LCSW: Discharge Planning & Community Resource Navigator

CommonSpirit Health; West Jordan (UT); On-site; USD 65,000 - 90,000; Full time

Job summary

CommonSpirit Health's Holy Cross Hospital – Jordan Valley in West Jordan, UT is seeking a Licensed Clinical Social Worker to coordinate post-discharge plans and advocate for patients.

You will manage discharge processes, connect patients with community resources, and collaborate with case managers and the care team to ensure safe transitions and comprehensive support.

A CSW with ECIN experience and strong organizational and communication skills will thrive in this setting.

Qualifications

• Master's degree in social work required.
• Licensed Clinical Social Worker required.
• Knowledge of community resources used for discharge planning and hospital operations; strong communication/presentation skills.
• Knowledge of third-party payment systems, Medicare/Medicaid programs.
• Maintains current knowledge base of community services through continuing education.

Responsibilities

• Assesses patient's physical, psychosocial, cultural, and spiritual needs through observation, interview, review of records, and interfacing with interdisciplinary team and caregivers to ensure appropriate referrals.
• Facilitates discharge planning with patient, families, and treatment team, making referrals/arrangements and documenting actions.
• Assesses patient/family emotional, social, and financial needs and assists in setting up community resources to meet these needs.
• Assesses/reassesses patient's clinical and psychosocial status, premorbid status, community services utilized, and diagnosis and treatment plan per Case Management referral.
• Collaborates with interdisciplinary team to develop and implement a holistic, individualized plan of care.
• Provides support to patients and families who are having difficulty coping with changing medical conditions.

Skills

Discharge planning

Community resource navigation

Interdisciplinary collaboration

Communication skills

Organizational skills

Medicare/Medicaid knowledge

Education

Master's Degree in Social Work

Tools

ECIN system

Job description

CommonSpirit Health's Holy Cross Hospital – Jordan Valley in West Jordan, UT is seeking a Licensed Clinical Social Worker to coordinate post-discharge plans and advocate for patients.

You will manage discharge processes, connect patients with community resources, and collaborate with case managers and the care team to ensure safe transitions and comprehensive support.

A CSW with ECIN experience and strong organizational and communication skills will thrive in this setting.