Social Worker Inpatient MSW- Case Management- PRN

About the role

JPS Health Network is a $950 million tax-supported healthcare system in North Texas with over 25 locations, including John Peter Smith Hospital (Level I Trauma Center, psychiatric emergency center, largest hospital-based family medical residency program). The Acclaim Multispecialty Group provides multispecialty care with over 300 providers. The Social Worker Inpatient MSW‑Case Management‑PRN position works at John Peter Smith Hospital, 1500 S. Main Street, Fort Worth, TX 76104.

Responsibilities

• Conduct comprehensive psychosocial, functional, financial, healthcare support systems and discharge planning assessments.
• Interview patients, families, and/or representatives to assess needs and identify individualized discharge plans.
• Identify patients needing assistance with eligibility for social programs and funding sources; generate referrals.
• Develop individualized discharge plans based on medical diagnosis, treatment plan, financial resources, psychosocial issues, outpatient support, etc.
• Educate patients/families on post‑acute options and incorporate patient choices into discharge plans when possible.
• Participate in interdisciplinary rounds to facilitate communication and ensure coordinated plan of care.
• Provide brief supportive counseling for patients/families with complex family dynamics impacting care.
• Serve as resource for counseling and intervention related to treatment and end‑of‑life decisions; advocate for patient/family empowerment.
• Assist with guardianship applications, protective custody orders, and follow‑up on APS/CPS cases.
• Identify support systems, options, and barriers for discharge of uninsured/undocumented patients; work with available resources to transition patients through continuum of care.
• Provide education and referral information regarding JPS and community resources.
• Document case management activities in the electronic medical record per departmental policies.
• Serve as educational resource for physicians, nursing staff, and others on case‑management strategies to meet quality, utilization, financial, and satisfaction objectives.
• Assess need for and refer patients to a Primary Care Physician for medical home; generate referrals to Physician Advisor per policy.
• Perform other related duties as assigned.

Qualifications

• Master’s in Social Work from a CSWE‑accredited school.
• Minimum 3 years’ social work experience (including internship) in inpatient acute care, behavioral health, skilled nursing, long‑term acute care, or outpatient settings such as home health, hospice, dialysis, etc., involving discharge planning, psychosocial assessment, psychotherapy referrals, or patient navigation.
• Current Licensed Medical Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) from the Texas State Board of Social Work Examiners.
• Preferred: American Case Management (ACM) Certification.
• Preferred: 1+ years’ experience using medical appropriateness criteria (InterQual or Milliman).

Schedule

PRN (as needed) employment type.