The Social Worker, MSW performs social work screenings and interventions for hospitalized and emergency department patients, in consultation and collaboration with Care Coordination and multidisciplinary healthcare teams. The role supports patients and families through referrals, social-needs screening, connections to financial and other resources, arranging meetings with family or patient representatives and the healthcare team, assisting with post-acute placement for complex discharges, and engaging appropriate agencies or community resources when social needs are identified. The Social Worker uses social-work expertise to provide care management across the continuum for identified high-risk, complex patients. The position advocates for patients, provides health-promotion activities and education, supports patient and family independence through education and community-resource connections, and works with patients and families on needs that may affect health, such as transportation, finances, and end-of-life planning. The Social Worker also identifies barriers related to home setting and self-care or management needs and works with patients and caregivers to address them. The role maintains an active caseload of at-risk patients identified through stratification tools, healthcare-team referrals, and other sources. Employees are accountable for demonstrating the organizational values of Compassion, Inclusion, Integrity, Excellence, and Collaboration. A sign-on bonus of up to $20,000 is offered to eligible hires, along with additional pay for clinical-ladder participation, referral bonuses, benefits, and relocation assistance.
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Job Type
Full-time