Case Manager, Discharge (BSW or MSW)

Mary Washington Healthcare; Fredericksburg (TX); On-site; USD 47,000 - 70,000; Full time

Job summary

MaryWashingtonHealthcare is seeking a Case Manager, Discharge (MSW) to organize and expedite discharge plans for medically complex cases. You will coordinate with clinical partners, provide resources, and guide care teams through challenging social issues, including guardianship and end-of-life decisions.

The role requires an MSW, healthcare experience preferred, and strong communication skills. You will mentor junior staff and help ensure smooth hospital progression and discharge outcomes.

Qualifications

• Master's degree in Social Work required.
• A minimum of one year experience in social work required or two-semester internship completed within MWHC Care Coordination department.
• Experience with Windows-based programs, e-mail, and Microsoft Word is required.
• Experience in a healthcare field is preferred.
• Case Management Certification strongly desired.

Responsibilities

• Coordinates care of patients with clinical partners; helps patients advance towards realistic and desirable outcomes.
• Serves as a subject matter expert and resource for care team members.
• Mentors new social work Associates in Care Coordination and social work student interns.
• Assesses long-term and future patient care needs by identifying changes in independence or functional quality.
• Communicates activity status updates regarding treatment plans with clinical partners.
• Provides information and education on community resources to patients and families.
• Develops, coordinates, and communicates discharge plans with patient, family, and care team; documents in medical record.
• Assists with audits and assessments of discharge planning documentation and complex care coordination situations.

Skills

Critical thinking

Communication

Multi-tasking

Collaboration

Education

Master's degree in Social Work

Two-semester internship completed within MWHC Care Coordination department

Tools

Windows

Microsoft Word

Email

Job description

Start the day excited to make a difference...end the day knowing you did. Come join our team.

Job Summary

The Case Manager, Discharge (MSW) will organize and expedite a treatment plan of care for medically complex and difficult social issues related to hospital progression of care. The incumbent will identify discharge needs and develop a discharge plan, promote communication and collaborative coordination amongst care providers, and provide information and education on community resources. Additionally, the position will coordinate care of patients with clinical partners, provide intervention in cases of child/elder abuse/neglect and guardianship issues, and serve as a resource for treatment decisions surrounding end of life and Medical Power of Attorney.

The Social Worker (MSW) has advanced training and has completed additional fieldwork that promotes a higher level in handling difficult conversations, client needs assessments, public assistance resources, crisis intervention, trauma-informed care, and is eligible for LMSW examination.

Essential Functions and Responsibilities

• Coordinates care of patients with clinical partners; helps patients advance towards realistic and desirable outcomes.
• Serves as a subject matter expert and functions as a resource person for care team members.
• Serves as a primary mentor for new social work Associates in the Care Coordination department and social work student interns.
• Assesses long term and/or future patient care needs by identifying probable changes in level of independence or functional quality.
• Communicates activity status updates regarding treatment plan with clinical partners.
• Provides information and education on community resources to patient and their families.
• Develops, coordinates, and communicates discharge plans with the patient, family members and care team for medically complex and difficult social issues related to hospital progression. Documents assessment and overall discharge plan in medical record.
• Assists with audits and assessments of discharge planning documentation, as well as aides with complex care coordination situations that may arise.
• Partners with leadership to address concerns related to delays in discharge, barriers to discharge and trends noted.
• Serves as point of contact and resource for immediate post-discharge patient needs.
• Provides intervention in cases of child/elder abuse/neglect and guardianship cases.
• Serves as a resource person related to treatment decisions surrounding end of life and Medical Power of Attorney.
• Facilitates meetings and comprehensive care planning with interdisciplinary team. Delegates work to support team members.
• Utilizes post-acute care facilities for safe and effective discharge planning.
• Collaborates with contracted partners associated with financial needs to facilitate post-acute facility placement.
• Conducts psychosocial assessment as needed for development of appropriate discharge plan for medically complex and difficult social issues.
• Participates in planning and implementing quality improvement activities.
• Performs other duties as assigned.

Qualifications

• Master's degree in Social Work required.
• A minimum of one year experience in social work required or two-semester internship completed within MWHC Care Coordination department
• Experience with computer technology, specifically experience with Windows based programs, e-mail, and Microsoft Word required.
• Experience in a healthcare field preferred.
• Case Management Certification strongly desired.

MWHC will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status (EOE). We are also committed to equitable and transparent compensation practices and comply with all applicable pay transparency and pay equity laws.

Required

Physical Requirements

Constant (67-100% of workday) use of arms and hands; frequent (34-66% of workday) standing, walking, and sitting; occasional (0-33% of workday) bending, stooping, and squatting; ability to lift 35 lbs.; ability to push and pull up to 20 lbs.; auditory and visual skills to include color determination.

MentalRequirements

Possesses critical thinking and analytical skills. Ability to multi-task. Ability to communicate effectively and collaborate with a multi-disciplinary team. Capacityto cope with difficult situations. Abilityto tolerate irregular hours including evenings, nights, and weekends.

Environmental Requirements and Exposure Hazards

Potential risk of exposure to radiation and toxic chemicals. Potentialforexposureto bloodborne pathogens;mustbeabletowearappropriatepersonalprotectiveequipment.

"ItisthepolicyofMaryWashingtonHealthcaretoprovidereasonableaccommodationstoqualifiedindividualswithadisabilitywhoareapplicantsforemploymentorAssociates."

Compensation Pay Range

$34.07 - $51.10