Care Coordinator SW FT (Weekday)

Wellstar Medical Group, LLC; United States; On-site; USD 65,000 - 95,000; Full time

Job summary

Wellstar Medical Group, LLC is seeking a Care Coordination Social Worker to assess transitional care needs and coordinate patient discharge planning. You will engage patients and families, collaborate with care teams, and address social determinants impacting outcomes across the continuum.

The role requires strong communication, knowledge of regulations, and ability to navigate community resources. Minimum 1 year in healthcare, with a Social Work degree; BLS required at hire.

Qualifications

• Bachelor's in Social Work required and Master's preferred.
• 1 year of healthcare experience in an acute care or related setting is required.
• BLS certification required at time of hire.

Responsibilities

• Conduct psychosocial assessments and plan discharge accordingly.
• Provide community resource guidance to patients and families.
• Act as a specialist on psychosocial and discharge needs, including end-of-life planning.
• Collaborate with RN Case Manager on social determinants and care needs.
• Engage with patients/families to support care progression and discharge plans.
• Screen patients for psychosocial risk factors and resource availability at discharge.
• Coordinate with PAS, financial counselors, and UM to assess insurance requirements.

Skills

Communication

Interpersonal skills

Problem-solving

Regulations knowledge

Education

Bachelor's in Social Work

Master's in Social Work

Job description

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift
Day (United States of America)

The Care Coordination Social Worker (CC SW) is responsible for assessing transitional care needs, coordinating care across the continuum, and engaging with patient and family to assure care needs are met. Serves as a key resource for patients and serves as a consultant to the other care team members regarding patient's psychosocial and resource needs. In conjunction with the patient and physician, the CC SW will assess, coordinate, and implement a timely, safe patient discharge plan to the next appropriate level of care. Overall, the role integrates and coordinates the patients transitional care plan into their individualized discharge plans based on needs and resources available.

Specific functions within this role include:

• Responsible for providing psychosocial assessments for patients to include timely and appropriate planning to advance the discharge plan.
• Assists in relaying information about community-based service offerings (e.g.-indigent care referrals and assistance, specialty care or post-acute placements, elder assistance, etc.) and offers guidance to patients/families to assist with multi-system factors that affect patient/family psychosocial dynamics
• Serves as a specialist on issues related to psychosocial and discharge needs, end of life care planning, resource needs, etc. Will provide resource information necessary to aid patient/families in decision making up to and including support for end of life.
• Will partner and offer feedback to the RN Case Manager concerning complex social determinants of health issues, situational dynamics, and social needs.
• May have other duties assigned
• Based on preliminary screening of patients, initiates assessment of patient’s psychosocial risk factors and availability of resources to assist upon discharge.
• Partners with the PAS, financial counselors and/or UM nurse to assess insurance and coverage requirements for all payers to ensure adherence to those requirements.
• C ollaborates with the patient and family, along with the physician(s) and other members of the care team to fully establish and support both the patient’s care progression and discharge plans.

Required Minimum Education

• - (NEW) Education Level Field of Study Required/ Preferred And/Or Bachelors Social Work Required and( Masters Social Work Preferred or) Required
• - Minimum Experience Experience Details Required/ Preferred
• - Minimum 1 year of experience in healthcare in the acute care setting, related field or skilled care environment or community or educational internship in care coordination. Required and A background in medical social work in an acute care setting Preferred

Required Minimum Skills KSAs Proficiency

Excellent written and verbal communication skill. Must possess maturity, self-confidence, objectivity, and positive attitude. Self-directed with the ability to function well under stress, handle change, and function in a fast-paced environment Strong assessment, interview, organizational and problem-solving skills. Knowledge regarding local, state and federal regulations required. Knowledge of community and state-wide resources and programs. Ability to work collaboratively with physicians, members of the care team, and the patient/family to assist through the continuum of care.

Required Minimum License(s) and Certification(s)

Licenses/Certifications Time Frame Required/ Preferred BLS - Basic Life Support Upon Hire Required and( BLS-I - Basic Life Support - Instructor Upon Hire Required or) Additional Licenses and Certifications

Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.