MSW Social Services Case Manager — Care Coordination

Memorial Healthcare System; Town of Florida (NY); On-site; USD 65,000 - 90,000; Full time

Job summary

Memorial Healthcare System is seeking a qualified social worker to collaborate with physicians, nurses, and the care team to plan and manage patient care from admission to discharge. You will monitor progress, address patient and family needs, and coordinate post-acute arrangements with agencies and services.

The role emphasizes discharge planning, collaboration, and crisis intervention when needed. Florida licensure is preferred, with strong emphasis on patient-centered care.

Qualifications

• Master’s degree in Social Work is required.
• Licensed Clinical Social Worker license in Florida is preferred.
• JDCH-specific: LCSW license required for Dialysis, Transplant, CF, and emergency mental status exams.

Responsibilities

• Collaborate with physicians, nurses, and multidisciplinary team to develop a plan of care from admission through discharge.
• Ensure patient progress through assessments and evaluations to desired outcomes.
• Assess and respond to patient/family needs by coordinating efforts of care team.
• Identify and resolve barriers hindering effective patient care.
• Collaborate with governmental agencies to ensure safe post-acute care.
• Participate in discharge planning including transfers and community resource coordination.
• Work with patients/families to navigate the healthcare system and insurance plans.
• Organize and facilitate care conferences with patients, families, and care team.
• Assess and initiate crisis interventions when necessary.

Skills

Team Work

Discharge Planning

Analysis & Decision Making

Patient & Family Centered Care

Accountability

Collaboration

Education

Master’s: Social Work

Licensed Clinical Social Worker (preferred)

Job description

Memorial Healthcare System is seeking a qualified social worker to collaborate with physicians, nurses, and the care team to plan and manage patient care from admission to discharge. You will monitor progress, address patient and family needs, and coordinate post-acute arrangements with agencies and services.

The role emphasizes discharge planning, collaboration, and crisis intervention when needed. Florida licensure is preferred, with strong emphasis on patient-centered care.