Social Worker- Inpatient MSW- JPS Main

JPS Health Network; Fort Worth (TX); On-site; USD 39,950 - 57,859; Full time

Job summary

JPS Health Network seeks a Social Worker II – Inpatient to coordinate discharge planning and social work services on inpatient units, collaborating with the care team to optimize utilization, finances, and patient satisfaction.

The role requires a Master’s in Social Work and LMSW/LCSW licensure with 1–3+ years in inpatient acute care or behavioral health, performing assessments, referrals, and individualized discharge planning.

Qualifications

• Master’s in Social Work from an accredited school of Social Work by the CSWE.
• 1–3 plus years social work experience in inpatient acute care, behavioral health, or related settings.
• Experience with discharge planning, case management, and navigating social services.

Responsibilities

• Conducts comprehensive psychosocial, functional, financial, healthcare support systems, and discharge planning assessments.
• Interviews patients and families to assess needs and develop individualized discharge plans.
• Identifies eligibility for social programs and coordinates referrals.
• Develops discharge plans based on diagnosis, resources, and psychosocial factors.
• Educates patients and families about post‑acute options and ensures choices are included in plans.
• Participates in interdisciplinary rounds to coordinate care.
• Provides counseling related to treatment decisions and autonomy.
• Assists with guardianship applications and APS/CPS coordination as needed.
• Identifies barriers for uninsured/undocumented patients and connects to resources.
• Documents activities in EMR per policy.

Education

Master's in Social Work

1–3+ years social work experience

Inpatient acute care / behavioral health experience

Job description

Who We Are

JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, including John Peter Smith Hospital, a Level I Trauma Center, Tarrant County’s only psychiatric emergency center, and the largest hospital‑based family medical residency program in the nation. The health network employs more than 7,200 people.

Acclaim Multispecialty Group

Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The group is built around common incentives and expectations supporting operational, financial, and clinical performance outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.

Why JPS?

We’re More Than a Hospital. We’re 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three rules of the road:

• Own it. Everyone who wears the JPS badge contributes to our journey to excellence.
• Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity.
• Don’t be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion – key components of our everyday experience at JPS.

Job Title

Social Worker – Inpatient MSW – JPS Main

Requisition Number

45269

Employment Type

Full Time

Division

CLINICAL INTEGRATION

Compensation Type

Hourly

Job Category

Allied Health

Location

John Peter Smith Hospital, 1500 S. Main Street, Fort Worth, Texas, 76104

Job Description

The Social Worker II – Inpatient is responsible for the progression and coordination of care in the delivery of discharge planning and social work services to inpatient and designated outpatient units on a referral basis. The Social Worker II – Inpatient collaborates with other members of the healthcare team to achieve case management department utilization, financial, quality, compliance, and satisfaction outcomes for assigned patients.

Typical Duties

• Conducts comprehensive psychosocial, functional, financial, healthcare support systems, and discharge planning assessments.
• Conducts patient, family, and/or representative interviews to assess needs and identify individualized discharge plans that take into consideration the requests of the patient, family, and/or representative.
• Identifies patients who require assistance with eligibility determination for social programs and funding sources and generates referrals as appropriate.
• Develops an individualized discharge plan based on the patient’s medical diagnosis, treatment plan, financial resources, psychosocial issues, outpatient healthcare support system, etc.
• Educates patient, family, and/or representative regarding post‑acute options and ensures that the patient’s choices are incorporated into the discharge plan, when possible.
• Participates in interdisciplinary rounds to facilitate communication and ensure that a comprehensive, coordinated plan of care is developed and implemented.
• Provides brief supportive counseling to patients and families exhibiting complex family dynamics that directly impact patient care.
• Serves as a resource person and provides counseling and intervention related to treatment and end‑of‑life decisions; advocates for patient and family empowerment and independence to make autonomous health care decisions.
• Assists with the submission of guardianship applications, coordination of the process for orders of protective custody, and follow‑up on open APS and CPS cases.
• Identifies the appropriate support system, options, and barriers associated with the discharge of the uninsured and undocumented patients while working with available support systems to transition the patient through the continuum of care.
• Provides education and referral information regarding JPS and community resources.
• Documents each component of the case management process and related activities in the electronic medical record system according to departmental policies and procedures.
• Serves as an educational resource for physicians, nursing staff and others concerning case management strategies essential in meeting the organization’s quality, utilization, financial and customer satisfaction objectives.
• Assesses for assignment to and makes referrals for a Primary Care Physician that will assist in the assignment of a medical home; generates referrals to the Physician Advisor according to departmental policies and procedures.
• Performs other related job duties as assigned.

Qualifications

Required Education and Experience

• Master’s in Social Work from an accredited school of Social Work by the Council on Social Work Education.
• 1–3 plus years social work experience, including internship work, performing any combination of: coordinating patient discharge and continuity of care planning; diagnosing underlying psychosocial needs; conducting comprehensive psychosocial assessment of patients; conducting initial screenings and evaluations of patients and families; providing or making referrals for individual, family, and group psychotherapy; and/or promoting patient navigation services.
• Work experience must have been performed in an inpatient acute care, behavioral health, skilled nursing facility, long‑term acute care, and/or outpatient setting such as home health, hospice, dialysis, etc.

Required Licensure/Certification/Specialized Training

• Must have a current Licensed Medical Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) licensure from the Texas State Board of Social Work Examiners.

Preferred Licensure/Certification

• American Case Management (ACM) Certification.

Preferred Specialized Training

• 1 plus years’ experience using medical appropriateness criteria (InterQual or Milliman).

Location Address

1500 S. Main Street, Fort Worth, Texas, 76104, United States