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 management; patient/family health management education; bioethics referrals and management; physician, staff, and community education; case/care management/coordination education and training; risk management identification and referral.
• Psychosocial management: crisis intervention; psychosocial assessment/functioning; counseling support and referral; abuse/neglect/trafficking identification, assessment, and referral (partner, child, elder, etc.); family issues affecting care; coping/emotional adjustment; grief/bereavement support (individual and group); adoption, surrogacy, and safe surrender support, management, and resources; health/wellness promotion; substance abuse screening, management, and resources; psychiatric screening, management, and resources; staff support; assessing, addressing, managing, and providing resources related to social determinants of health (e.g., housing and food insecurity, transportation).
• Patient/Family Care Conferences: interdisciplinary care communication/coordination related to continuity/transitions of care planning and management.
• Continuity/Transition Management: facilitation of patient decisions and communications regarding post-acute care; professional responsibility for knowledge of community resources; maintaining up-to-date resource lists; education for patients/families about community resources; mental health service and support coordination; grave disability, palliative care/end-of-life, and hospice patient/family support, referrals, and management; interventions, management, and coordination of transition planning for psychosocially complex cases.
• Community Resource Coordination: life-care planning; expert consultation on health care resource management; team and patient education regarding various health-related insurance/support programs (e.g., CCS/Medicare/Medicaid/SSI); building and maintaining community relationships to address needs of patients experiencing homelessness and to meet other social determinants of health needs.

Requirements

• Master’s degree in Social Work (required).
• 1-year post-MSW experience or Social Work internship in a clinical or medical setting (required).
• One of the following licenses in Washington state (required upon hire):
  • Licensed Independent Clinical Social Worker (LICSW)
  • Licensed Advanced Social Worker (LASW)
  • Licensed Social Worker Associate Advanced (LSWAA)
  • Master Social Worker (MSW)
• Minimum 3-year post-MSW healthcare experience (preferred).

About the workplace

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 and integrations to expand our reach and services across the Puget Sound area. Today, we remain deeply committed to healing the whole person—body, mind, and spirit—in the communities we serve.

Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, grounded in rigorous research and education. Our comprehensive 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.

Pay

$38.21 - $61.85 per hour