Discharge & Care Coordination Social Worker II

Cape Fear Valley Health; Fayetteville (NC); On-site; USD 60,000 - 70,000; Full time

Job summary

Cape Fear Valley Health in Fayetteville, NC, seeks a Social Worker II to comprehensively plan services for targeted populations. This role conducts psychosocial assessments, crisis intervention, and discharge planning, coordinating referrals to support patients and families.

The social worker collaborates with the care team to ensure timely, appropriate placement and resource access. The position emphasizes patient experience, collaboration across the continuum of care, and adherence to Joint

Qualifications

• Bachelor’s degree in Social Work required.
• MSW preferred.
• Professional certification in case management or Social Work preferred.
• 3 years’ experience in Social Services, Home Health, Hospice or Acute Care setting required.
• Acute Care Case Management experience preferred.
• Proficiency in English language.

Responsibilities

• Conducts face-to-face interviews with patients and family members to develop therapeutic relationships and obtain psychosocial information for discharge planning.
• Performs psychosocial and discharge planning assessments for patients.
• Documents assessment, plan, progress, interventions, and reassesses as needed.
• Initiates referrals and recommends consults for safe, timely discharge or transfer.
• Assists patient/family in coping with hospitalization, disability, and chronic/terminal illness.
• Uses negotiation and advocacy with patients, families, healthcare team and community.
• Provides information about community resources and post-acute care options.
• Carries out discharge planning for Home Health, Hospice, Home Infusion, DME, rehab, and skilled nursing facilities.
• Collaborates with physicians and team members on appropriate care levels.

Skills

Interpersonal communication

Negotiation skills

Time management

Organizational skills

Microsoft Office

Discharge planning

Case management

Advocacy

Education

Bachelor’s degree in Social Work

MSW preferred

CSW/ CCM/ ACM preferred

Tools

Midas

ProviderLink

ValleyLink

eHIM

SMS

Job description

Cape Fear Valley Health in Fayetteville, NC, seeks a Social Worker II to comprehensively plan services for targeted populations. This role conducts psychosocial assessments, crisis intervention, and discharge planning, coordinating referrals to support patients and families.

The social worker collaborates with the care team to ensure timely, appropriate placement and resource access. The position emphasizes patient experience, collaboration across the continuum of care, and adherence to Joint