Hospital Social Worker - Discharge & Care Transitions

Palestine Regional Medical Center; Palestine (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

Palestine Regional Medical Center in Palestine, TX is seeking a Social Worker to coordinate psychosocial care and discharge planning across the care continuum. You will collaborate with the Interdisciplinary Care Transitions team to identify psychosocial needs and advocate for patients and families.

Responsibilities include conducting biopsychosocial assessments, educating patients and families, and arranging post-hospital services while ensuring culturally sensitive, patient-centered care.

Qualifications

• Must read, write and speak fluent English.
• Knowledge of Medicare benefits and insurance processes.

Responsibilities

• Coordinate psychosocial activities with the ICT and Physicians for discharge planning.
• Conduct biopsychosocial assessments for timely discharge planning.
• Advocate for patients and families and provide education on post-hospital needs.
• Collaborate with clinical staff to develop and execute care plans and goals.
• Coordinate referrals to community resources and arrange post-hospital care.

Skills

Discharge planning

Interdisciplinary collaboration

Critical thinking

English fluency

Communication

Education

MSW preferred

Accredited program graduate

Job description

Palestine Regional Medical Center in Palestine, TX is seeking a Social Worker to coordinate psychosocial care and discharge planning across the care continuum. You will collaborate with the Interdisciplinary Care Transitions team to identify psychosocial needs and advocate for patients and families.

Responsibilities include conducting biopsychosocial assessments, educating patients and families, and arranging post-hospital services while ensuring culturally sensitive, patient-centered care.