Clinical Social Worker & Discharge Navigator

CommonSpirit Health; Grand Island (NE); Hybrid; USD 60,000 - 82,000; Full time

Job summary

CHI Health St. Francis in Grand Island, NE seeks a Social Worker to help patients and families navigate complex healthcare needs with compassion and expertise.

The role focuses on addressing social, emotional, financial, and discharge planning needs, coordinating transitions, and connecting patients to community resources to support ongoing well-being after hospital care.

Qualifications

• CSW certification in Nebraska or eligibility.
• MSW or BSW degree with intent to pursue MSW.
• BLS certification from the American Heart Association.

Responsibilities

• Assess patients' psychosocial, environmental, financial, and discharge planning needs.
• Collaborate with the care team to coordinate safe discharge plans and referrals.
• Advocate for patients by connecting them with community and financial resources.
• Educate patients and families on services and care options for transitions.
• Document assessments and care coordination in compliance with standards.

Skills

Clinical assessment

Communication

Problem-solving

Advocacy

Discharge planning

Education

Master's degree in Social Work (MSW)

Bachelor's degree in Social Work (BSW)

Tools

Electronic Medical Records (EMR)

Job description

Job Summary and Responsibilities

As our Social Worker, you'll play a vital role in helping patients and families navigate complex healthcare needs with compassion and expertise. By addressing social, emotional, financial, and discharge planning needs, you'll help remove barriers to care and support positive patient outcomes throughout the care journey.

Every day you will collaborate with patients, families, physicians, nurses, and the interdisciplinary care team to develop individualized plans of care and coordinate safe, timely transitions. You'll serve as a trusted advocate, connecting patients with community resources and support services that promote continued health and well-being beyond the hospital.

To be successful in this role, you will bring strong clinical assessment, communication, and problem-solving skills along with a passion for patient advocacy. You'll thrive in a collaborative environment where your ability to build relationships, navigate community resources, and support patients through challenging situations makes a meaningful difference every day.

• Assess patients' psychosocial, environmental, financial, and discharge planning needs to develop individualized plans of care.
• Collaborate with the interdisciplinary care team to coordinate safe, effective discharge plans and facilitate timely referrals to appropriate post-acute and community resources.
• Advocate for patients and families by connecting them with support services and assisting with applications for available community and financial resources.
• Educate patients, families, and healthcare team members on available services, care options, and community resources to support successful transitions of care.
• Document assessments, interventions, and care coordination activities while maintaining compliance with organizational, state, and federal standards.

Job Requirements

• Certified Social Worker (CSW) in Nebraska
• Master's degree in Social Work (MSW) or Bachelor's degree in Social Work (BSW) with the intent on receiving a Master's
• Basic Life Support (BLS) from the American Heart Association

Where You'll Work

CHI Health St. Francis was established in Grand Island, Neb. in 1887. Today, our hospital is a regional referral center, with more than 100 physicians and more than 1,100 team members working together to build a healthier community. Our goal is to provide patients with high-quality medical care close to home, where they can be supported by their family, friends, and community.