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Medical Social Worker II

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Listing Info

Department: Care Management

Schedule: Per diem

Shift: Days

Hours: zero hour

Job Description


  • Master's Degree
  • LGSW
  • SUMMARY: The Care Management Department Social Worker at St. Agnes Hospital participates as an integral member of the Care Management Department, which includes the Physician Advisor, RN Care Managers, and support staff. Their focus is the patient's social, financial, and discharge planning needs in support of the achievement of departmental and hospital quality and fiscal outcomes. Social Work cases are managed on a referral basis, both formal with a written order and informal as identified by the Social Worker themselves or from a member of the healthcare team. Referral sources include the RN Care Manager, the Physician, and/or the Clinical Staff, the patient/family and/or outside agencies (referrals reasons are as defined in the scope of this role description). The St. Agnes Hospital Social Worker possesses excellent interpersonal skills, is team-oriented, and works efficiently to effect favorable patient satisfaction and discharge outcomes.

    'Practice Social Work ' means: to apply theories, knowledge, procedures, methods or ethics derived from formal educational program in social work to restore and enhance social functioning of individuals, couples and families.

Principal Duties And Responsibilities

  • Works collaboratively with the care manager and interdisciplinary team to identify and establish patient discharge plans, and coordinates a timely safe patient discharge. Provides updates and feedback to the care manager routinely throughout the day.
  • Participates effectively in multidisciplinary rounds and the interdisciplinary plan of care.
  • Coordinates after-discharge services for patients as identified by the interdisciplinary team. Interacts with insurance carriers as required.
  • Provides/faxes necessary/requested information to the next provider as required.
  • Understands the patient's planned course of treatment to the degree necessary in order to anticipate “discharge readiness” and coordinate a timely discharge. Interacts on a daily basis with the care manager to update treatment/discharge plan.
  • Collaborates with the patient/ family in the selection and making of after-discharge care arrangements; Offers patients a choice of vendors; Discloses which vendors have a financial relationship with St. Agnes; Documents both.
  • Provides accurate community resource linkage as part of discharge planning, identifies correct resources, educates patients on the use of resources and completes all requirements to effect a successful referral.
  • Keeps the patient/ family, Care Manager, and healthcare team well informed.
  • Communicates the relevant information to the agency/facility that will assume responsibility for continuing care after the patient's discharge and documents as such.
  • Documents all discharge coordination activity and interventions in medical record and the care management information system.
  • Provides counseling for patients and families, when requested, as part of the plan of care.

  • Requirements

    Master's Degree in Social Work from CSWE approved School of Social Work.

    Preferred Education

    N/A



    Required License, Certification and/or Registration: Licensure as LGSW by the State of Maryland Board of Social Work Examiners.



    Preferred License, Certification and/or Registration: N/A

    Required Experience

    Minimum of one (1) years' experience in an acute care health setting or related employment. Those individuals with experience in a non-medical setting may be considered for a position at the discretion of the Social Work Team Manager or Care Management Director.

    Preferred Experience


    • Minimum of three (3) years' experience in an acute care health setting.
    • Knowledge of clinical, legal, financial and general admission requirements for transfer to post acute care.
    • Knowledge of Medicare and Medicaid coverage for post acute care services.
    • Knowledge regarding Advanced Directives, competency and guardianship.
    • Knowledge about child and adult abuse and neglect dynamics and reporting requirements as well as the ability to assess and report accurately and implement safe and appropriate discharges.
    • Knowledge of psychosocial and legal issues related to domestic violence as well as community resources available to assist victims.
    • Knowledge of community resources, especially those for substance abuse treatment and homelessness.
    • Knowledge necessary to understand the patient's plan of care.
    • Awareness of cultural issues and how it may impact patient interaction within the health care system.


    Supervisory Responsibilities: This position has no supervisory responsibilities.

    Supervision received from: Social Work Team Leader and/or an LCSW/ LCSW-C..three (3) hours a month. If they employee is pursuing licensure at the LCSW, or LCSW-C, level they will need additional hours and experience per the Board of Social Work requirements.


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