Senior Social Worker: Complex Care & Discharge Navigator

CHRISTUS Health; Alamogordo (NM); On-site; USD 52,000 - 66,000; Full time

Job summary

CHRISTUS Health in the United States is seeking a hospital Social Worker MSW to assist patients and families across the continuum of care. You will conduct psychosocial assessments, guide patients and families to resources, and participate in developing an interdisciplinary care plan with stakeholders.

The role includes complex discharge planning, collaboration with care teams, and initiating referrals to post-acute providers to improve health outcomes and quality of life.

Qualifications

• Master's Degree in Social Work from accredited institution.
• Strong interview, assessment, organizational and problem-solving skills.
• Excellent interpersonal communication and negotiation skills.
• Ability to work with people of all social, economic and cultural backgrounds.
• Ability to analyze, develop and manage change.
• Ability to work independently and to develop relationships with physicians, families, patients, interdisciplinary team and community agencies.
• Demonstrates ability to connect patients and families with necessary services.
• Maintain working knowledge of resources and services available in the community including options for those with limited or non-existent funding options.

Responsibilities

• Psychosocial Assessment and Interventions: assess risk factors, support systems, coping, and decision-making.
• Complex Discharge Planning: plan for timely discharge and linkage with post-discharge care providers.
• Preceptor/mentoring: serve as resource to staff.
• Ensure safe care adhering to policies, within budget, managing time and resources.
• Promote professional growth and mandatory education participation.
• Lead change management and organizational improvement initiatives.
• Collaborate with RN Case Managers, physicians, and patients on discharge plans.
• Initiate referrals to post-acute care providers and community services.

Skills

Interviews

Assessment

Communication

Problem solving

Interdisciplinary collab

Education

Master's Degree in Social Work

Job description

CHRISTUS Health in the United States is seeking a hospital Social Worker MSW to assist patients and families across the continuum of care. You will conduct psychosocial assessments, guide patients and families to resources, and participate in developing an interdisciplinary care plan with stakeholders.

The role includes complex discharge planning, collaboration with care teams, and initiating referrals to post-acute providers to improve health outcomes and quality of life.