Care Coordination Licensed Clinical Social Worker

CommonSpirit Health; Bremerton (WA); On-site; USD 65,000 - 90,000; Full time

Job summary

Virginia Mason Franciscan Health in the Puget Sound region seeks a compassionate Social Worker to advocate for individuals and families facing complex challenges. You will perform psychosocial assessments, develop care plans, provide counseling and connect clients to community resources.

Collaborating with a multidisciplinary team, you will support crisis intervention, patient education, and transition planning, addressing social determinants of health and advocating for safe, equitable care.

Qualifications

• MSW from CSWE-accredited program.
• 2+ years Post-MSW experience required.
• Preferred: 5+ years Post-MSW healthcare experience.

Responsibilities

• Conduct psychosocial assessments and develop care plans.
• Provide counseling and crisis intervention and connect clients to resources.
• Advocate for patients and coordinate with multidisciplinary teams for holistic care.
• Address social determinants of health and assist with transitions of care.
• Educate patients and families on care options and community resources.

Skills

Interpersonal skills

Empathy

Crisis management

Education

MSW degree (CSWE-accredited)

Job description

Job Summary and Responsibilities

As our Social Worker, you will be a compassionate advocate, providing vital support and guidance to individuals and families facing complex challenges.

Every day, you will conduct psychosocial assessments, develop care plans, provide counseling and crisis intervention, and connect clients to resources. You'll advocate for clients and collaborate with multidisciplinary teams to ensure holistic support and promote well-being.

To be successful in this role, you will possess exceptional interpersonal skills, empathy, strong knowledge of community resources, and proven crisis management abilities, fostering positive change and client empowerment.

• Providing developmentally appropriate care for all populations served: plan for the safe discharge and continuity of care, recognize and plan for the unique needs of all ages, the physically disabled, mentally ill, chronically ill, terminally ill, and vulnerable patients.
• Advocacy and education: patient/family self-care management; patient/family health management education; bioethics referrals and management; physician, staff, and community education; case/care management/coordination education and training; risk management identification and referral.
• Psychosocial management: crisis intervention; psychosocial assessment/functioning; counseling support and referral; abuse/neglect/trafficking identification, assessment, and referral (partner, child, elder, etc.); family issues affecting care; coping/emotional adjustment; grief/bereavement support (individual and group); adoption, surrogacy, and safe surrender support, management, and resources; health/wellness promotion; substance abuse screening, management, and resources; psychiatric screening, management, and resources; staff support; assessing, addressing, managing, and resources related to social determinants of health (e.g. housing and food insecurity, transportation).
• Patient/Family Care Conferences: interdisciplinary care communication/coordination related to continuity/transitions of care planning and management.
• Continuity/Transition Management: As part of Care Management/Coordination team, facilitation of patient decisions and communications regarding post-acute care; professional responsibility for knowledge of community resources related to clinical social work scope of service and functions and social worker discretion; maintaining appropriate up-to-date resource lists; education for patients/families about availability of community resources; mental health service and support coordination; grave disability, palliative care/end-of-life, and hospice patient/family support, referrals, and management; interventions, management, and coordination of transition planning for psychosocially complex cases.
• Community Resource Coordination: life-care planning; expert consultation on health care resource management; team and patient education regarding various health-related insurance/support programs (e.g. CCS/Medicare/Medicaid/SSI); building and maintaining community relationships to address needs of patients experiencing homelessness and to meet other social determinants of health needs.

Job Requirements

Required

• Masters other from a school of social work accredited by the Council of Social Work Eduction upon hire and
• at least 2 years Post-MSW experience required and

Preferred

• Minimum 5-Year Post-MSW healthcare experience

Required Licenses/Certifications

Licensed Clinical Social Worker : WA (LICSW:WA/LCSW)

Where You'll Work

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.

Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person - body, mind, and spirit - in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.

Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.

We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.