MSW Care Manager – Discharge & Transitions (PRN Weekends)

Longview Regional Medical Center; Longview (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

Longview Regional Medical Center in Longview, TX seeks a Licensed Social Worker-Care Manager to coordinate discharge planning and transitions of care in an acute care setting. PRN weekends, with preference for recent acute care experience to minimize orientation time.

The role collaborates with interdisciplinary teams, reviews records for post-acute support, maintains compliance with federal, state and Joint Commission standards, and supports patients, families, and physicians through discharge

Qualifications

• Bachelor's Degree in Social Work is required
• Master's Degree in Social Work preferred
• 2-4 years of experience in an acute care hospital setting required

Responsibilities

• Collaborates with interdisciplinary teams to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.
• Develops and supports discharge plans in coordination with the Care Manager, coordinating post-hospital placement and social services to meet patient needs.
• Refs cases to physicians or managers or RNs when patients do not meet established criteria, ensuring timely and appropriate interventions.
• Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.
• Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.
• Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.
• Identifies and appropriately refers cases to Child/Adult Protective Services, ensuring compliance with legal and ethical standards

Skills

Case management

Discharge planning

Communication skills

EMR proficiency

Education

Bachelor's Degree in Social Work

Master's Degree in Social Work

Job description

Longview Regional Medical Center in Longview, TX seeks a Licensed Social Worker-Care Manager to coordinate discharge planning and transitions of care in an acute care setting. PRN weekends, with preference for recent acute care experience to minimize orientation time.

The role collaborates with interdisciplinary teams, reviews records for post-acute support, maintains compliance with federal, state and Joint Commission standards, and supports patients, families, and physicians through discharge