MSW Care Coordinator: Multidisciplinary Care & Transitions

NorthShore University HealthSystem; Glenview (IL); On-site; USD 4,196,000 - 6,294,000; Full time

Benefits offered by this job

Premium pay

Career growth opportunities

Medical, dental, and vision plans

Tuition reimbursement

Free parking

Wellness program savings

Health Savings Account options

401(k) with company match

Paid time off and holidays

Community involvement opportunities

Job summary

Endeavor Health is seeking a Care Coordinator - MSW to support patients with chronic illness across multiple facilities. This per diem role requires collaboration with a multidisciplinary team, coordination of care, and adherence to evidence-based practices to improve patient outcomes.

The ideal candidate holds an MSW with IL LSW licensure and 1–2 years of acute care experience. Strong communication and teamwork are essential to succeed in this role.

Qualifications

• Master's degree in social work required; Illinois licensure as LSW.
• 1–2 years of social work experience in an acute care setting preferred.
• Illinois licensure as LSW or LCSW; LCSW preferred.

Responsibilities

• Collaborates with Continuum Care Managers, Case Managers, Care Navigators, Physicians, Nursing, PCP & multidisciplinary team to support patient populations with chronic illness.
• Adheres to established care management standards that incorporate evidence based protocols and cost effective, patient focused, targeted interventions.
• Provides coordination between multiple departments, multi-disciplinary team, medical clinics, and community outreach to gain knowledge of patient, assure patient safety, assure smooth transitions of care, and manage utilization and the total cost of care.
• Applies social work methods to skilled assessment, education, collaboration, and coordination of healthcare and community resources to achieve the following: assist patients to gain self-efficacy/management skills, achieve optimal functional health status, and improve quality of life.
• Provides support services to Endeavor patients and all of its value-based contract members including but not limited to care coordination and counseling.
• Provides intervention in child abuse/neglect, domestic violence, guardianship, mental health placement, substance abuse, advance directives, adult/elderly/disabled abuse and neglect, and sexual assault.
• Ensures safe care for patients while adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
• Initiates and facilitates Advance Care Planning and goals of care discussions with patient and family as appropriate and also as programmatically indicated through patient risk stratification program(s).
• Demonstrates the knowledge and skills necessary to assess and care for the assigned age groups(s) of patients.

Skills

Communication skills

Team collaboration

Care coordination

Multidisciplinary teamwork

Education

MSW degree

IL LSW licensure

Job description

Endeavor Health is seeking a Care Coordinator - MSW to support patients with chronic illness across multiple facilities. This per diem role requires collaboration with a multidisciplinary team, coordination of care, and adherence to evidence-based practices to improve patient outcomes.

The ideal candidate holds an MSW with IL LSW licensure and 1–2 years of acute care experience. Strong communication and teamwork are essential to succeed in this role.