Discharge & Care Planning Social Worker (Inpatient)

St. Luke’s University Health Network; Allentown (Lehigh County); On-site; USD 65,000 - 95,000; Full time

Job summary

St. Luke's University Health Network is seeking a Social Worker or Registered Nurse Care Manager to coordinate complex discharge planning and provide psycho-social assessment and counseling.

You will collaborate with physicians, nurses, social workers and care teams to achieve patient, quality and financial outcomes across the continuum of care. Responsibilities include developing discharge plans, communicating with families, managing length of stay, and identifying post-discharge services such

Qualifications

• Ability to develop discharge plans addressing psycho-social needs.
• Strong communication with patients, families and multidisciplinary teams.
• Knowledge of medical terminology and care coordination processes.
• Ability to use electronic health records and document care management functions.
• Experience in hospital discharge planning or case management is preferred.

Responsibilities

• Develops a discharge plan addressing psycho-social needs and goals.
• Collaborates with patient, family, and multidisciplinary team to tailor discharge plans.
• Works with care management staff to integrate RN and social work input.
• Facilitates communication among treatment team and care managers.
• Monitors length of stay and mitigates barriers to a timely discharge.
• Updates patient and family and coordinates post-discharge follow-up and resources.
• Considers palliative care, home care, and other community services as needed.
• Documents care management activities and regulatory notices in electronic systems.

Skills

Critical thinking

Communication skills

Computer literacy

Medical terminology

Team collaboration

Education

MSW or equivalent

PA RN license

BSN preferred

Job description

St. Luke's University Health Network is seeking a Social Worker or Registered Nurse Care Manager to coordinate complex discharge planning and provide psycho-social assessment and counseling.

You will collaborate with physicians, nurses, social workers and care teams to achieve patient, quality and financial outcomes across the continuum of care. Responsibilities include developing discharge plans, communicating with families, managing length of stay, and identifying post-discharge services such