CrawlJobs Logo

Complex Inpatient Medical Social Worker

advocatehealth.com Logo

Advocate Health Care

Location Icon

Location:
United States

Category Icon
Category:
Nursing

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

33.05 - 49.60 USD / Hour
Save Job
Save Icon
Apply Position

Job Description:

Provides care management/social work services to Complex patients, families, and individuals. Implements targeted interventions and patient-family centered care plans to achieve optimal health outcomes. Collaborates and negotiates effectively with socially complex patients, family and the clinical team. Provides advanced care management guidance and mentorship to frontline care management team members. Serves as a leader in the multi-disciplinary health care team to develop safe and timely coordination of care.

Job Responsibility:

  • Provides care management/social work services to Complex patients, families, and individuals including perming thorough patient psychosocial assessments, screening, determination of needs evaluation, appropriate interventions and follow up, and discharge planning
  • Implements targeted interventions and patient-family centered care plans to achieve optimal health outcomes
  • Collaborates and negotiates effectively with socially complex patients, family and the clinical team while striving to achieve patient and organizational goals regarding care needs, choices, and satisfaction during discharge planning and care transitions
  • Provide continuity of care and discharge planning services for socially complex patients compliant with regulatory standards
  • Provides advanced care management guidance and mentorship to frontline care management team members fostering a culture of excellence and continuous improvement
  • Initiates internal and external referrals to ensure timely progression of care and transitions for socially complex patients
  • Documents discharge planning interventions and utilization review activity according to department and organization standards in a timely manner
  • Advocates for patients and their families to ensure their voices are heard and their needs are met within the healthcare system while optimizing the utilization of hospital resources ensuring cost-effective care delivery and adherence to regulatory guidelines
  • Communicates effectively with the healthcare team regarding socially complex patients
  • Serves as a leader of the multidisciplinary rounds and work closely with clinical team members, hospital departments and ancillary services to identify and resolve barriers to discharge, expedite care delivery to avoid delays in timely service provision, and implement and report on care coordination and discharge planning
  • As an expert in care management of socially complex patients, collaborates and leads discussions with managers, physicians, medical directors, advisory groups, and treatment teams for issues related to physician practices and best practices for patient care plans
  • Develops and maintains productive relationships with community-based agencies, particularly those serving socially complex patients
  • Serves as a leader in the multi-disciplinary health care team to develop safe and timely coordination of care including but not limited to post-acute placement, palliative/hospice service lines, medical equipment, home healthcare, outpatient follow up, mental health resources, and other community resources
  • Maintains up-to-date knowledge of community resources, legislation, and regulations impacting health care delivery and educating patients and families on these issues as appropriate
  • Manages the progression of patients stay with the goal of optimizing the LOS and ensuring appropriateness of assigned Level of Care
  • Manages the patient’s care across the continuum to decrease unnecessary readmissions
  • Manages and coordinates patient care within an ACO environment to help facilitate patient outcomes through in network care coordination
  • Participates in the orientation of new staff and/or education of social work students
  • Aggregates, analyzes, interprets and reports data on patient outcomes and resource utilization

Requirements:

  • Master’s Degree in Social Work
  • LSW license issued by the State in which the team member practices (WI & IL Divisions)
  • Accredited Case Manger SW (ACM-SW) certification issued by the American Case Management Association (ACM) needs to be obtained within 2 years, or Certified Case Manager (CCM) issued by the Commission for Case Manager Certification (CCMC) needs to be obtained within 2 years, or Certified Social Worker in Health Care (C-SWHC) issued by National Association of Social Workers to be obtained within 2 years
  • 3 years of hospital care management experience
  • Ability to prioritize and organize work
  • Effective communication skills
  • Utilization of critical thinking and timely decision making
  • Ability to navigate the electronic health record
  • Basic utilization of MS Office products
  • Knowledge of Medicare A and B guidelines
  • Knowledge of managed care program requirements/implications
  • Ability to apply elements of utilization management programs
  • Must be able to sit up to approximately 50 percent of the workday
  • stand and walk for the equivalent of several blocks at a time
  • Must lift up to 10 lbs. continuously, up to 20 lbs. frequently, and up to 50 lbs. occasionally
  • Manual dexterity required for operation computer and calculator
  • Visual acuity required for facilitating review of written documents/computer screens, medical records, and to record information accurately
  • Clear verbal communications and hearing acuity required for receiving instructions and converse on standard telephone
  • Functional speech and hearing to allow for effective communication of instructions and conversation over the telephone
What we offer:
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program

Additional Information:

Job Posted:
February 20, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Icon
Advocate Health Care - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Complex Inpatient Medical Social Worker

