Discharge Care Coordinator (MSW)

Mary Washington Healthcare Incorporated; Fredericksburg (VA); Vor Ort; USD 43.000 - 70.000; Vollzeit

Zusammenfassung

Mary Washington Healthcare in Fredericksburg, VA is seeking a Case Manager, Discharge (MSW) to organize and expedite discharge plans for medically complex social issues, coordinate with care teams, and educate families about community resources.

The role requires LMSW eligibility, advanced communication and crisis intervention skills, and a focus on end-of-life decisions and medical power of attorney. This position supports the Care Coordination department and works with interdisciplinary teams.

Qualifikationen

• Bachelor’s degree in Social Work required.
• A minimum of one year experience in social work required.
• Experience with Windows-based programs, e-mail, and Microsoft Word required.
• Case Management Certification strongly desired.
• Experience in a healthcare field preferred.

Aufgaben

• 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 and student interns in Care Coordination.
• Assesses long-term and future patient care needs by identifying changes in independence or functional quality.
• Communicates treatment plan updates with clinical partners.
• Provides information and education on community resources to patients and families.
• Develops and communicates discharge plans with patient, family, and care team; documents in medical records.
• Assists with audits of discharge planning documentation and complex care coordination cases.
• Partners with leadership to address delays and barriers to discharge.
• Acts as a contact for immediate post-discharge patient needs.

Kenntnisse

Critical thinking

Analytical skills

Multi-tasking

Effective communication

Collaboration

Ausbildung

Bachelor’s degree in Social Work

Master's degree in Social Work

Tools

Windows-based programs

Microsoft Word

Email

Jobbeschreibung

Mary Washington Healthcare in Fredericksburg, VA is seeking a Case Manager, Discharge (MSW) to organize and expedite discharge plans for medically complex social issues, coordinate with care teams, and educate families about community resources.

The role requires LMSW eligibility, advanced communication and crisis intervention skills, and a focus on end-of-life decisions and medical power of attorney. This position supports the Care Coordination department and works with interdisciplinary teams.