What You'll Do

• Conduct comprehensive psychosocial assessments of patients and families.

• Identify barriers to care and develop intervention strategies to improve outcomes.

• Coordinate discharge planning, including referrals for home health, durable medical equipment, transportation, medication assistance, and community resources.

• Collaborate with physicians, nursing staff, care managers, and external agencies to support safe and timely patient transitions.

• Assist with crisis intervention, guardianship, power of attorney, and other legal or ethical concerns when appropriate.

• Support initiatives focused on reducing length of stay, improving patient satisfaction, and enhancing care management outcomes.

• Document assessments, interventions, and care plans within the electronic medical record.

• Provide education and guidance to patients, families, and healthcare team members regarding available resources and discharge expectations.

• Participate in quality improvement activities and performance initiatives that support exceptional patient care.

Qualifications

Required

• Bachelor's degree in Psychology, Sociology, Social Science, or a related field.

• Minimum of two years of experience in a clinical or healthcare setting.

• Strong assessment, critical thinking, and problem-solving abilities.

• Excellent verbal and written communication skills.

• Effective time management and organizational skills.

• Advanced computer proficiency.

• Knowledge of human behavior and the clinical aspects of medical social work.

• Ability to work collaboratively with patients, families, physicians, and interdisciplinary teams.

Preferred

• Previous experience in hospital-based care management, case management, discharge planning, or medical social work.

• Experience working with community resources and post-acute care services.