Social Work Consultant

Mental health is an essential component of total health. As mental health profes...
Location
Location
United States , Atlanta
Salary
Salary:
37.25 - 48.17 USD / Hour
kaiserpermanente.org Logo
Kaiser Permanente
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum two (2) years social work experience identifying and managing discharge and psychosocial needs of inpatients in an acute care or managed care setting within the last five (5) years
  • Masters degree in social work conferred by a program accredited by the Council of Social Work Education
  • Licensed Master Social Worker (Georgia) required at hire OR Associate Marriage and Family Therapist License (Georgia) required at hire OR Associate Professional Counselor License (Georgia) required at hire OR Licensed Clinical Social Worker (Georgia) required at hire
  • Demonstrated ability to perform on a multidisciplinary team
  • Must have strong psychosocial assessment skills
  • Knowledge of chronic and acute disease and how it impacts patient and family functioning
  • Demonstrated excellent oral/telephone communication skills and written documentation
  • Must be experienced in documenting in an electronic clinical information system
  • Must demonstrate ability to effectively and efficiently handle demanding workload involving multiple tasks
  • Demonstrated ability to function independently as a collaborative, supportive team member
Job Responsibility
Job Responsibility
  • Discharge Planning: The primary role of the Medical Social Worker II for hospital settings is to facilitate the execution of approved and appropriate inpatient discharge plans between facilities or into the community
  • Under general direction of the Continumm of Care Leader and via clear and consistent communication with the onsite care management staff, delivers age-appropriate clinical social work insight and care to members and their caregivers in accordance with agency policy and procedure and state and federal regulations
  • The Medical Social Worker II serves as an integral member of the healthcare team ensuring coordination of discharge/transition planning and providing referrals to internal resources within the Kaiser Permanente network, information to community resources and other social work services to meet the complex needs of patients and families transitioning from hospital settings
  • Responsible for overseeing or participating in individual discharge plans which assist members and families to transition to the appropriate level of care upon the completion of the acute Treatment Plan with the measure of restoring social, emotional, financial, and environmental factors which affect and/or affected by the acute inpatient stay
  • Partners with multidisciplinary teams to identify needs and collaborate and execute individual discharge plans
  • Discuss options for care proactively including Kaiser resources and external community/government resources to assist member and caregiver(s) in developing short- and long-term care plans as appropriate
  • Collaborates with other disciplines in assessing, planning, and providing services for patients utilizing biopsychosocial information
  • Coaches member pre-discharge in advocating for self to receive appropriate services within Kaiser and in the community
  • Ensures member and caregiver(s) are updated with approved discharge plans
  • Takes, reviews, evaluates, and prioritizes written and oral referrals
What we offer
What we offer
  • Medical, Vision & Dental
  • Professional Development
  • Retirement Plans
  • Vacation, Holiday & Sick Leave
  • Supportive Teams & Resources
  • Parttime
Read More
Arrow Right

Social Work Consultant II

Mental health is an essential component of total health. As mental health profes...
Location
Location
United States , Duluth
Salary
Salary:
37.25 - 48.17 USD / Hour
kaiserpermanente.org Logo
Kaiser Permanente
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum two (2) years social work experience identifying and managing discharge and psychosocial needs of inpatients in an acute care or managed care setting within the last five (5) years
  • Masters degree in social work conferred by a program accredited by the Council of Social Work Education
  • Licensed Master Social Worker (Georgia) OR Associate Marriage and Family Therapist License (Georgia) OR Associate Professional Counselor License (Georgia) OR Licensed Clinical Social Worker (Georgia)
  • Demonstrated ability to perform on a multidisciplinary team
  • Must have strong psychosocial assessment skills
  • Knowledge of chronic and acute disease and how it impacts patient and family functioning
  • Demonstrated excellent oral/telephone communication skills and written documentation
  • Must be experienced in documenting in an electronic clinical information system
  • Must demonstrate ability to effectively and efficiently handle demanding workload involving multiple tasks
  • Demonstrated ability to function independently as a collaborative, supportive team member
Job Responsibility
Job Responsibility
  • Discharge Planning: The primary role of the Medical Social Worker II for hospital settings is to facilitate the execution of approved and appropriate inpatient discharge plans between facilities or into the community
  • Responsible for overseeing or participating in individual discharge plans which assist members and families to transition to the appropriate level of care
  • Partners with multidisciplinary teams to identify needs and collaborate and execute individual discharge plans
  • Discuss options for care proactively including Kaiser resources and external community/government resources to assist member and caregiver(s) in developing short- and long-term care plans as appropriate
  • Collaborates with other disciplines in assessing, planning, and providing services for patients utilizing biopsychosocial information
  • Coaches member pre-discharge in advocating for self to receive appropriate services within Kaiser and in the community
  • Ensures member and caregiver(s) are updated with approved discharge plans
  • Takes, reviews, evaluates, and prioritizes written and oral referrals
  • Maintains documentation, records, and data collections
  • Responsible for completion of required documents in a complete and timely manner
What we offer
What we offer
  • Medical, Vision & Dental
  • Professional Development
  • Retirement Plans
  • Vacation, Holiday & Sick Leave
  • Supportive Teams & Resources
Read More
Arrow Right
New

