Social Worker Case Manager 1

Inova Health System; Fairfax (VA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health coverage

Retirement match

Education assistance

Student loan assistance

Mental health support

Paid time off

Job summary

Inova Health System is seeking a Social Worker Case Manager 1 in Fairfax, VA to support pediatric services across multiple specialty areas. The role involves evaluating patients and coordinating care across physicians, nursing, and the broader care team to optimize transitions and outcomes.

This full-time, day-shift position emphasizes collaboration, discharge planning, and resource facilitation. The candidate should have a Master’s in Social Work (MSW) and at least 1 year of clinical care or

Qualifications

• Evaluates biopsychosocial needs and coordinates care with the care team.
• Communicates with patients, families, and interdisciplinary team members.
• Advocates for patient empowerment and autonomy in care decisions.
• Coordinates discharge planning and post-acute services.

Responsibilities

• Participates in patient assessments and care planning.
• Ensures options for care transitions are communicated and barriers resolved.
• Assesses psychosocial risk factors and supports coping.
• Provides counseling and resource linkage for patients and families.
• Initiates referrals to clinics, home health, hospice and rehab services.
• Documents discharge plans in patient medical records and coordinates with team.

Skills

Case management

Communication

Interdisciplinary teamwork

Discharge planning

Advocacy

Education

Master's Degree in Social Work (MSW)

Job description

We are looking for dedicated and experienced Social Worker Case Managers in the Fairfax area to work in children's specialties including Inova Children's Hematology/Oncology, Inova Children's Pulmonology, Inova Children's Gastroenterology, Inova Children's Neurology and Inova Children's Orthopedics & Sports Medicine. These roles will be full-time, day shift with varying hours from 7:30 a.m. – 5:30 p.m. Monday – Friday.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offering paid time off and paid parental leave.

Social Worker Case Manager 1

The Social Worker Case Manager 1 evaluates the ability of patients to progress throughout the continuum of care. Works collaboratively in communication with physicians, nursing and other members of the multidisciplinary care team to effect timely and appropriate patient management. Showcases a working knowledge in utilization management, managed care and payer issues. Provides discharge planning and continuity of care for assigned patients in the acute and post-acute setting, with an understanding of pre/post-acute resources. Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare members.

Duties and Responsibilities - Social Worker Case Manager 1

• Participates in the assessment of patients' biopsychosocial needs through review of patient information, personal contact with patients/families and interdisciplinary care team members. Communicates routinely with patients, families, interdisciplinary care team members and other appropriate parties with regard to the status of patients' care plans. progress toward treatment goals, identification of concerns and/or problems, problem solving and assisting with conflict resolution when necessary.
• Ensures that all options available to support a successful transition and elements critical to patients' care plans have been communicated to patients/families and members of the healthcare team and are documented as necessary to ensure continuity of care. Refers cases and issues appropriately to resolve barriers to care progression. Acts as an advocate for patients to resolve barriers to care progression.
• On the basis of preliminary risk screenings, assesses the psychosocial risk factors of patients/families through the evaluation of prior functional levels, appropriateness/adequacy of support systems, reactions to illnesses and the ability to cope.
• Intervenes with patients/families regarding emotional, social and financial consequences of illness and/or disability.
• Serves as a resource person and provides counseling and interventions related to treatment and end of life decisions. Advocates for patient/family empowerment and independence to make autonomous healthcare decisions and access needed healthcare services.
• Provides discharge planning and continuity of care for assigned patients in the acute and post-acute settings.
• Initiates and facilitates referrals to clinics, home healthcare, hospice, SNF, acute rehab, LTAC, TCM, medical equipment and supplies as indicated.
• Collaborates with the interdisciplinary care team, patients and families in the assessment/coordination of discharge planning needs, delivery of post-discharge planning needs, delivery of post-discharge services and transition of patients from the hospital to the discharge setting as well as ongoing care in the community.
• Documents relevant discharge planning information in the medical record according to department standards and/or care management plans. Collaborates/communicates with internal/external Case Managers.
• Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare members.
• Performs other duties as assigned.

Minimum Requirements

• Certification: Basic Life Support - Upon Start
• Experience: 1 year experience in clinical care or clinical case management
• Education: Master's Degree Social Work MSW)

Preferred Qualifications

• Previous Pediatric Specialists of Virginia (PSV) work experience

Additional Details

• Tentative employment start date: June 2027

We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 25,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better - to shape a more compassionate future for healthcare.

Inova Health System is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity orexpression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.