Care Coordination Master Social Worker

About the Role

As our Social Worker, you will be a compassionate advocate, providing vital support and guidance to individuals and families facing complex challenges. You will conduct psychosocial assessments, develop care plans, provide counseling and crisis intervention, and connect clients to resources. You'll advocate for clients and collaborate with multidisciplinary teams to ensure holistic support and promote well-being.

Responsibilities

• Provide developmentally appropriate care for all populations served, including planning for safe discharge and continuity of care.
• Advocacy and education: patient/family self-care and health management; bioethics referrals; physician, staff, and community education; case/care management training; risk management identification and referral.
• Psychosocial management:
  • Crisis intervention and psychosocial assessment.
  • Counseling support and referral.
  • Abuse/neglect/trafficking identification, assessment, and referral (partner, child, elder, etc.).
  • Address family issues affecting care, coping/emotional adjustment, and grief/bereavement support (individual and group).
  • Adoption, surrogacy, and safe surrender support, management, and resources.
  • Health/wellness promotion and substance abuse screening, management, and resources.
  • Psychiatric screening, management, and resources.
  • Staff support and addressing social determinants of health (e.g., housing, food insecurity, transportation).
• Facilitate patient/family care conferences for interdisciplinary care communication and coordination.
• Continuity/Transition Management:
  • Facilitate patient decisions and communications regarding post-acute care as part of the Care Management/Coordination team.
  • Maintain knowledge of community resources and up-to-date resource lists.
  • Educate patients/families about community resources and mental health service coordination.
  • Provide support, referrals, and management for grave disability, palliative care, end-of-life, and hospice patients/families.
  • Coordinate transition planning for psychosocially complex cases.
• Community Resource Coordination:
  • Life-care planning and expert consultation on health care resource management.
  • Team and patient education on health-related insurance/support programs (e.g., CCS, Medicare, Medicaid, SSI).
  • Build and maintain community relationships to address homelessness and other social determinants of health needs.

Requirements

• Master’s in Social Work (MSW).
• 1-year post-MSW experience or Social Work internship in a clinical or medical setting.
• One of the following Washington state licenses upon hire:
  • Licensed Independent Clinical Social Worker (LICSW).
  • Licensed Advanced Social Worker (LASW).
  • Licensed Social Worker Associate Advanced (LSWAA).
  • Master Social Worker (MSW).

Preferred: Minimum 3-year post-MSW healthcare experience.

About the Organization

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved through strategic partnerships to expand services across the Puget Sound area. Today, we remain committed to healing the whole person—body, mind, and spirit—in the communities we serve.

Our dedicated providers offer a full spectrum of healthcare services, from routine wellness to complex disease management, grounded in rigorous research and education. Our network includes 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region, reflecting our commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances, numerous awards, and accreditations.

Pay

$38.21 - $61.85 per hour.