Psychiatrist

Reporting directly to the Chief of Psychiatry, and indirectly to the Chair of th...
Location
Location
United States , Weymouth
Salary
Salary:
247700.00 - 412900.00 USD / Year
southshorehealth.org Logo
South Shore Health
Expiration Date
February 03, 2027
Flip Icon
Requirements
Requirements
  • Medical School Degree, Board Certified in Psychiatry
  • Meets requirements of South Shore Health medical staff bylaws
  • Credentialed by South Shore Hospital medical staff
  • MA Medical license
  • Clinical Skills: Proven clinical excellence in patient care
  • Process Improvement Skills (preferred): Ability to manage projects based on proven process improvement methodologies such as High Reliability, Lean Six Sigma, Kaizen, and PDSA
  • Communication Skills: Effective communication with a large and diverse constituency
  • Interpersonal Skills: Demonstrated ability to interact with all members of the organization
  • Passion for and commitment to the organizational mission
  • An ability to establish an honest, transparent, and positive tone
Job Responsibility
Job Responsibility
  • Evaluates and treats patients with psychiatric symptoms and diagnoses at the request of ED and Inpatient clinical providers
  • Consults with medical teams to provide insight on patients’ psychiatric conditions and impact on their medical conditions, overall treatment plans, and transitions of care plans
  • Provides crisis intervention for patients with acute psychiatric symptoms and conditions, including those with SI/HI
  • Manages evidenced-based pharmacological treatments, considering interactions between psychiatric and medical medications
  • Documents patient evaluations, treatments, and follow-ups in a timely fashion adhering to medical staff bylaw requirements, while maintaining HIPAA compliance
  • Supports integration, training, and supervision of advanced practice providers within these settings
  • Serves as a subject matter expert in developing order sets and care pathways for psychiatric and behavioral health conditions
  • Works closely with local nursing staff to actively titrate medications to patient response with an eye toward reducing excess length of stay
  • Collaborates with health professionals, such as nurses, social workers, case managers, and medical providers
  • Helps patients and families understand and cope with the psychological aspects of medical conditions and medication therapy
  • Fulltime
Read More
Arrow Right
New

Nurse Practitioner

For the UCSD Stroke Center, the Advanced Care Nurse Practitioner (ACNP) will exp...
Location
Location
United States , San Diego
Salary
Salary:
176624.00 - 247157.00 USD / Year ▼
ucsd.edu Logo
UC San Diego
Expiration Date
February 25, 2026
Flip Icon
Requirements
Requirements
  • Must be a graduate from an accredited nurse practitioner program
  • California Registered Nurse (RN) license, California Nurse Practitioner (NP) license, and Furnishing License Certification
  • Current Acute Care Nurse Practitioner (NP) Certification (AGACNP or ACNP)
  • Must have BLS/CPR and ACLS certification at time of hire with commitment to get ART within 6 months of hire date
  • Minimum two (2) years licensed Nurse Practitioner experience
  • Experience must include inpatient critical care experience
  • Demonstrated experience or working knowledge of stroke or neurovascular patient care
  • Strong theoretical background in anatomy, physiology, neurosciences general medicine, pulmonary, emergency or critical care medicine, management of common diseases, concepts of medicine and surgery, pharmacology, or counseling techniques and interpersonal dynamics
  • Demonstrated ability to perform initial history and physical examination, identify major medical problems, and formulate appropriate plans of action
  • Demonstrated ability to maintain detailed medical information in an organized and easily retrievable manner using online medical systems such as EPIC
Job Responsibility
Job Responsibility
  • Coordinate and provide nurse practitioner support as a key member of the Neurovascular inpatient stroke service
  • Work directly with the clinical faculty, fellows, residents and staff to provide the highest-level neurovascular stroke care to patients in an evidence-based academic practice in house and via telestroke
  • Medical management of complex ischemic stroke, intracerebral hemorrhage, post thrombectomy, and other vascular neurology-related diagnoses within the hospitals
  • Function on the various inpatient stroke wards and inpatient consult services to provide continuity of care and the highest degree of evidence-based stroke management
  • Acutely evaluate, treat, and manage acute “Stroke Code” patients in the Emergency Departments for the purposes of thrombolytic, embolectomy, and research treatment decision-making
  • Evaluate, diagnose, treat, and manage stroke patients and interpret relevant lab and imaging studies
  • Contribute to the teaching and research missions embedded within the program
  • Develop and provide education to Nurse Practitioner students, nurses, medical students, interns, residents, and fellows
  • Function as liaison to counselors, social workers, research nurses, other clinical support staff, and family members of the stroke patient
  • Assist in orientation and training of residents, and develop and implement policy and procedures related to the management of stroke patients
  • Fulltime
!
Read More
Arrow Right
New

