Care Coordination Master Social Worker

CommonSpirit Health; Silverdale (WA); On-site; Part time

Job summary

CommonSpirit Health is seeking a Care Coordination Master Social Worker responsible for performing social work assessments and interventions for hospitalized and emergency patients. The role includes crisis intervention, patient advocacy, and coordination with community resources to ensure comprehensive care and support, reflecting a commitment to patient-focused strategies.

Benefits

Sign on bonus available

Qualifications

• Master’s degree from a school of social work accredited by the Council of Social Work Education.
• 1-year post-MSW experience or social work internship in a clinical or medical setting.
• Licensure as Licensed Advanced Social Worker or equivalent in Washington.

Responsibilities

• Perform social work assessments and interventions for hospitalized and emergency department patients.
• Facilitate patient decisions regarding post-acute care and continuity of care.
• Provide advocacy and education for self-care management and health management.

Skills

Crisis intervention

Advocacy

Psychosocial assessment

Counseling support

Community resource coordination

Education

Master’s degree in Social Work

Job description

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Job Summary / Purpose

The Masters Social Worker is responsible for performing social work assessments and interventions as needed for hospitalized and emergency department patients. The functions of the Masters Social Worker include: crisis intervention, patient/family intervention, high-risk screening, brief counseling, referrals for financial or other identified resource needs, arrange and facilitate family/patient representative meetings with the health care team as needed, arrange post-acute placement on complex discharges and engagement of appropriate agencies or community resources when high-risk patients are identified.

• 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.
• Performance & Outcomes Management: in-depth understanding and application of federal/state/local regulatory agency guidelines, The Joint Commission standards, and other regulatory and accreditation requirements; implement evidence-based practices; support organizational financial performance, length of stay, cost per case, readmission prevention efforts and revenue cycle goals.
• Provide support and social work services to outpatients if directed by Care Coordination leaders.
• Participates in performance improvement teams and programs as necessary.
• Demonstrates behavior that aligns with the Mission and Core Values of the Organization.
• Responsible for completing required education within established timeframes.
• Adheres to all hospital policies, standards of practice and Federal or State regulations pertaining to their practice.
• Performs other duties as assigned.
  
  

*Responsibilities*

Sign on bonus available!

Job Summary / Purpose

The Masters Social Worker is responsible for performing social work assessments and interventions as needed for hospitalized and emergency department patients. The functions of the Masters Social Worker include: crisis intervention, patient/family intervention, high-risk screening, brief counseling, referrals for financial or other identified resource needs, arrange and facilitate family/patient representative meetings with the health care team as needed, arrange post-acute placement on complex discharges and engagement of appropriate agencies or community resources when high-risk patients are identified.

Essential Key Job Responsibilities

• 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.
• Performance & Outcomes Management: in-depth understanding and application of federal/state/local regulatory agency guidelines, The Joint Commission standards, and other regulatory and accreditation requirements; implement evidence-based practices; support organizational financial performance, length of stay, cost per case, readmission prevention efforts and revenue cycle goals.
• Provide support and social work services to outpatients if directed by Care Coordination leaders.
• Participates in performance improvement teams and programs as necessary.
• Demonstrates behavior that aligns with the Mission and Core Values of the Organization.
• Responsible for completing required education within established timeframes.
• Adheres to all hospital policies, standards of practice and Federal or State regulations pertaining to their practice.
• Performs other duties as assigned.
  
  

*Qualifications*

Education And Experience

• Required:* Master’s degree from a school of social work accredited by the Council of Social Work Education.
  
  

1-Year Post-MSW experience or Social Work internship in a clinical or medical setting.

Preferred: Minimum 3-Year Post-MSW healthcare experience.

Required Licensure And Certifications

Licensed Advanced Social Worker (LASW:WA) OR

Licensed Social Worker Advanced Associate (SWORKADVLI:WA) OR

Licensed Social Worker Associate Independent Clinical (SWAIC:WA) OR

Agency Affiliate Counselor (AAC:WA)

*Overview*

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 over the years 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.

*Pay Range*

$38.21 - $51.22 /hour

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Part-time

Job function

• Job function

  Other

• Industries

  Wellness and Fitness Services, Hospitals and Health Care, and Medical Practices

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