Social Worker, (Per Diem), Outpatient

Rochester Regional Health; City of Rochester (NY); Hybrid; USD 35,000 - 48,000; Part time

Job summary

Rochester Regional Health is seeking an Outpatient Social Worker to support patients at the St. Marys Campus in a hybrid setting. The role involves coordinating social work interventions, assisting with discharge planning, and collaborating with care managers and insurance providers to secure necessary coverage.

The position emphasizes crisis intervention, care coordination, and liaison work with community resources to ensure smooth transitions of care.

Qualifications

• Bachelor's degree in Social Work required.
• Official transcript/verifications required within 90 days of start.
• LMSW or eligibility preferred depending on role.

Responsibilities

• Determine patient and family social needs and coordinate referrals.
• Coordinate care conferences and advocate for insurance coverage and dialysis-related needs.
• Assist with discharge planning, transportation, and ongoing care arrangements.
• Liaise with community resources and health care providers to support patient outcomes.

Skills

Social work

Communication

Interpersonal skills

Education

BS: Social Work

LMSW (Licensed Master Social Worker)

Job description

DescriptionJob Title: Outpatient Social WorkerDepartment: Social WorkLocation: St. Marys Campus (hybrid)Hours Per Week: Per Diem (up to 28)Schedule: Monday - Friday | Days with flexibility

Summary

As a Social Worker, you play an important and trusted role in the lives of patients and their family. You are an integral part of their care and recovery.

Responsibilities

Determine patient and family needs related to social supports, financial support or counseling, housing appropriateness, transportation and psychological supports. Coordinate multidisciplinary and agency case conferences; work with care managers to advocate for patient/family to obtain approval for insurance coverage; coordinate admission for all patients in need of dialysis. Intervene in crisis and attend to needs of patient/family related to illness, disability, deterioration of independence, etc. Manage referrals related to patients at risk and determine appropriate intervention strategies and document as implemented; ensure inappropriate referrals are channeled correctly and documentedCoordinate assessments and develop care plan in accordance with accepted social work policyImplement plan of intervention preparatory to discharge or initiate continued care plan

Key Responsibilities

• Manages referrals related to patients with psychosocial needs and determines appropriate interventions and strategies to meet those needs. Reviews track board census or documentation to identify high risk patients not referred. Determines patient needs through interdisciplinary rounds, chart review, patient/family interviews and team conferences. Documents social work intervention. Ensures that all inappropriate referrals are channeled correctly and documented.
• Assesses patient needs and determines mode of intervention. Possesses appropriate age and specific knowledge about the dynamics of group assigned and assesses patient needs accordingly as documented in Care Connect or medical record. Interviews patients and/or families and records psychosocial assessments in accordance with the social work documentation policy as documented in chart. Coordinates assessments and develops care plans in accordance with accepted social work policy as documented in chart. If indicated, evaluates patients for the appropriate level of care as documented in chart, office file, and by referrals. Coordinates multidisciplinary and agency case conferences as needed, as verified through chart notes indicating attendance, problems discussed, and treatment plan.
• Implements plan of intervention preparatory to discharge or initiating continued care plan in compliance with departmental and governmental regulations.
• Works with care manager, acts as intermediary, with Health Care Insurance providers (ex. HMO's, private insurance, Medicare), advocating for patient/family, to obtain approval for coverage as documented in the chart. Involves patient/family in the treatment planning process as demonstrated in the chart notes, and signatures on the appropriate forms.
• Executes plan of discharge/continued care which is mutually agreeable to patient/family. Notifies involved parties (ex., doctor, family, patient, facility) concerning the discharge, within 24 hours of receipt of discharge authorization as documented in chart. Requests needed paperwork from nursing/doctor other disciplines as documented in the chart.
• Arranges for transportation of patient where needed in accordance with hospital procedure, as documented in the chart.
• Acts as liaison with the community and as a referral source.
• Performs other duties as assigned.

Required Qualifications

• Bachelors Degree in Social Work
• New Graduates:
• Official transcript from accredited school or letter emailed directly from the school's registrar's office confirming program completion will be accepted upon graduation.
• Primary source education verification required within 90 days of start date.

Preferred Qualifications

Masters of Social WorkCompassionate, warm and patient focusedExceptional documentation and planning skills Excellent communication and interpersonal skills

Education

BS: Social Work (Required)

Physical Requirements

Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67-100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability. Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver's license.

Licenses/Certifications

LMSW - Licensed Master Social Worker - NYS Office of Professions

Pay Range

$25.50 - $35.00

Equal Opportunity

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.