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The Social Worker MSW provides quality, safe, customer-focused care and stewardship by applying advanced psychosocial skills to coordinate patient care through assessment, planning, intervention, and evaluation. The role uses current knowledge of hospital and community resources to support optimal outcomes and serves as a role model for coordinating psychosocial services for assigned patients in collaboration with patients, families, physicians, the patient care team, and payers. The Social Worker coordinates timely referrals for post-acute services, communicates with patients or caregivers and physicians about payer and financial issues, and coordinates and documents complex discharge plans. The role helps determine discharge goals, communicates available plans and options, participates in patient care conferences and ethics consultations when indicated, and provides counseling and therapeutic interventions as needed. It also supports placement planning for patients experiencing substance abuse, mental health, homelessness, or indigence; facilitates transfers under Baker Act and Marchman placements; completes mandatory reporting; and coordinates post-discharge psychosocial and therapeutic referrals. The position identifies process breakdowns and improvement opportunities, communicates avoidable delays through escalation processes, and supports compliance with regulatory standards by identifying and reporting risk-management and quality issues. The work is per diem, with shift times listed as 8:00 AM–4:30 PM.

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