Psych Clinical Evaluator Lead

The Clinical Evaluator assigned to CPEP functions as Team Leader for the service...
Location
Location
United States of America , Rochester
Salary
Salary:
66184.00 - 86040.00 USD / Year
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Master’s degree from an accredited school of social work (CSWE) required
  • 2-3 years professional social work practice beyond the Master's degree required
  • Prior experience working in a psychiatric care setting and working with adult and/or pediatric and adolescent populations required
  • Knowledge about and ability to provide behavioral health assessments/evaluations and evidenced based interventions required
  • Commitment to and routine demonstration of biopsychosocial approach to care of individuals and families
  • Dedication to delivering a team-based integrated model of care
  • Demonstrates cultural humility and anti-racism values and works toward ensuring all patients feel welcome
  • Licensure as a social worker, mental health counselor, creative arts therapist, or marriage and family therapist as defined by the NYS Office of Professions, State Education department, Division of Professional Licensing Services is required
Job Responsibility
Job Responsibility
  • Conducts comprehensive clinical evaluation and risk assessments, including obtaining collateral information and review of recent clinical history for patients across the age spectrum as assigned who present to the CPEP in crisis
  • Provides assessment and intervention services to children and adults suspected of being victims of abuse, neglect or domestic violence in line with program and hospital policy and procedure
  • Formulates initial proposal for disposition and presents findings to the interdisciplinary team
  • Functions as Team Leader
  • Assists with case assignments throughout shift and oncoming shift
  • Assists in providing case consultation and supporting staff with case navigation and complex discharge planning
  • Assists in onboarding activities for staff in the service, including policies and procedures, as well as clinical teaching/orientation
  • Supports Senior Clinical Evaluators with to-do items for disposition cases, coaching Mental Health Assistants, and providing needed support and interventions on the floor regarding disposition patients
  • May assist with supporting the daily interdisciplinary treatment team meetings, which may include discussion of clinical cases and documenting minutes from those meetings
  • Provides coverage and accessibility for vacations/sick calls, as needed
  • Fulltime
Read More
Arrow Right

Inpatient Physician Assistant

The Physician Assistant (PA) is responsible for assisting the Program Attending ...
Location
Location
United States , Boston
Salary
Salary:
126100.00 - 204732.50 USD / Year
dana-farber.org Logo
Dana-Farber Cancer Institute
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree
  • Completion of an AAPA/NCCPA-accredited Physician Assistant Studies program
  • NCCPA certified
  • License to practice as a Physician Assistant in Massachusetts
  • Current DEA and Massachusetts Controlled Substance Licenses
  • 100 hours of CME completed every 2 years in compliance with national and state regulations
  • Expert knowledge of general medicine
  • Preferable exposure to hematology/oncology and/or inpatient medicine
  • Ability to incorporate knowledge of general internal medicine and medical complications unique to oncology patients
  • Must be professional, quality driven
Job Responsibility
Job Responsibility
  • Manage all aspects of patient care in collaboration with supervising MD and care team
  • Examine patients to obtain information about their physical condition
  • Order and interpret diagnostic test results to obtain pertinent medical information
  • Obtain, compile, and record patient medical data which may include admission and discharge notes, daily progress notes and results of examinations
  • Prescribe therapy or medications and perform procedures according to DFCI privileges
  • Participate in quality improvement projects and patient safety initiatives
  • Practice in an efficient manner without compromising high level of patient care
  • Work well with and coordinate care amongst attendings, consulting teams, nurses, social worker and other healthcare professionals promoting excellence in patient care
  • Adhere to documentation of notes based on standard practice of program
  • Participate in precepting of students after training completed
  • Fulltime
Read More
Arrow Right

