  • Paid parental leave.
  • Wellness programs.
  • Tuition reimbursement.
  • Public Service Loan Forgiveness (PSLF) qualified employer.
  • On-site childcare.
  • Merit increases.
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