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Social Worker I
Methodist Le Bonheur Healthcare. Conduct psychosocial assessments to identify barriers to discharge .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in psychosocial assessments, discharge planning, and community resource coordination, while effectively advocating for patient rights and preferences. Proficient in collaborating with interdisciplinary teams to facilitate safe transitions and support patients experiencing psychosocial stressors.
Highest-signal resume keywords
Master's Degree Social WorkLicensed Master Social Worker TennesseeDischarge Planning KnowledgeCommunity Resource CoordinationInterdisciplinary Team Collaboration
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Psychosocial AssessmentDischarge PlanningData SynthesisPatient AdvocacyElectronic Medical Record DocumentationCommunity Resource LinkingAdvance Care PlanningCritical ThinkingProblem-SolvingOrganizational Skills
Soft Skills
Interpersonal SkillsCollaborationCommunication SkillsRelationship BuildingFacilitation Skills
Tools & Technologies
WordElectronic Medical Record SystemsInternet Navigation
Certifications & Qualifications
Licensed Master Social Worker TennesseeLicensed Master Social Worker Mississippi (Preferred)
Industry Keywords
Acute CareHealthcare SystemsSocial ServicesCommunity ProgramsPatient RightsValue-Based CareCMS ComplianceJoint Commission Standards
Tech Stack
Tools & technologiesReact
About the role
Key responsibilities & impact- Conduct psychosocial assessments to identify barriers to discharge
- Develop individualized discharge plans with RN Case Managers, physicians, nursing, therapy, and other team members
- Coordinate post-acute services including home health, DME, transportation, community resources, and follow-up appointments
- Communicate with families, caregivers, and external providers
- Facilitate safe transitions to SNF, IRF, LTACH, or home settings
- Educate patients and families about resources, benefits, and community programs
- Assist with advance care planning discussions through non-clinical guidance
- Support patients experiencing psychosocial stressors related to hospitalization, illness, or caregiving
- Advocate for patient rights, preferences, and culturally appropriate care
- Identify financial, housing, transportation, and social support needs
- Connect patients with community agencies, social service programs, and charitable resources
- Coordinate with insurance case managers for authorizations and benefits clarification
- Assist with Medicaid, disability, and other assistance program applications as permitted
- Participate in daily rounds, huddles, and care coordination meetings
- Communicate patient needs, barriers, and discharge readiness to the care team
- Collaborate with RN Case Managers on complex cases
- Complete timely and accurate electronic medical record documentation
- Follow CMS, Joint Commission, and hospital discharge planning and patient rights policies
- Support readmission reduction, length-of-stay management, and value-based care initiatives
- Does not provide psychotherapy, diagnose mental health conditions, conduct clinical risk assessments requiring licensure, or perform licensed clinical interventions
Requirements
What you’ll need- Required - Master's Degree Social Work
- Required - Licensed Master Social Worker Tennessee - Tennessee Board of Social Workers (or licensed within 12 months)
- Preferred - Licensed Master Social Worker Mississippi - Mississippi Board of Examiners for Social Workers
- Preferred experience in acute care, healthcare, social services, or community resource coordination
- Knowledge of discharge planning, community resources, and healthcare systems strongly preferred
- Excellent interpersonal and collaborative skills within an interdisciplinary team
- Comprehensive knowledge of community resources and ability to link patients and families to appropriate services
- Ability to gather, synthesize, and summarize relevant data for patient-centered decision-making
- Strong oral and written communication skills
- Ability to build constructive relationships and manage difficult, sensitive, or complex social situations
- Organizational skills to manage multiple tasks, caseloads, and projects accurately
- Initiative, independent judgment, critical thinking, and problem-solving skills
- Ability to develop effective working relationships with physicians and healthcare professionals
- Strong facilitation skills for patient/family meetings, team discussions, and care planning conferences
- Proficiency with Word, internet navigation, and electronic medical record systems
- Good balance and coordination
- Ability to react quickly to emergency situations
- May be required to take call for nights/weekends on a rotating schedule
Benefits
Comp & perks- Opportunity to grow a career caring for others
- Employer of choice and talent-rich organization
- Family, team, and Power of One culture
- Commitment to high standards of care and unity