Medical Social Worker - Care Coordination - FT Days

gmh; Atlanta (GA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health & Wellness benefits

Retirement savings plan

Paid time off

Tuition reimbursement

Job summary

Grady Health System seeks a Medical Social Worker to collaborate with care teams, assess patients, plan discharges, and address social determinants of health to promote safe, timely transitions.

The role emphasizes patient-centered care, teamwork, and adherence to standards of care with opportunities for professional development in a large urban health system.

Qualifications

• Masters of Social Work required.
• Experience in social work/case management preferred.
• Hospital environment experience preferred.

Responsibilities

• Intervention/Planning
• Coordination/Implementation
• Cross-train across social services
• Assess discharge needs and plan
• Address social determinants of health
• Discuss home situation and coordinate homecare
• Additional duties as assigned

Skills

Patient-centered care

Communication

Collaboration

Integrity & accountability

Teamwork

Adaptability

Quality & safety

Continuous improvement

Leadership

Employee experience focus

Education

Masters of Social Work

Job description

Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you.

Job Summary

The Medical Social Worker collaborates with the Clinical Care Coordinator (C3) and other members of the care management and health care teams, utilizes professional Social Work skills in accordance with social work practice standards to: assist the patient in achieving optimal health; assure appropriate use of health care resources; facilitate/coordinate timely care along the continuum; decrease unnecessary variances in care through proactive care management; develop a safe and timely discharge plan in accordance with the Joint Commission and CMS Guidelines, each patient will be ensured a planned program of continuing care which meets his/her discharge needs and to ensure a smooth hospital stay with a seamless transition to the next level of care following discharge from GHS.

Responsibilities:

• Intervention/Planning
• Coordination/Implementation
• Regularly cross-trains health system wide to sustain proficiency across multiple Social Services functional areas.
• Assess each patient, identify discharge planning needs and initiate a discharge assessment. Additionally, address and document management of social determinants of health.
• Identify psychosocial needs of patients and families including social determinants of health. When possible, adhere to cultural, religious practices and make adjustments for any special impairment.
• Discuss the home situation with patient/family/caregiver as needed. Coordinate homecare as needed. Discuss with the team to coordinate the best plan and identify any barriers to discharge.
• Additional Duties as Assigned

Qualifications:

• Masters of Social Work required
• Previous experience providing social work/case management services preferred
• Experience in a hospital environment preferred

Core Competencies

1. Patient-Centered Care - Demonstrates a commitment to delivering safe, compassionate, and high-quality care that prioritizes the well-being and satisfaction of patients and their families.
2. Integrity & Accountability - Acts ethically, maintains confidentiality, and accepts responsibility for actions, decisions, and outcomes.
3. Collaboration & Teamwork - Builds positive relationships, works effectively across departments, and supports colleagues to achieve shared goals.
4. Communication - Communicates clearly, respectfully, and effectively with patients, families, colleagues, and leadership.
5. Respect & Inclusion - Creates an inclusive environment by valuing diversity, treating others with dignity, and ensuring equitable care and opportunities for all.
6. Quality & Safety - Adheres to best practices, regulatory standards, and policies to ensure safe, reliable, and high-quality outcomes.
7. Adaptability & Resilience - Responds effectively to change, remains flexible in dynamic situations, and demonstrates resilience under pressure.
8. Continuous Improvement - Seeks opportunities to improve processes, skills, and outcomes through innovation, learning, and feedback.
9. Leadership & Professionalism - Inspires, guides, and develops individuals and teams while modeling professionalism, fairness, and transparency.
10. Employee Experience Focus - Champions a supportive and engaging employee journey that enables staff to thrive and, in turn, deliver exceptional patient care.

Grady Total Rewards

At Grady, we believe in supporting the health, well-being, and growth of every team member. Our Total Rewards package is designed to provide competitive pay and comprehensive benefits that make a difference in your life and career, including:

• Health & Wellness: Medical, dental, vision, and prescription drug coverage.
• Financial Security: Retirement savings plans with employer contributions, life insurance, and disability coverage.
• Work-Life Balance: Paid time off, holidays, and family leave benefits.
• Career Growth: Tuition reimbursement, professional development programs, and opportunities for advancement.
• Employee Support: Employee Assistance Program (EAP), wellness initiatives, and discounts on services.

Grady's Total Rewards are designed to ensure our employees feel valued, supported, and empowered, both at work and beyond.

Why Join Grady?

Grady Health System is more than a hospital - we are a vital part of Atlanta and the surrounding communities. For over 125 years, Grady has been committed to providing exceptional care, advancing health equity, and making a difference in the lives of those we serve. When you join Grady, you become part of a team that values excellence, compassion, innovation, and collaborati