Social Worker/Case Manager

Medlinkhealth Anesthesia Associates; Inverness Township (MI); On-site; USD 55,000 - 75,000; Full time

Job summary

Medlinkhealth Anesthesia Associates in Michigan seeks a hospital-based social worker to perform high‑level triage and psychosocial assessments within 24 hours of admission. You will coordinate discharge planning, barrier mitigation, and connections to post‑acute services, working with interdisciplinary teams to ensure safe transitions.

The role requires an active Michigan LMSW or LBSW and clinical acute care experience, with a 40‑hour week, day shifts, and no weekend on‑call commitments.

Qualifications

• Active Michigan LMSW or LBSW license required at submission.
• Clinical Acute Care hospital experience required at submission.

Responsibilities

• Triage complex psychosocial assessments within 24 hours of admission.
• Identify LOS barriers and formulate individualized discharge plans with stakeholders.
• Coordinate post-acute services and connect families to community resources.
• Evaluate readmission risks and support continuum-of-care interventions.
• Collaborate in rounds, huddles and family conferences with RN Care Managers and post-acute agencies.
• Document assessments and barriers in the EMR; monitor insurance guidelines.

Skills

Psychosocial assessment

Discharge planning

Care coordination

EMR documentation

Interdisciplinary collaboration

Job description

Role & Practice Overview:

• Setting: Hospital / Inpatient Acute Care.
• Primary Focus: High-level triage and assessment of complex psychosocial issues, discharge planning barriers, risk of readmission, placement needs, and community service coordination within 24 hours of patient admission.

Schedule & Hours:

• Shift Type: Day Shift (Monday – Friday).
• Hours: 8 hours per day / 40 hours per week (40-Hour Weekly Guarantee).
• Weekend Requirements: None.
• On-Call Requirements: None.

Duties & Core Responsibilities:

• Triage & Referrals: Perform complex psychosocial assessments within 24 hours of admission; receive and process social work referrals from RN Care Managers based on established triggers.
• Discharge Planning & Barrier Mitigation: Identify length-of-stay (LOS) barriers early; formulate individualized, safe discharge plans in consultation with patients, families, physicians, and multidisciplinary teams.
• Community Resource Coordination: Assess needs and connect patients/families to post-acute services, community resources (e.g., Meals on Wheels, sitters), and follow-up care.
• Readmission & Complex Care Management: Evaluate readmission risks, manage complex situations, advocate for patient autonomy, and execute targeted continuum-of-care interventions.
• Interdisciplinary Collaboration: Participate in unit rounds, huddles, and family care conferences; work closely with RN Care Managers and post-acute agencies to ensure safe care transitions.
• EMR Documentation & Operations: Document assessments, interventions, and barriers in the EMR; monitor insurance coverage guidelines; track and report avoidable stay days or service delays to leadership.

Submission & Candidate Requirements:

• Licensure: Active Michigan Social Work License (LMSW or LBSW) [REQUIRED AT SUBMISSION].
  • LMSW / LBSW certification required within 1 year of eligibility.
• Clinical Experience: Prior Acute Care hospital experience [REQUIRED].
• Preferred Experience: 3+ years of acute hospital care or healthcare social work experience [PREFERRED].
• Certifications: Active AHA BLS (or ARC / MTN equivalent) [PREFERRED].