Hospital LMSW: Discharge Planning & Care Coordination

Physicians Regional Healthcare System; Naples (FL); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Comprehensive health coverage

401(k) with employer match

Tuition reimbursement

Competitive pay and full benefits

Job summary

Physicians Regional Healthcare System in Naples, FL seeks a licensed social worker with LMSW to support psychosocial care, discharge planning, and care coordination for complex hospital patients. The Social Worker collaborates with an interdisciplinary team to ensure safe transitions from hospital to community settings.

The role emphasizes assessing needs, counseling patients and families, and coordinating services such as home health, hospice, rehabilitation, and long-term care placement.

Qualifications

• Master's degree in Social Work (MSW) or Psychology required.
• 2–4 years of healthcare or clinical social work experience preferred.

Responsibilities

• Conduct psychosocial assessments for patients across the lifespan.
• Provide emotional support, crisis intervention, and counseling to patients and families.
• Develop individualized treatment and discharge plans with the interdisciplinary team.
• Coordinate transitions of care to home health, hospice, rehabilitation, and long-term care placement.
• Document timely, accurate records in accordance with regulatory requirements.
• Participate in interdisciplinary rounds and collaborate with physicians, nurses, case managers, and other healthcare professionals.

Skills

Social work knowledge

Communication skills

Discharge planning

Team collaboration

Empathy

Education

MSW or Psychology

Tools

EMR systems

Job description

Physicians Regional Healthcare System in Naples, FL seeks a licensed social worker with LMSW to support psychosocial care, discharge planning, and care coordination for complex hospital patients. The Social Worker collaborates with an interdisciplinary team to ensure safe transitions from hospital to community settings.

The role emphasizes assessing needs, counseling patients and families, and coordinating services such as home health, hospice, rehabilitation, and long-term care placement.