Discharge & Care Coordination Social Worker (MSW)

TriHealth; Cincinnati (OH); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Tuition reimbursement

Retirement plans

Paid time off

Job summary

TriHealth's Good Samaritan Hospital in Cincinnati seeks a Social Worker in the Care Management Department to advance compassionate, high-quality patient care. You will assess psychosocial needs, develop and implement discharge plans, and collaborate with a multidisciplinary team to ensure smooth transitions across care levels.

The role emphasizes education, resource linkage, and supporting staff through evidence-based interventions.

Qualifications

• Master's degree in social work or social science is required.
• Up to 1 year clinical healthcare or community social work experience is required.
• Computer literate.
• Grief and bereavement counseling, alcohol and drug intervention, and support for victims of abuse, neglect, and violence.
• Payer rules for reimbursement and community resources for underserved.
• Licensed Social Worker is required.

Responsibilities

• Applies root cause analysis to readmissions and works with the health care team, patient, and family to resolve the issues.
• Communicates with the multidisciplinary team to advise the plan and patient response to the plan; counsels other caregivers on psychosocial intervention techniques.
• Develops and implements plan of care based on assessment, including counseling or crisis intervention, and facilitates linkages to community resources and services.
• Promotes the profession of social work by providing education and teaching rounds; serves as a resource & preceptor for new staff.
• Responds to referrals and assesses psychosocial and complex discharge needs using data from medical records and stakeholders.

Skills

Grief counseling

Drug & alcohol intervention

Community resources

Computer literacy

Education

Master's Degree in Social Science or Social Work

Licensed Social Worker

Job description

TriHealth's Good Samaritan Hospital in Cincinnati seeks a Social Worker in the Care Management Department to advance compassionate, high-quality patient care. You will assess psychosocial needs, develop and implement discharge plans, and collaborate with a multidisciplinary team to ensure smooth transitions across care levels.

The role emphasizes education, resource linkage, and supporting staff through evidence-based interventions.