MSW Social Worker - Transition of Care (Hybrid, Reno)

Universal Health Services; Reno (NV); Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

Loan Forgiveness Program

Generous Paid Time Off

Excellent Medical, Dental, Vision

Job summary

Prominence Health is seeking a Social Worker to collaborate with the care team and facilitate safe transitions from hospital to home. You will engage with high-risk members, educate caregivers, and coordinate resources to prevent readmissions.

The role emphasizes TOC program workflows, regulatory compliance, and ongoing support for members through discharge and follow-up care. Hybrid in Reno, NV.

Qualifications

• Master’s Degree in Social Work is required.
• At least 1 year of experience in medical social work, hospital, hospice, or case management.
• Active Licensed Clinical Social Worker in NV, TX, or FL; ability to obtain licensure in other states.
• Preferred: CCM, C-SWCM, CMCP.
• Bilingual abilities (English; Spanish/Talaglog depending on market).
• Experience with Medicare/Medicaid populations; knowledge of related processes and compliance.

Responsibilities

• Collaborate with interdisciplinary care teams to support patient transitions home.
• Identify high-risk members and coordinate post-discharge care and resources.
• Educate members and families about discharge needs and community resources.
• Promote care coordination and adherence to TOC program workflows.

Skills

Communication skills

Project management

Analytical thinking

Research skills

Education

Master’s Degree in Social Work

Tools

Smartsheet

SharePoint

Microsoft Office

Database software

Job description

Prominence Health is seeking a Social Worker to collaborate with the care team and facilitate safe transitions from hospital to home. You will engage with high-risk members, educate caregivers, and coordinate resources to prevent readmissions.

The role emphasizes TOC program workflows, regulatory compliance, and ongoing support for members through discharge and follow-up care. Hybrid in Reno, NV.