Care Transitions Social Worker: Impactful Hospital Support

Heywood Healthcare Inc.; Athol (MA); Hybrid; USD 52,000 - 83,000; Full time

Job summary

Heywood Healthcare Inc. is seeking a dedicated professional to support care transitions and discharge planning across hospital and community settings. The role involves psychosocial assessments, coordinating with the care team, and ensuring timely documentation and compliant discharge planning.

Strong communication, empathy, and problem-solving are essential. Minimum qualifications include an MA in social work with licensure (LCSW/LSW/LSWA) and 1–3 years of hospital or SNF experience.

Qualifications

• Requires MA State licensure: LCSW, LSW, or LSWA.
• Minimum 1–3 years hospital, SNF, or community health/social agency experience.
• Associate degree required; bachelor’s degree preferred in SW or related field.

Responsibilities

• Discharge planning coordination and ensure timely documentation.
• Lead multidisciplinary rounds and coordinate with healthcare team.
• Support discharge planning and transition of care processes.
• Assess psychosocial needs, provide counseling, and educate patients/families.
• Ensure compliance with regulatory and departmental standards.

Skills

Verbal and written communication

Independent and team work

Flexibility and adaptability

Assessment of behavioral health needs

Analytical thinking

Customer service orientation

Education

Associate degree in social work or related field

Bachelor's degree preferred in social work or related field

Job description

Heywood Healthcare Inc. is seeking a dedicated professional to support care transitions and discharge planning across hospital and community settings. The role involves psychosocial assessments, coordinating with the care team, and ensuring timely documentation and compliant discharge planning.

Strong communication, empathy, and problem-solving are essential. Minimum qualifications include an MA in social work with licensure (LCSW/LSW/LSWA) and 1–3 years of hospital or SNF experience.