Care Coordination Social Worker

Advocate Health Care; Hazel Crest (IL); On-site; USD 55,000 - 75,000; Full time

Job summary

Advocate Health Care seeks a dedicated social worker to provide psychosocial assessments, discharge planning, and transition care coordination for patients and families in a fast-paced hospital setting. You will collaborate with a multidisciplinary team, educate families about advance directives, and help navigate community resources to support timely discharge and safe post-acute care.

This role requires strong communication, documentation, and adherence to NASW ethics while ensuring patient

Qualifications

• Master’s degree in social work from CSWE-accredited program.
• IL-LSW eligible or valid social work license in Illinois; LCSW preferred.
• At least 1 year of social work experience in healthcare.

Responsibilities

• Provide social work services to patients and families including psychosocial assessment, discharge planning, and follow up.
• Collaborate with the multidisciplinary health care team to coordinate safe, timely care and post-acute planning.
• Maintain knowledge of community resources and regulations; connect patients to services and resources.
• Communicate effectively with patients, families, and other care providers to resolve issues affecting continuity of care.
• Help optimize length of stay and reduce readmissions; coordinate care within an ACO framework.
• Provide education on Advance Directives and participate in related legal processes.

Skills

Social work principles

Time management

Documentation skills

Communication skills

Team collaboration

Education

MSW or Master of Social Work

IL-LSW eligible or LCSW preferred

Job description

Advocate Health Care seeks a dedicated social worker to provide psychosocial assessments, discharge planning, and transition care coordination for patients and families in a fast-paced hospital setting. You will collaborate with a multidisciplinary team, educate families about advance directives, and help navigate community resources to support timely discharge and safe post-acute care.

This role requires strong communication, documentation, and adherence to NASW ethics while ensuring patient