Medical social worker jobs in Pasadena, TX

Job Description Assesses psychosocial, emotional, and / or economical factors affecting patient's limitations and potential for and / or lack of improvement. Assesses patient's needs for long term care including home and family situation, exploring alternatives to in home care arrangement for placement. Counsels patient, caregiver regarding long term planning and decision making. Collaborates with physician and other member of health team to develop a Plan of care. Communicates significant information regarding patients with other members of health care team and makes necessary recommendation, suggestion to improve the Plan of care. Clinical notes should be written each visit and include progress, or lack of, specific plans, goals, anticipated length of service, referrals made, and follow-up on referrals. Submits initial evaluation visit, interim evaluations (as deemed necessary) and discharge evaluation from Social Services. These are required documentation. Identifies high risk indicators potentially endangering patients and provides intervention reports of the situation to the Director of Nurses and proper authorities.

At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. : Medical Social Worker PRN At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there's no place like home, and that's why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their journey of health, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Medical Social Worker (MSW). Being a part of something this great starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers. To continue to be an industry pioneer in delivering unparalleled care, we need a Medical Social Worker (MSW) with commitment and compassion. Are you one of them? If so, apply today! Why Join the Elara Caring mission? * Work in a collaborative environment. * Be rewarded with a unique opportunity to make a difference * Competitive compensation package * Tuition reimbursement for full-time staff and continuing education opportunities for all employees at no cost * Opportunities for advancement * Comprehensive insurance plans for medical, dental, and vision benefits * 401(K) with employer match * Paid time off, paid holidays, family, and pet bereavement As a Medical Social Worker (MSW), you'll contribute to our success in the following ways: * Ensures that all activities are performed aligned with the vision of Elara Caring's board of directors, executive team, and the leadership of the Home Health team. * Assesses patients to identify the psychosocial, financial, and environmental needs of patients as evidenced by documentation, clinical records, case conferences, team report, call-in logs, and on-site evaluations. * Make the initial social work evaluation visit and reevaluate the patient's social work needs during each following visit. * Communicates significant findings, problems, and changes in condition or environment to the Supervisor, the physician and/or other personnel involved with patient care. * Reports unsafe conditions and the outcome of each visit to the appropriate Supervisor by the end of the day. * Implements the plan for patient safety, using patient, family, and community resources. * Participates in implementation and development of the Plan of Care to ensure quality and continuity of care and proper discharge planning. * Verifies the Plan of Care prior to each visit and provides care according to physician's orders, assessment data, and established standards and guidelines. * Initiates and revises the Plan of Care in response to identified patient care issues. * Writes physician orders to cover additional visits and changes to the plan of care, per agency policy. * Incorporates patient care goals established in the plan of care, as evidenced by documentation in clinical note. * Performs appropriate skilled services/interventions in accordance with accepted standards of practice and certified by the patient's physician. * Counsels, instructs, and includes the patient and family in following the Plan of Care and meeting social work-related needs. What is Required? * Master's Degree or Doctoral Degree in Social Work from a school of Social Work accredited by the Council of Social Work Education * 1+ year of social work experience in a healthcare setting. * Current State License as a Social Worker * Excellent verbal and written communication skills * Social work skills as defined as general social work standards * 50% travel required * Sit, stand, bend, lift and move intermittently and be able to lift 50-100 lbs. * Valid driver's license and insurance and reliable transportation to perform job tasks You will report to the Clinical Team Manager. #LI-SD1 We value the unique skills of veterans and military spouses. We encourage applications from military veterans and their families. Elara Caring provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age (40 and older), national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, protected veteran status, or any other basis prohibited under applicable federal, state or local law. Elara Caring participates in E-Verify and we will provide the Federal Government with your Form I-9 information to confirm that you are authorized to work in the United States. Employers like Elara Caring can only use E-Verify once you have accepted the job offer and completed the Form I-9. At Elara Caring, pay and compensation are determined by a variety of factors, including education, job-related knowledge, skills, training, and experience. Our compensation structure reflects the cost of labor across different U.S. geographic markets, and may vary based on location. This is not a comprehensive list of all job responsibilities and requirements; upon request, a job description can be provided. If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by reaching out to ********************.