Inpatient Physician Assistant

The Physician Assistant (PA) is responsible for assisting the Program Attending ...
Location
Location
United States , Boston
Salary
Salary:
126100.00 - 204732.50 USD / Year
dana-farber.org Logo
Dana-Farber Cancer Institute
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree
  • Completion of an AAPA/NCCPA-accredited Physician Assistant Studies program
  • NCCPA certified
  • License to practice as a Physician Assistant in Massachusetts
  • Current DEA and Massachusetts Controlled Substance Licenses
  • 100 hours of CME completed every 2 years in compliance with national and state regulations
  • Expert knowledge of general medicine
  • Preferable exposure to hematology/oncology and/or inpatient medicine
  • Ability to incorporate knowledge of general internal medicine and medical complications unique to oncology patients
  • Must be professional, quality driven
Job Responsibility
Job Responsibility
  • Manages all aspects of patient care in collaboration with his/her supervising MD and care team
  • Examines patients to obtain information about their physical condition
  • Orders and interprets diagnostic test results to obtain pertinent medical information
  • Obtains, compiles, and records patient medical data which may include admission and discharge notes, daily progress notes and results of examinations
  • Prescribes therapy or medications and performs procedures according to DFCI privileges
  • Participates in quality improvement projects and patient safety initiatives
  • Practices in an efficient manner without compromising high level of patient care
  • Works well with and coordinates care amongst attendings, consulting teams, nurses, social worker and other healthcare professionals promoting excellence in patient care
  • Adheres to documentation of notes based on standard practice of program
  • Participates in precepting of students after training completed
  • Fulltime
Read More
Arrow Right
New

Interpreter, language, smh - spanish

Provides bilingual translation services to the target language or to Limited Eng...
Location
Location
United States of America , Rochester
Salary
Salary:
21.36 - 29.90 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma and two years of post-high school education or equivalent combination of education and experience required
  • Must be fluent in English and Spanish with strong verbal and written skills in both languages
  • Knowledge of human anatomy, physiology, pathology, clinical tests and procedures in working languages
  • Strong customer service and communication skills
  • Completion of 40 hour training course in medical interpreting
Job Responsibility
Job Responsibility
  • Provides bilingual translation services to the target language or to Limited English Proficient (LEP) throughout the University for patients, their families and others
  • Manages flow of communication autonomously and efficiently between source and target language during medical and non-medical healthcare encounters across URMC's diverse and numerous clinical specialties in inpatient and ambulatory settings
  • Interprets all assignments, whether prescheduled or received via pager, in a timely and professional manner in accordance with hospital policy
  • Weighs the goals of each encounter in collaboration with clinical healthcare providers and non-clinical hospital staff to determine the situational context of the patient interaction
  • Chooses appropriate communication ground rules and methods, informs all parties of the role of the interpreter, and briefs healthcare professionals on any knowledge possessed by the interpreter regarding the patient or encounter
  • Assesses and recommends most effective communication method for patients with barriers to communication, altered mental status, or other special communication needs
  • Verifies patient's preferred language is correctly identified
  • Selects appropriate mode for optimal flow of communication (consecutive, simultaneous, sight-translation)
  • Proposes most suitable service delivery modality (in-person, video, telephone) based on the needs of the patient, and in the event of unforeseen communication barriers
  • Debriefs with healthcare professionals after the encounter, as necessary, to optimize the understanding of the conversational content and provide linguistic and cultural insights
  • Parttime
Read More
Arrow Right
Jobs by Category
Art and Entertainment Jobs Banking Jobs Call Center Jobs Construction Jobs Consulting Jobs Customer Service Jobs Education Jobs Energy Jobs Finance Jobs Gastronomy Jobs Health and Beauty Jobs Hospitality and Tourism Jobs Human Resources Jobs Insurance Jobs IT - Administration Jobs IT - Software Development Jobs Legal Jobs Logistics Jobs Manufacturing Jobs Marketing, Digital Marketing, SEO, SEM Jobs Media Jobs Nursing Jobs Office Administration Jobs Pharmacy Jobs Physical Work Jobs Public Relations Jobs Public Sector Jobs Purchasing Jobs Quality Control Jobs Real Estate Jobs Research and Development Jobs Sales Jobs
Job Positions Jobs by Country
United States Jobs United Kingdom Jobs India Jobs Canada Jobs Australia Jobs Germany Jobs Ireland Jobs Poland Jobs
Company
Blog About Us Contact
Follow Us
Facebook
X (Twitter)
LinkedIn
Instagram
CrawlJobs Group
ITFlashcards AllDevBlogs
© 2026 CrawlJobs Ltd. All Rights Reserved
Terms & Conditions Privacy Policy