Social Worker MSW - Per Diem

Jupiter Med; Florida; On-site; USD 60,000 - 90,000; Full time

Job summary

Jupiter Medical Center is seeking a Social Worker with a Master’s in Social Work to join the Case Management team. You will assess psychosocial needs, coordinate discharge planning, and collaborate with multidisciplinary teams to ensure safe, timely transitions of care for patients.

Under the direction of the Director of Case Management, you will help coordinate resources across DME, SNF, LTAC, and home health agencies, while ensuring compliance with CMS and other regulatory requirements.

Qualifications

• MSW degree required and licensure where applicable.
• ACM Social Worker certification preferred.
• Minimum 2 years acute care experience (SNF or home health acceptable).
• BLS Certification from American Heart Association for Healthcare Providers.
• Excellent verbal and written communication skills.
• Must be highly organized, empathetic, and able to multitask in a high-stress environment.
• Knowledge of state and federal documentation requirements and compliance.

Responsibilities

• Provide psychosocial interventions and therapy to acute ill patients and/or their families.
• Coordinate discharge planning with DME, SNF, LTAC, HHC and other providers.
• Develop and document comprehensive discharge plans including patient destination, transportation, and follow-up care.
• Conduct family meetings and ensure all parties understand and agree with the transition plan.
• Maintain accurate medical records and coordinate community resources for safe discharges.
• Collaborate with multidisciplinary teams to ensure smooth transitions of care.

Skills

Social work

Case management

Communication skills

Empathy

Multitasking

Negotiation skills

Computer skills

Education

Master’s degree in social work

ACM Social Worker certification preferred

Job description

Palm Beach County: Pristine beaches, luxe resorts, vibrant culture, and global allure. Experience a thrilling blend of relaxation and excitement, steeped in rich history and top‑notch amenities.

Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world‑class health care in Palm Beach County and the greater Treasure Coast.

Outstanding physicians, state‑of‑the‑art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).

Education: Master’s degree in social work required. ACM Social Worker certification preferred

Experience / Qualifications: 2 years acute care experience, SNF, or home health experience. Knowledge of community resources, general information of the healthcare system. BLS Certification American Heart Association for Healthcare Providers. Highly organized, empathetic, and capable of multitasking in a high‑stressed environment. High ability to set priorities, conflict management, and time management.

Pleasant personality and phone etiquette. Excellent verbal and written communication skills.

High skill level in computer and other peripheral systems. Customer service and negotiation skills are a must. Responsible for assuring all state and federal documents are reviewed and completed timely and accurately. Proficient assessment skills in identifying psychosocial needs, barriers to transition planning and home needs. Ability to handle difficult situations in a way that promotes best outcomes for the patient and fiscally responsible for the patient and organization. Effective time management skills.

Understanding of state and federal documentation requirements and compliance to these regulations.

Experience providing psychosocial interventions and therapy to acute ill patients and/or their family.

Under the supervision of either the Director of Case Management and direction, the social worker will provide accurate information to DME, SNF, LTAC, HHC agencies and other providers along the patients’ continuum of care. Teamwork is essential to implement the discharge plan with compliance of all regulatory agencies (ACHA, CMS, The Joint Commission, etc.). The MSW Social worker oversees coordinating patient discharge evaluations. The Social Worker is responsible for crafting a comprehensive discharge plan including where the patient is going, how the patient will get there and who the patient will see in the next phase of their treatment. Reviews and discusses the plan with the patient, family, representative and multidisciplinary care team to ensure all parties understand and agrees to the transition plan. Document accordingly in medical record. Coordinates planning an evaluation among various disciplines responsible for patient care. Responsible for coordinating family meetings when requested by the physician, family, or nursing team in an effort to provide a smooth transition to the next level of care and provide transparency in the transition plan. When identified during the initial transition planning assessment by either the primary RN Case Manager and/or social worker the MSW social worker may provide psychosocial interventions and document accordingly. After the patient is discharged from the hospital, the Social Worker remains available to answer any questions or provide new referrals if necessary. Knowledge of social and physical factors that affect functional status at discharge is essential in delivering a comprehensive and successful discharge plan. The Social Worker has a broad knowledge of local and federal community resources to help assist in safe discharges. Maintaining a complete and accurate file of appropriate community-based services, supports, and facilities where the patient can be transferred or referred. These services, supports, and facilities include Nursing Facility (NF) or Skilled Nursing Facility (SNF) care, long-term acute care, rehabilitation services, home Health care, Hospice, or other appropriate care. Performs other duties as assigned.

