Social Worker, LCSW- Transplant/Outpatient

Tampa General Hospital, Inc.; Tampa (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

Tampa General Hospital, Inc. is seeking a Social Worker (LCSW) to support transplant and outpatient services in Tampa.

The role focuses on addressing psychosocial and economic factors, coordinating transitions of care, and collaborating with the interdisciplinary team to develop comprehensive care plans. Responsibilities include crisis counseling, discharge planning, and navigation of community resources to assist families in care decisions and reintegration.

Qualifications

• Master’s Degree in Social Work required.
• Licensed or in process to obtain RCSW-1 license.
• Experience with discharge planning and psychosocial assessments.

Responsibilities

• Provide crisis counseling to improve healthcare literacy and reduce readmissions.
• Lead complex discharge planning via clinical social work interventions.
• Assess high-risk patients and develop short-term treatment plans.
• Facilitate patient and family meetings on care decisions and discharge planning.
• Advise on resources, advocacy, and risk factors including abuse and trafficking.
• Participate in performance improvement and research.
• Support transitions of care across the continuum.
• Deliver mental and behavioral health services and assessments.
• Maintain partnerships with community and social agencies.

Skills

Effective communication

Teamwork

Care coordination

Resource mobilization

Patient education

Emotional support

Education

Master’s Degree in Social Work

Job description

Job Description - Social Worker, LCSW- Transplant/Outpatient (260004MJ)

Job Description

Description

A Brief Overview

The Social Worker (MSW) supports patients and families by addressing complex psychosocial and economic factors to achieve optimal outcomes. Utilizing advanced practice skills, this role mobilizes resources, mitigates risks, and acts as a liaison between the hospital and the community. The Social Worker provides counseling and support to help patients and families cope with medical conditions, participate in care planning, and maximize the benefits of treatment. Key responsibilities include coordinating transitions of care for patients with significant psychosocial needs and maintaining knowledge and liaisons with local, state, and federal services to educate and assist families. This role ensures accurate and timely data entry into information systems and collaborates with Care Coordinators and the interdisciplinary team to develop and review comprehensive care plans, including discharge planning and psychosocial assessments. Active participation in multidisciplinary rounds or huddles is required to communicate the psychosocial impact on care transitions. The Social Worker monitors progress toward established goals, revising plans as needed based on changes in the patient's condition. They also assess potential obstacles to reintegration into the community, escalating concerns for resolution. This role upholds Tampa General Hospital's mission, vision, and values in all professional activities.

What you will do

• Provide brief crisis counseling and therapeutic interventions to improve healthcare literacy and address social deficits, focusing on frequent healthcare system utilizers. Conduct daily multidisciplinary rounds to support patient outcomes and reduce readmissions.
• Facilitate complex discharge planning through clinical social work interventions.
• Assess high-risk patients via independent case-finding or referrals and develop short-term treatment plans to achieve patient-directed healthcare goals.
• Lead patient and family meetings to address healthcare decisions, discharge planning, and other key outcomes across the care continuum, from birth planning through end of life.
• Provide charity and financial resources and advocate for vulnerable populations, including adoptions, foster care, psychiatric referrals, and legal healthcare proxy determinations. Serve as a subject matter expert on abuse, neglect, intimate partner violence, human trafficking, and related issues.
• Participate in clinical performance improvement initiatives and research.
• Support patients’ transitions through the continuum of care, ensuring timely and effective processes.
• Deliver mental and behavioral health services, including crisis intervention, motivational interviewing, and evidence-based assessments with recommendations for ongoing care.
• Maintain strong partnerships with community organizations, medical teams, law enforcement, schools, child and adult protective services and other agencies to enhance patient and family services.

Qualifications

Education Qualifications

• Master’s Degree Social Work

Experience Qualifications

• Registered Clinical Social Worker Intern license or documentation showing completion of the application process for RCSW-1 license.

Skills and Abilities

• Understanding of effective communication and teamwork principles necessary to coordinate care with the healthcare team, ensuring timely and safe service delivery.
• Ability to clearly interpret and communicate complex patient and family needs to the healthcare team and model compassionate care practices for other caregivers.
• Competence in accessing, mobilizing, and coordinating family and community resources to meet patient and family needs effectively.
• Capability to educate patients and families on available resources and care plans, ensuring they are informed and supported throughout the care episode.
• Aptitude for evaluating patient and family psychological needs and tailoring interventions to support emotional and functional well-being.

Primary Location

Tampa

Work Locations

TGH Main Campus 1 Tampa General Circle Tampa 33601

Eligible for Remote Work : On Site

Job

Social Work

Schedule

Full-time

Scheduled Days : Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday