About The Position

The Social Worker MSW provides quality psychosocial care to patients and coordinates care with the medical team while consistently applying the social work code of ethics. The role includes conducting thorough assessments of patient needs, understanding the medical plan of care, patients’ coping abilities and barriers to care, and implementing interventions or providing resources. The Social Worker collaborates with patients, families, healthcare teams, and community resources to support care plans, transitions, and patient outcomes.

Requirements

  • Master’s degree in social work.
  • Licensed or certified as a Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Independent Social Worker (CISW), or Certified Social Worker (CSW).
  • American Heart Association Healthcare Provider Basic Life Support (BLS).
  • Ability to move freely, including standing, stooping, walking, bending, pushing, and pulling, and to lift up to 25 pounds without assistance.

Responsibilities

  • Identify patients with complex care needs; assess psychosocial status, establish rapport with patients and families, and participate in creating and implementing plans of care.
  • Collaborate with the healthcare team using effective oral and written communication to enhance quality and care.
  • Develop psychosocial intervention plans for patients and families using community resources and incorporating social, emotional, financial, and spiritual aspects of care.
  • Evaluate progress toward patient-specific outcomes and goals, modifying plans as appropriate.
  • Serve as a consultant, patient advocate, and liaison for patients and families with social work needs and complex psychosocial issues; facilitate specialty-specific psychoeducational support groups in some care settings.
  • Arrange resources or funds for medications, durable medical equipment, housing, transportation, and other needed services; facilitate access to primary care providers, specialists, and similar services.
  • Coordinate patient information and communication among patients, families, referring and accepting facilities, and caregivers to support smooth transitions of care.
  • Advocate for patients, perform discharge planning and after-care coordination, support efforts to reduce hospital readmissions, and help patients return to the community with appropriate resources.
  • Facilitate advance care planning and lifespan planning.

Benefits

  • Continued opportunities for learning and development.
  • Accessible and transparent leadership.
  • Commitment to work/life balance.
  • Health coaches, relaxation rooms, health-focused apps, and mental health support.
  • Minimal or zero copays and team member cost-sharing premiums.
  • Daycare.
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