Inpatient Medical Social Worker: Discharge & Care Coordination

Advocate Aurora Health; Highland (CA); On-site; USD 42,000 - 63,000; Full time

Benefits offered by this job

Paid Time Off

Health benefits

Retirement plan

Education assistance

Job summary

Advocate Health's Case Management team is seeking a dedicated social worker to coordinate patient care from admission to discharge. You will assess psychosocial needs, develop care plans, and collaborate with families, nursing staff, and external resources to ensure safe, timely transitions.

The role emphasizes discharge planning, coordination with post-acute providers, and accurate documentation in a fast-paced hospital setting. Weekend and holiday rotation is required.

Qualifications

• Demonstrated knowledge of social work principles and methods in healthcare.
• Strong time management, professional accountability, and documentation skills.
• Clear communication and collaboration within a multi-disciplinary team.

Responsibilities

• Conducts complete assessments and develops care plans with timely interventions.
• Provides psychosocial assessment, discharge planning and family support.
• Coordinates post-acute placement and community resources to reduce readmissions.
• Documents activity per department standards and communicates with payers as needed.

Skills

Social work

Assessment

Care coordination

Team collaboration

Documentation

CMS regulations

Education

MSW / Master of Social Work

CSWE accredited program

Job description

Advocate Health's Case Management team is seeking a dedicated social worker to coordinate patient care from admission to discharge. You will assess psychosocial needs, develop care plans, and collaborate with families, nursing staff, and external resources to ensure safe, timely transitions.

The role emphasizes discharge planning, coordination with post-acute providers, and accurate documentation in a fast-paced hospital setting. Weekend and holiday rotation is required.