Medical Social Worker - Hospital

Position: Medical Social Worker - Hospital Department: NBMC SOCIAL WORK SERVICES : 412100836000 Location: Fairfield, CA, US Start Date: 03/23/2026 End Date: 05/18/2026 Bill Rate: $1.00 Positions: 1 Provides direct clinical social work service, counseling, discharge planning, and case management services to hospital patients and their families including assessment and documentation of emotional, social, financial, environmental or follow-up referral needs.  Works collaboratively with the interdisciplinary healthcare team.  Formulates a psychosocial plan of care related to assessment of patient’s unique strengths and needs.  Develops a discharge plan for case load as designated by the team.  Monitors progress toward goals of care and identifies barriers to meeting estimated length of stay.  Facilitates integration with community-based resources to optimize patient health.  Activities are consistent with System mission and values and in compliance with applicable regulations and System policies and procedures. Partners with the physicians, nursing, and other members of the healthcare team to establish, document, implement and evaluate a plan of care based on the patient’s unique health strengths and needs. Brings psychological assessment skills; acute, long term, and community health expertise; learning theory; and multidisciplinary team expertise to the interdisciplinary team. Monitors progress of the plan of care and communicates any changes with the care team. To the extent possible, provides integrated – mind, body, spirit – service to the patient and family through a mutually agreed upon plan of care and patient advocate relationship. Supports System processes related to the health management of patients across the continuum of care, e.g. QI and/or clinical practice team membership, clinical research, quality monitoring, community networking. Assesses needs of patients/families and conceptualizes problem situations within social work scope of service using appropriate age-related skills. Provides direct social work services and counseling to patients and their families. Interprets social, psychological, emotional, financial and family issues for attending physicians and other health care team members. Completes documentation required in patient’s medical record on department forms and reports, and in MIDAS+ and in Cerner. Demonstrates continued enhancement of professional skills. Complies with department and hospital policies and procedures. Supports organization goals to provide the best/optimal care to our patients and families, and community to our highest customer satisfaction. Performs other duties as assigned.