Hospital Social Worker: Case Management & Discharge

Mercy Health Corporation; Rockford (IL); On-site; USD 33,062 - 60,614; Full time

Benefits offered by this job

Medical, Dental, Vision

Life & Disability Insurance

Paid time off

Parental and caregiver leave

Tuition and certification reimbursemen

Job summary

Mercyhealth is seeking a Case Management Social Worker (CMSW) to coordinate and facilitate patient care across the continuum, advocate for patients, and support discharge planning. The role requires strong collaboration with physicians, families and a multidisciplinary team to optimize outcomes.

The CMSW will assess needs, develop individual care plans, educate families, and navigate legal and resource complexities while ensuring quality and cost-effective care.

Qualifications

• Bachelor's degree from accredited college or university (BSW or equivalent) required.
• One to two years related experience in acute care setting desirable.
• LSW or CSW in state of practice required; higher licensure or Case Management Certification preferred.

Responsibilities

• Provides psychosocial assessment, intervention and facilitates referrals to community resources to hospital patients in a variety of care settings.
• Formulates, develops and implements psychosocial treatment plan utilizing appropriate social work interventions.
• Assesses referred patients for transitional planning needs, including barriers to discharge and resources.
• Develops individualized, patient-focused plan for meeting continuing care needs.
• Provides education and resource options to patients and families; handles certain legal issues within scope of practice.
• Reviews advance directives and helps patients complete new documents.
• Communicates with physicians, patients, families and multidisciplinary team to ensure patient self-determination.
• Provides education and support regarding diagnosis, illness, treatment and life situation.
• Maintains knowledge of community resources to address patient needs and strengthen support networks.
• Documents plan of care and progress in medical record.
• Facilitates crisis intervention services in hospital settings.
• Identifies and reports child/elder abuse to local authorities as required by law.
• Acts as liaison with county officials for protective services, aging, disabilities, etc.
• Maintains knowledge of payer and reimbursement regulations affecting care plan.
• Negotiates care issues and resources availability.
• Promotes customer satisfaction and intervenes at critical moments of service.
• Monitors inpatient readmissions for discharge planning issues.
• Provides follow-up with patients as needed.
• Assists with identifying avoidable day information for organizational tracking.

Skills

Phone Skills

Independent work

Education

Bachelor's degree (BSW or equivalent)

Tools

Allscripts Care Management

Epic EMR

Microsoft Outlook

Excel

Word

Job description

Mercyhealth is seeking a Case Management Social Worker (CMSW) to coordinate and facilitate patient care across the continuum, advocate for patients, and support discharge planning. The role requires strong collaboration with physicians, families and a multidisciplinary team to optimize outcomes.

The CMSW will assess needs, develop individual care plans, educate families, and navigate legal and resource complexities while ensuring quality and cost-effective care.