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Methodist Le Bonheur Healthcare is seeking a Social Worker I to coordinate patient-centered care and facilitate transitions across the acute care episode. The role emphasizes psychosocial assessment, discharge planning, resource coordination, and patient/family support without providing psychotherapy or clinical interventions.
You will collaborate with the interdisciplinary team, assist with Medicaid and other benefits applications, and ensure compliant documentation in the EMR.
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid‑South. In collaboration with patient/family, physicians and the interdisciplinary team, the Social Worker I is responsible for coordination of patient-centered care and service delivery to facilitate optimal transitions and progression in care. The social worker is responsible for coordination and collaboration of care with patient, caregiver, physician and other members of the health care management team. The social worker collaborates and communicates with the healthcare team and involves the patient/family in the plan of care and responsible for coordinating and monitoring social work activities for the department and works closely with management to identify and resolve care issues. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.
A Brief Overview The Social Worker (MSW) is responsible for supporting safe, timely, and effective patient transitions throughout the acute care episode. This role focuses on psychosocial assessment, discharge planning, resource coordination, and patient/family support. The Social Worker collaborates with the interdisciplinary team to reduce barriers to care, prevent avoidable readmissions, and promote optimal patient outcomes. This position does not perform clinical therapy, diagnosis, or licensed clinical interventions. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
Conducts psychosocial assessments to identify barriers to discharge, including social, financial, environmental, and support needs. Develops individualized discharge plans in collaboration with RN Case Managers, physicians, nursing, therapy, and other team members. Coordinates post-acute services such as home health, DME, transportation, community resources, and follow-up appointments. Ensures timely communication with families, caregivers, and external providers. Facilitates safe transitions to SNF, IRF, LTACH, or home settings.
Provides education on available resources, benefits, and community programs. Assists patients and families with advance care planning discussions (non-clinical guidance only). Supports patients experiencing psychosocial stressors related to hospitalization, illness, or caregiving needs. Advocates for patient rights, preferences, and culturally appropriate care.
Identifies financial, housing, transportation, and social support needs. Connects patients to community agencies, social service programs, and charitable resources. Coordinates with insurance case managers as needed for authorizations and benefits clarification. Assists with applications for Medicaid, disability, or other assistance programs (as allowed by hospital policy).
Participates in daily rounds, huddles, and care coordination meetings. Communicates patient needs, barriers, and discharge readiness to the care team. Works closely with RN Case Managers on complex cases requiring both clinical and psychosocial oversight.
Completes timely and accurate documentation in the electronic medical record. Adheres to CMS, Joint Commission, and hospital policies related to discharge planning and patient rights. Supports hospital initiatives such as readmission reduction, length-of-stay management, and value-based care models (e.g., TEAM Model).
Required - Master's Degree Social Work Work Experience Requirements Experience in acute care, healthcare, social services or community resource coordination preferred. Knowledge of discharge planning, community resources, and healthcare systems strongly preferred.
There are no supervisory responsibilities assigned to this job; may delegate to administrative support staff, if applicable
The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: medium work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity including color, depth perception, and field of vision to perform an activity, such as assessing patients, preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. Exposure to patient body fluids as well as exposure to hazardous or poisonous materials. Ability to react quickly to emergency situations; may be required to take call for nights/weekends on a rotating schedule.
Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community. Within any role at Methodist Le Bonheur, you can play a rewarding and fulfilling part in helping us provide high-quality, innovative and compassionate care to the people of Memphis and the Mid‑South.
With Methodist Le Bonheur, you’ll be recognized and rewarded, treated with respect and given many opportunities to learn, grow and build a fulfilling career. Because we’re not at our best until you are at yours.