Care Transitions Social Worker (MSW)

Methodist Le Bonheur Healthcare; Memphis (TN); On-site; USD 55,000 - 75,000; Full time

Job summary

Methodist Le Bonheur Healthcare in Memphis seeks a Social Worker (MSW) to support safe, timely patient transitions throughout acute care. The role emphasizes psychosocial assessment, discharge planning, and resource coordination, while collaborating with the interdisciplinary team to prevent readmissions and promote outcomes.

The position does not provide clinical therapy or licensed interventions, but requires a Master’s in Social Work and licensure within 12 months.

Qualifications

• Master's degree in social work is required.
• Licensed Master Social Worker Tennessee license within 12 months is preferred.
• Experience in acute care, healthcare, social services or community resource coordination preferred.

Responsibilities

• Discharge planning and care coordination: identify barriers to discharge and develop individualized plans with the care team.
• Patient and family support: provide education on resources and assist with advance care planning discussions (non-clinical).
• Resource navigation and community coordination: connect to community agencies and programs; assist with benefits clarifications.
• Interdisciplinary collaboration: participate in rounds, huddles, and care planning meetings with the team.
• Documentation and compliance: maintain timely EMR documentation per CMS and Joint Commission standards.
• Additional duties as required; no psychotherapy or licensed clinical interventions performed.

Skills

Discharge planning

Care coordination

Interdisciplinary collaboration

Documentation in EMR

Communication skills

Patient advocacy

Education

Master's Degree in Social Work

Tools

EMR systems

Job description

Methodist Le Bonheur Healthcare in Memphis seeks a Social Worker (MSW) to support safe, timely patient transitions throughout acute care. The role emphasizes psychosocial assessment, discharge planning, and resource coordination, while collaborating with the interdisciplinary team to prevent readmissions and promote outcomes.

The position does not provide clinical therapy or licensed interventions, but requires a Master’s in Social Work and licensure within 12 months.