Social Worker Case Management Coordinator

Trinity Health; Des Moines (IA); On-site; USD 70,000 - 100,000; Full time

Job summary

MercyOne Des Moines Medical Center is seeking a Social Work Coordinator to provide ownership and coordination of acutely hospitalized patients with highly complex needs. This role sits within the Acute Care Management team, driving advanced care coordination and accountability for complex inpatient populations.

You will partner with care teams to remove barriers to progression, support timely discharge planning, and ensure effective handoffs to outpatient and post‑acute resources as part of

Qualifications

• Bachelor’s degree in social work or related field and three years of experience with complex, high-risk patients in an acute/inpatient setting.
• Master’s degree preferred.
• Current Iowa Social Work license (MercyOne Genesis – license in Iowa or Illinois required; secondary license within 12 months).
• Mandatory Reporter – Child and/or Dependent Adult Abuse training within three months of hire.
• Collaborative, shared leadership environment.

Responsibilities

• Own and coordinate care for acutely hospitalized patients with complex medical, psychosocial, behavioral, and system‑driven needs.
• Coordinate with care teams and leadership to remove barriers to progression and support timely discharge planning.
• Ensure coordinated handoff to outpatient, post‑acute, and population‑based resources as part of transitions of care.
• Facilitate communication among patients, families, care teams, and external stakeholders.

Skills

Social Work knowledge

Interdisciplinary collaboration

Care coordination

Communication

Patient advocacy

Education

Bachelor's degree in Social Work

Master's degree preferred

Licensed Social Worker (Iowa)

Job description

Employment Type: Full time Shift: Day Shift Description: MercyOne Des Moines Medical Center: Full-Time (80 hours biweekly); Day Shift

POSITION PURPOSE:

The Social Work Coordinator is responsible for focused ownership and coordination of acutely hospitalized patients with highly complex medical, psychosocial, behavioral, and system‑driven needs. Embedded within the Acute Care Management team, this role provides sustained attention, advanced care coordination, and accountability for complex inpatient populations, partnering closely with care teams and leadership to remove barriers to progression, support timely discharge planning, and improve patient outcomes. While the role does not assume ownership of outpatient settings or teams, it is accountable for ensuring intentional coordination, connection, and effective handoff to appropriate outpatient, post‑acute, and population‑based resources as part of transitions of care. Adheres toMercyOne’sperformance expectations and upholds the Mission, Vision, and Values of MercyOne.

POSITION PURPOSE:

The Social Work Coordinator is responsible for focused ownership and coordination of acutely hospitalized patients with highly complex medical, psychosocial, behavioral, and system‑driven needs. Embedded within the Acute Care Management team, this role provides sustained attention, advanced care coordination, and accountability for complex inpatient populations, partnering closely with care teams and leadership to remove barriers to progression, support timely discharge planning, and improve patient outcomes. While the role does not assume ownership of outpatient settings or teams, it is accountable for ensuring intentional coordination, connection, and effective handoff to appropriate outpatient, post‑acute, and population‑based resources as part of transitions of care. Adheres toMercyOne’sperformance expectations and upholds the Mission, Vision, and Values of MercyOne.

ESSENTIAL FUNCTIONS

• Knows, understands, incorporates, and demonstrates the Trinity Health and MercyOne Mission, Vision, and Values in behaviors, practices, and decisions.
• Collaborate with interdisciplinary care teams, including physicians, nursing, care management, utilization review, post-acute providers, and community partners to ensure coordinated, patient-centered care.
• Provide expertise and support in addressing complex psychosocial, behavioral, social determinant of health, and care transition challenges.
• Facilitate effective communication among patients, families, care teams, and external stakeholders to promote informed decision-making and successful care outcomes.
• Apply knowledge of healthcare regulations, payer requirements, organizational policies, and community resources to support patient care and care progression

MINIMUM QUALIFICATIONS

• Must possess a comprehensive knowledge of Social Work as normally obtained through a Bachelor’s degree in social work or a related field, and three (3) years of experience working with complex, high risk patient populations in an acute or inpatient setting.
• Master’s degree in related field preferred.
• Current Iowa license in Social Work. (MercyOne Genesis - current Social Work license in either Iowa or Illinois is required at the time of hire. A secondary Social Work license for the other state must be obtained within 12 months of the hire date.)
• Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.
• Colleagues employed and working solely in facilities located in Illinois are exempt from this requirement in accordance with applicable state requirements.
• Must be comfortable operating in a collaborative, shared leadership environment.
• Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.