About The Position

As the Social Worker/Discharge Planning Coordinator, you will provide supportive intervention to patients and caregivers and coordinate and facilitate development of discharge plans of care for high-risk patients. You will assess psychosocial risk factors and provide emotional, social, and financial support by connecting patients and caregivers with community resources. You will also advocate for patients during hospitalization, promote continuity of care, and address psychosocial concerns including substance abuse, mental health, and guardianship. The position is based at Flower Hospital in the Care Navigation Acute department and is full-time, 40 hours per week, on the day shift. The role requires a BSW or higher degree; a limited-license social worker may be considered individually. A current Licensed Social Worker (L.S.W.) license is required.

Requirements

  • BSW or higher degree; a limited-license social worker may be considered on an individual basis.
  • Licensed Social Worker (L.S.W.) license.
  • Knowledge of regulations, requirements, and community resources.
  • Ability to function effectively in a critical care environment.
  • Strong written and verbal communication skills.
  • Ability to establish priorities, communicate, and respond to inquiries.
  • Excellent interpersonal communication and negotiation skills.
  • Critical-thinking and problem-solving skills.
  • Customer-service skills.
  • Ability to work and communicate with people from varied social, economic, and cultural backgrounds; flexibility, open-mindedness, and adaptability to change.
  • Effective organizational skills.
  • Computer proficiency with Outlook email and electronic medical records.
  • Flexibility in a complex and changing healthcare environment.
  • Understanding of pre-acute and post-acute care settings and post-acute community resources.
  • Current working knowledge of local community services, particularly those available to patients with limited or no payment resources.

Nice To Haves

  • MSW.
  • Applicable experience in patient advocacy and care management, and knowledge of hospital and community resources.
  • Previous case management or discharge planning experience.
  • Specialty certification in care management, such as CCM, ACM, or similar.

Responsibilities

  • Provide supportive intervention to patients and caregivers.
  • Coordinate and facilitate development of discharge plans of care for high-risk patients.
  • Assess psychosocial risk factors for patients and caregivers.
  • Provide emotional, social, and financial support by connecting patients and caregivers to community resources.
  • Serve as a patient advocate during hospitalization.
  • Ensure continuity of care.
  • Address psychosocial concerns such as substance abuse, mental health, and guardianship.

Benefits

  • Flexible benefits, including compensation and programs to support employees’ families, finances, and personal well-being.
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