Discharge & Care Coordination Social Worker (Flexible Hours)

WVU Medicine; Ranson, Northern (WV, KY); Hybrid; USD 42,000 - 60,000; Full time

Job summary

West Virginia University Health System (WVUHS) seeks a social worker to provide counseling and discharge planning support for patients and families. You will assess needs, coordinate with the care management team, and document plans in the EMR.

The role requires a Bachelor's in Social Work and current licensure, plus strong communication and teamwork. Flexibility with hours may be needed; the team collaborates across hospitals, clinics, and community resources to optimize patient care.

Qualifications

• Bachelor's degree in social work required.
• Current license as WV LSW or state equivalent where services will be provided.
• Two years of social work experience preferred.

Responsibilities

• Complete comprehensive assessments to develop safe discharge plans with psychosocial and financial considerations.
• Assess changes to physician plans and impact on discharge.
• Review discharge plans and document changes in the EMR.
• Identify post-discharge needs and initiate referrals to optimize resource use and timely transfers.
• Collaborate with hospital and community resources to meet patient needs (income assistance, transportation, meals, etc.).
• Assist in obtaining advance directives and MPOA; guide Living Will completion.

Skills

Verbal and written communication

Team collaboration

Computer literacy

Education

Bachelor’s Degree in Social Work

Job description

West Virginia University Health System (WVUHS) seeks a social worker to provide counseling and discharge planning support for patients and families. You will assess needs, coordinate with the care management team, and document plans in the EMR.

The role requires a Bachelor's in Social Work and current licensure, plus strong communication and teamwork. Flexibility with hours may be needed; the team collaborates across hospitals, clinics, and community resources to optimize patient care.