Discharge Planner & Care Coordinator (BSW/MSW)

Mary Washington Healthcare; Fredericksburg (VA); On-site; USD 64,000 - 106,000; Full time

Job summary

Mary Washington Healthcare seeks a Case Manager, Discharge (BSW/MSW) to organize and expedite a treatment plan for medically complex social issues related to hospital progression of care. The role identifies discharge needs, develops a discharge plan, and coordinates with care providers while educating patients and families about community resources.

The position collaborates with an interdisciplinary team, addresses discharge delays, and supports decisions around end-of-life care and Medical

Qualifications

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

Responsibilities

• Coordinates care with clinical partners to advance toward outcomes.
• Assesses long term and/or future patient care needs.
• Communicates treatment plan updates with the care team.
• Provides information on community resources to patients and families.
• Develops and communicates discharge plans for medically complex cases.
• Collaborates with leadership to address discharge delays and barriers.
• Intervenes in cases of child/elder abuse/guardianship.
• Supports end-of-life treatment decisions and Medical Power of Attorney.
• Facilitates multidisciplinary care planning meetings.
• Utilizes post-acute facilities for discharge planning.

Skills

Critical thinking

Analytical skills

Multi-tasking

Effective communication

Team collaboration

Education

Bachelor’s degree in Social Work

Master's degree in Social Work

Tools

Windows-based programs

Microsoft Word

Email

Job description

Mary Washington Healthcare seeks a Case Manager, Discharge (BSW/MSW) to organize and expedite a treatment plan for medically complex social issues related to hospital progression of care. The role identifies discharge needs, develops a discharge plan, and coordinates with care providers while educating patients and families about community resources.

The position collaborates with an interdisciplinary team, addresses discharge delays, and supports decisions around end-of-life care and Medical