Social Worker MSW - Care Management

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in exceptional physicians, nurses, staff, and advanced technology. Accredited by the DNV, Capital Health includes two hospitals, an outpatient center, a satellite emergency department, and an expansive network of primary and specialty care. Capital Health Medical Group comprises over 600 physicians and providers offering primary, specialty, and hospital-based services.

About the Role

Assesses, intervenes, and plans appropriate discharge based on patient’s clinical, social, and functional needs. Integrates assessment using cultural, clinical, ethnic, age, and other factors into the plan of care to implement transition plans. Acts as an active member of the care management team in the discharge planning process, identifying complicated social and financial factors and barriers to appropriate and timely discharge. Refers patients, families, and caregivers to appropriate resources regarding abuse, neglect, domestic violence, alcohol, and substance abuse.

Requirements

• Master's degree in Social Work (MSW).
• New Jersey Social Worker license.
• One year of experience in hospital case management or healthcare.
• Social Worker - Licensed credential.
• 4 hours of Stroke-related Continuing Education contact hours annually if assigned to Critical Care, Intermediate Care Unit, Emergency Department, Neuro Units, Cardiology Inpatient at Hopewell, Peds ED, PACU, Interventional Radiology, CNI, or Observation.

Skills

• Excellent communication, conflict management, organizational, and planning skills.
• Comfortable working with diverse age ranges and populations.
• Clinical training in a medical/clinical environment.
• Knowledge of spreadsheet and word processing software, case management, and patient information systems.

Responsibilities

• Documents in the clinical record comprehensive assessment of patient needs, including barriers to timely discharge, clinical interventions, support, and appropriate community resources according to policy.
• Uses culturally competent skills to assess individual patient needs and refers to appropriate professional staff when necessary.
• Identifies barriers and plans interventions to overcome or lessen barriers to achieve outcomes as evidenced by the treatment plan.
• Collaborates, educates, and assists the healthcare team to identify social and financial barriers that delay appropriate transitions through multidisciplinary rounds, length-of-stay meetings, and medical record documentation.
• Documents in the clinical record all referrals and clinical interventions related to abuse, neglect, domestic violence, alcohol and substance abuse, and crisis intervention.
• Performs educational sessions for the healthcare team related to abuse/neglect issues and reporting.
• Completes mental health/psych assessments when appropriate.
• Advocates for appropriate services for all patients with payors and providers of post-acute care, community services, and other services to optimize patient outcomes.
• Participates in staff development and performance improvement programs to increase self-knowledge, staff, and colleague awareness of bio-psycho-social issues and functioning.
• Attends and participates in regular departmental performance programs, staff meetings, and hospital-wide committees to analyze and respond to issues significant to social work services and identify opportunities for improvement.
• Ensures compliance with DNV standards, NJDOH regulations, approved Capital Health performance improvement plans, policies, and Healthcare Quality Strategies (HQSI) activities.
• May perform follow-up services as needed to measure clinical outcomes.
• Performs other duties as assigned.

Physical Demands and Work Environment

• Frequent physical demands: Standing, walking, carrying objects, keyboard use/repetitive motion.
• Occasional physical demands: Sitting, climbing (e.g., stairs or ladders), push/pull, twisting, bending, reaching forward, reaching overhead, squat/kneel/crawl, wrist position deviation, pinching/fine motor activities.
• Continuous physical demands: Lifting floor to waist up to 15 lbs; lifting waist level and above up to 10 lbs.
• Sensory requirements: Standard visual and auditory acuity.
• Anticipated occupational exposure risks: Bloodborne pathogens, airborne communicable diseases.

Benefits

• Retirement Savings and Investment Plan
• Disability Benefits – Short Term Disability (STD)
• Sick Time Off
• Employee Assistance Program

Pay

The pay range for this full-time equivalent (1.0 FTE) position is $42.00 - $42.00 per hour. Actual compensation may differ depending on assigned hours and position status (e.g., part-time). The range reflects base compensation and does not include potential bonuses, incentive compensation, differential pay, or other forms of compensation or benefits.