Medical Social Worker - Care Coordination - FT Days

Grady Memorial Hospital Corporation; Atlanta (GA); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health & Wellness

Financial Security

Work-Life Balance

Career Growth

Employee Support

Job summary

Grady Health System is seeking a Medical Social Worker to collaborate with the Clinical Care Coordinator (C3) and care teams, applying social work standards to support optimal health, appropriate resource use, and timely discharge planning. The role emphasizes coordinating transitions and ensuring ongoing care aligned with Joint Commission and CMS guidelines.

The position requires an MSW and prefers prior hospital social work or case management experience, with a focus on patient-centered care,

Qualifications

• MSW required and hospital social work/case management experience preferred.
• Experience in a hospital environment is preferred.
• Strong collaboration with care teams and discharge planning is essential.

Responsibilities

• Collaborate with care teams to assess discharge planning needs.
• Develop and coordinate discharge plans ensuring safety and continuity of care.
• Address social determinants of health and document related needs.
• Discuss home situation with patient and family and coordinate homecare when needed.
• Identify barriers to discharge and communicate them to the team.

Skills

Patient-Centered Care

Integrity & Accountability

Collaboration & Teamwork

Communication

Respect & Inclusion

Quality & Safety

Adaptability & Resilience

Continuous Improvement

Leadership & Professionalism

Employee Experience Focus

Education

Master of Social Work

Job description

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

• 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.

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 collaboration. Here, every role matters. Whether you provide direct patient care, support our operations, or lead teams, you play an important part in fulfilling our mission. We offer opportunities to learn, grow, and build a meaningful career in an environment where your contributions are recognized and valued. At Grady, we don’t just work, we make an impact.

Equal Opportunity Employer Statement:

Grady Health System is proud to be an equal opportunity employer.

We are committed to fostering a workforce where all employees feel valued, respected, and empowered to succeed.

We prohibit discrimination and harassment of any kind based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected characteristic.

Grady is dedicated to creating an accessible work environment and provides reasonable accommodations to qualified individuals with disabilities to ensure equitable opportunities for success.

Join our Talent Community

Join our Talent Community At Grady Health System, we are more than just a healthcare provider – we are a lifeline for our community. With a rich history of compassionate care, we’ve been serving Atlanta and beyond for over 125 years. As one of the nation’s leading public health systems, we are committed to delivering exceptional, patient-centered care to all, regardless of ability to pay. Our dedicated team of healthcare professionals brings a passion for making a difference, and together, we provide top-notch services in every specialty, from trauma care to maternal health, to community-based programs that improve lives. We embrace innovation, diversity, and collaboration to meet the unique needs of our patients and create a healthier future for everyone. Join us in our mission to make a lasting impact – because at Grady, your care, your career, and your community matter.