Discharge Case Manager (BSW) — Care Coordination

Mary Washington Healthcare Incorporated; Fredericksburg (VA); On-site; USD 42,000 - 69,000; Full time

Job summary

Mary Washington Healthcare Incorporated is seeking a Case Manager, Discharge (BSW) to organize and expedite a plan of care for medically complex cases. You will identify discharge needs, coordinate with clinical partners, and educate on community resources to support safe transitions.

You will also address end-of-life decisions, guardianship issues, and advocate for timely, coordinated discharge with a multidisciplinary team.

Qualifications

• Bachelor’s degree in Social Work required.
• Minimum one year of social work experience.
• Experience with Windows-based programs, e-mail, and Microsoft Word required.

Responsibilities

• Coordinates care of patients with clinical partners; helps patients advance towards realistic and desirable outcomes.
• Develops, coordinates, and communicates discharge plans with the patient, family members and care team.
• Assesses long term and/or future patient care needs by identifying probable changes in level of independence.
• Provides information and education on community resources to patient and their families.
• Facilitates meetings and comprehensive care planning with interdisciplinary team.

Skills

Critical thinking

Analytical skills

Multitasking

Communication

Collaboration

Education

Bachelor’s degree in Social Work

Tools

Windows

Microsoft Word

Email

Job description

Mary Washington Healthcare Incorporated is seeking a Case Manager, Discharge (BSW) to organize and expedite a plan of care for medically complex cases. You will identify discharge needs, coordinate with clinical partners, and educate on community resources to support safe transitions.

You will also address end-of-life decisions, guardianship issues, and advocate for timely, coordinated discharge with a multidisciplinary team.