Social Worker: Care Transitions & Resource Support

trinityhealth; Waterloo (IA); On-site; CAD 73,000 - 100,000; Full time

Job summary

MercyOne Waterloo Medical Center is seeking a dedicated Social Worker to provide psychosocial assessments, counseling, crisis intervention, and resource coordination across the care continuum. The role addresses social determinants of health, discharge barriers, and complex transitions of care, requiring a Bachelor’s degree in Social Work and Iowa licensure eligibility to practice at BSW level.

You will collaborate with care managers and interdisciplinary teams to develop safe, patient-centered

Qualifications

• Bachelor's degree in Social Work (BSW) from an accredited program.
• Current Iowa licensure as required for BSW-level practice or eligibility to obtain within defined timeframe.

Responsibilities

• Conduct comprehensive psychosocial assessments addressing emotional, social, financial, and environmental needs.
• Provide counseling, crisis intervention, grief support, and assistance with coping strategies for patients and families.
• Identify and address barriers to discharge related to behavioral health, housing, safety, substance use, domestic violence, guardianship, or protective services.
• Coordinate community resources, including mental health services, substance use programs, transportation, shelters, and financial assistance.
• Collaborate with Care Managers, providers, and interdisciplinary teams to develop safe transition plans for high‑risk or vulnerable patients.

Skills

Interpersonal skills

Communication skills

Team collaboration

Crisis intervention

Education

BSW degree

Iowa license eligibility

Job description

MercyOne Waterloo Medical Center is seeking a dedicated Social Worker to provide psychosocial assessments, counseling, crisis intervention, and resource coordination across the care continuum. The role addresses social determinants of health, discharge barriers, and complex transitions of care, requiring a Bachelor’s degree in Social Work and Iowa licensure eligibility to practice at BSW level.

You will collaborate with care managers and interdisciplinary teams to develop safe, patient-centered