Licensed Medical Social Worker- Care Manager

Physicians Regional Medical Center - Pine Ridge; Naples (FL); On-site; USD 60,000 - 80,000; Full time

Job summary

Physicians Regional Medical Center - Pine Ridge is seeking a Social Worker (LMSW) to provide psychosocial assessment, counseling, and discharge planning as part of a comprehensive care team. You will address emotional, social, and financial needs, coordinating with care managers, RNs, physicians, and community resources to support safe transitions from hospital to home.

The role emphasizes managing complex cases, coordinating transitions to home health, hospice, rehabilitation, and long-term

Qualifications

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

Responsibilities

• Conducts age-appropriate psychosocial assessments for patients across the lifespan.
• Identifies social, emotional, and financial needs and facilitates referrals to internal and external support services.
• Develops, documents, and follows through on individualized treatment and discharge plans with the interdisciplinary team.
• Coordinates services such as home health, hospice, rehabilitation, and long-term care placement.
• Maintains timely, accurate documentation in accordance with regulatory standards.

Skills

Psychosocial assessment

Communication

Care coordination

Documentation

Empathy

Education

MSW or Psychology degree

Tools

EMR systems

Job description

Why You’ll Love Working Here:

• Comprehensive Health Coverage – Medical, dental, and vision plans to keep you and your family healthy.
• Future Security – 401(k) with employer matching to help you build long-term financial stability.
• Educational Assistance – Tuition Reimbursement- because we invest in your future.
• Competitive Pay & Full Benefits – A salary and package designed to reward your expertise and dedication.
• Looking for an LMSW with previous hospital experience
• Challenging position- Working with complex cases and long length of stay patients
• Caseload- Focuses on supporting the needs of complex hospital patients in support of discharge throughput to optimize medical management, with support from other members of the interdisciplinary team
• Level of interdisciplinary support - This role works in support of the interdisciplinary team including care managers, RNs and physicians
• Mission-driven impact- champion the discharge planning needs of our patients, while advocating for our patient population as they navigate the transition from the hospital to the community, while ensuring a safe discharge plan.

Job Summary

The Social Worker – LMSW provides professional social work services to patients and families to address psychosocial needs, support care transitions, and connect individuals to community resources. This role performs comprehensive assessments, provides emotional support and counseling, and collaborates with the interdisciplinary care team to develop and implement effective treatment and discharge plans. The Social Worker – LMSW plays a key role in improving patient outcomes, reducing readmissions, and supporting vulnerable populations across the care continuum.

Essential Functions

• Conducts age-appropriate psychosocial assessments for patients across the lifespan, including neonatal, pediatric, adolescent, adult, and geriatric populations.
• Assesses the interrelationship between psychosocial factors and medical conditions to identify barriers to recovery and discharge.
• Provides emotional support, crisis intervention, and counseling to patients and families coping with illness, injury, grief, disability, or hospitalization.
• Identifies social, emotional, and financial needs and facilitates referrals to internal and external support services.
• Develops, documents, and follows through on individualized treatment and discharge plans in coordination with the interdisciplinary team.
• Manages complex, high-risk referrals involving suspected abuse, adoption, fetal demise, end-of-life care, behavioral health, and psychosocial crises.
• Supports the transition of care by coordinating services such as home health, hospice, rehabilitation, and long-term care placement.
• Facilitates or participates in support groups and patient/family education sessions when appropriate.
• Maintains timely, accurate documentation in accordance with regulatory and organizational standards.
• Participates in interdisciplinary rounds and collaborates with physicians, nurses, case managers, and other healthcare professionals to ensure safe and effective care planning.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• Master's Degree in Social Work (MSW) or Psychology required
• 2-4 years of experience in a healthcare or clinical social work setting preferred

Knowledge, Skills and Abilities

• Knowledge of psychosocial assessment techniques, clinical social work principles, and healthcare discharge planning.
• Strong understanding of community resources, social service systems, and care coordination best practices.
• Excellent communication, counseling, and conflict resolution skills.
• Ability to manage emotionally complex situations with professionalism and empathy.
• Strong organizational and documentation skills with attention to regulatory requirements.
• Ability to collaborate with diverse teams and work in a fast-paced healthcare environment.
• Familiarity with electronic medical records and case documentation systems.

Licenses and Certifications

• LMSW - Licensed Medical Social Worker - State Licensure required
• BCLS - Basic Life Support obtained within 7 days of employment required

INDBH