Team Member Competencies

Establishing Relationships

Builds effective networks, working relationships, and alliances in order to collaborate effectively within department and organization. Can relate to all kinds of people regardless of background; find topics and common interests that can be used to build rapport with others.

Peer Support

Provides guidance and feedback to help others strengthen knowledge/skills needed to accomplish tasks, solve problems, and perform effectively within the team.

Inspiring and Motivating Others

Fosters commitment and cohesiveness by facilitating cooperation and working as a team within the organization toward goal accomplishments. Work well with others, build consensus, and ensure cooperation to complete tasks and positive workflow.

Demonstrating Emotional Intelligence

Exercises self‑leadership, self‑awareness, and self‑regulation; manages emotions so that they are expressed appropriately; leads others by showcasing adaptability, empathy, and social skills.

Acting with Integrity

Interacts with others in a way that is seen as direct and truthful; ensures confidence in individual and organizational motives and representations. Acts in a way that is consistent with personal and organizational values by keeping confidence, promises, and commitments. Clearly states goals and beliefs; informs people of their true intentions, does what they say they will do; follows through on commitments.

Being a Champion for Change and Innovation

Supports people in their efforts to try new things. Things creatively, generates novel and valuable ideas and uses these ideas to develop new or improved processes. Accepts new ways of doing things and adapts to change.

Communicating Effectively

Speaks and writes clearly, conveys information in a concise, organized, and logical manner. Is adept at tailoring the message to fit the interests and needs of the audience. Listens attentively and exercises tact, discretion, and diplomacy when interacting with members of the department and organization.

Promoting Diversity and Inclusion

Treats all people with dignity and respect. Demonstrates an open‑minded approach to understanding people regardless of their gender, age, race, national origin, religion, ethnicity, disability status, or other characteristics. Challenge’s bias and intolerance. Develops all‑inclusive groups in the realms of social interaction and communication. Shows respect for the beliefs of others; encourages and promotes practices that support cultural diversity; discourages behaviors or practices that may be perceived as unfair, biased, or critical toward people with certain backgrounds.

Physical Requirements

• Hand and Wrist (Test both left and right sides)
• Grip a dynamometer for 10 seconds with a force > 10 lbs.
• Pinch together the thumb & forefinger for 10 seconds with a force > 2 lbs.
• Supported Elbows (Test both left and right sides) Rotate wrist from left to right while holding 10 lb. weight. Fully flex and extend elbow while holding a 10 lb. weight.
• Shoulders (Test both left and right sides)
• Sustain shoulder flexion > 135 degrees while holding 10 lb. weight.
• Sustain a shoulder shrug while holding 10 lb. weight in each hand.
• Legs, squat and hold position for 30 seconds. Kneel on a single knee, demonstrated on either left or right knee.
• Push and Pull, push a stationary loaded cart with a pushing force of 40 lbs.
• Pull a stationary loaded cart with a pulling force of 40 lbs.
• Carrying, carry a 20 lb. weight for 25 feet.
• Lifting, Weight lifted during lift test (35lbs. Female - 50lbs. Male requirement) Floor to Table, Waist to above shoulder height (20 lbs requirement).

Threshold Requirements

These threshold requirements are required and completed yearly basis. Annual Joint Commission mandatory education requirements, in-service and health requirements including attendance at new employee orientation. TB/PPD Surveillance Program Maintenance of required professional licensing and/or certification(s).