Care Coordination Social Worker — Discharge & Resources

Wellstar Health Systems; Hiram (GA); On-site; USD 70,000 - 100,000; Full time

Job summary

Wellstar Health System is seeking a Care Coordination Social Worker Senior to assess psychosocial needs, coordinate care, and support timely, safe discharges. You will work with patients and families, collaborate with physicians and nurses, and mentor junior staff in complex cases to improve transitions and outcomes.

The role emphasizes expert psychosocial assessment, access to community resources, and advocacy for patient-centered discharge planning within an acute care setting.

Qualifications

• Excellent written and verbal communication skills.
• Strong assessment, interview, and problem-solving abilities.
• Ability to work collaboratively with physicians, care team, and families.

Responsibilities

• Implements discharge planning and provides resource information for complex patients.
• Identifies and documents barriers to timely disposition.
• Participates in interdisciplinary rounds to confirm discharge plans and level of care transition.
• Initiates post-acute referrals and assists with community resource navigation.
• Mentors new and less senior staff in challenging cases.

Skills

Communication skills

Assessment skills

Interviews & counseling

Team collaboration

Stress management

Education

BSW

MSW

Job description

Wellstar Health System is seeking a Care Coordination Social Worker Senior to assess psychosocial needs, coordinate care, and support timely, safe discharges. You will work with patients and families, collaborate with physicians and nurses, and mentor junior staff in complex cases to improve transitions and outcomes.

The role emphasizes expert psychosocial assessment, access to community resources, and advocacy for patient-centered discharge planning within an acute care setting.