Job Description **Job Title: Social Worker - Skilled Nursing** **Job Type:** Full-Time We are seeking a compassionate and dedicated Social Worker to join our skilled nursing team. The ideal candidate will provide comprehensive psycho-social assessments, advocacy, and support to residents and their families, ensuring the highest quality of care and service. The Social Worker will also collaborate with interdisciplinary teams to develop and implement individualized care plans that promote optimal physical, emotional, and social functioning. **Key Responsibilities:** - Conduct comprehensive assessments of residents' emotional, social, and environmental needs, identifying any barriers to care. - Develop, implement, and monitor individualized care plans in collaboration with nursing staff, physicians, and other healthcare professionals. - Provide counseling and support to residents and their families regarding adjustment to illness, disability, and placement in a skilled nursing facility. - Organize and facilitate support groups, educational programs, and activities for residents and their families. - Assist residents and families in accessing community resources, including financial assistance programs, rehabilitation services, and long-term care options. - Advocate for residents' rights and preferences, ensuring their voices are heard in the care process. - Document all assessments, interventions, and progress notes in compliance with facility policies and applicable regulations. - Participate in interdisciplinary team meetings and contribute to care plan discussions. - Stay current on best practices, regulations, and trends in long-term care and social work. - Provide crisis intervention and conflict resolution assistance as needed. **Qualifications:** - Bachelor's degree in Social Work (BSW) required; Master's degree in Social Work (MSW) preferred. - Active state licensure (e.g., LSW, LCSW, or equivalent) is required. - Previous experience in a skilled nursing or rehabilitation facility is preferred. - Strong knowledge of emotional, social, and psychological issues related to aging and chronic illness. - Excellent interpersonal and communication skills, with the ability to build rapport with residents, families, and staff. - Strong problem-solving and organizational skills, with the ability to prioritize tasks effectively. - Proficiency in electronic medical records (EMR) and documentation processes. - CPR and First Aid certification is preferred. **Benefits:** - Competitive salary based on experience - Health, dental, and vision insurance - Retirement plan options - Paid time off and holidays - Continuing education and professional development opportunities - Supportive team environment The Buckingham is an equal opportunity employer and encourages applications from individuals of all backgrounds and experiences. We are committed to creating a diverse environment and welcome all qualified candidates to apply.

The Social Worker is responsible for assisting the clinic in responsibilities related to the OVC Human Trafficking grant. The ideal candidate will have 2-3 years of experience in healthcare in program coordination and has a keen attention to detail. The ability to work independently and proactively to provide accurate and timely information to all of the collaborative partners is a must. DUTIES AND RESPONSIBILITIES: Serves as a liaison between collaborative partners and other organizations identified and oversees the quality assurance of the day-to-day program operations of the Anti-Human Trafficking Program. Provides project management/coordination for assigned projects/events and accountable for achieving results. Has a thorough understanding of policies, procedures and guidelines supporting the administrative Functions of the department manager and team. Consults with the screening and identification of potential human trafficking patients and coordinating of appropriate healthcare services. Develops and maintains the Human Trafficking Training Program for collaborative. Conducts training seminars on human trafficking for healthcare providers, advocacy agencies, and concerned community members. Refers clients between agencies and others within the network for continuity of care. Consults with established social workers and care managers in outpatient, emergency, and inpatient areas across disciplines in medicine, psychiatric and surgery. Works closely with community advocacy agencies to ensure that referred patients receive appropriate substance abuse services. Works closely with case management partners in the local shelters and/or other community/faith based or hospital programs, to bring victims identified in the community in need of health care services. Appropriately refers victims to social services specific for trafficking victims, including legal, police and refugee resources. Participates on weekly calls with the Path collaborative, representing San Jose Clinic. Translates data into clear and concise communications and assists with reports. Demonstrates strong project management skills; shows strong organizational and time management skills. Works well with little or no direct supervision; and is a self-starter. Demonstrates initiative and is compelled to drive towards the completion of stated goals. Requirements QUALIFICATIONS, EDUCATION, AND EXPERIENCE: Bachelor's degree in Social Work Must be proficient in both Spanish and English 2-3 years in the healthcare industry, human trafficking experience preferred Proficient in Excel, Access, Word, Outlook and PowerPoint Excellent written and verbal communication skills Excellent presentation skills Experience with advanced data visualization tools Knowledge of healthcare quality reporting and analysis, statistics, benchmarking, predictive modeling

Social Worker MSW (Internal Medicine-Palliative Care - Galveston) - (2506315) Description Minimum Qualifications: Master's degree in Social Work or related field; 2 years experience required. Must be licensed to practice as a Social Worker in Texas (LBSW, LMSW, LCSW). Job Description: The Social Worker MSW intervenes with patients who have complex psychosocial needs, economic co-morbidities, require assistance with eligibility determination for social programs and funding sources, and qualify for community assistance. To promote patient-centered care, the Social Worker MSW provides care that is respectful of and responsive to individual patient preferences, needs, and values, and ensures that patient values guide all decisions. Supports compliance with treatment protocols and assists with resource linkage as part of a multidisciplinary healthcare team. Job Duties:Psychosocial Assessment and Interventions Based on preliminary risk screening, assess patient and family psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, adjustment to illness, and ability to cope Intervene with patients and families regarding emotional, social, financial, and environmental concerns of illness and/or disability; access and mobilize family and community resources to meet identified needs Provide intervention in cases involving child abuse and neglect; domestic violence; abuse, neglect, or exploitation of the elderly and disabled; and sexual assault Serve as a resource for and provides counseling and intervention related to treatment decisions and end-of-life issues Advocate for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system. Complex Discharge Planning Involve patients in all decisions affecting the discharge plan of care Participate in discharge planning activities for complex patients to ensure a timely discharge and to provide appropriate linkage with post-discharge care providers Intervene with families exhibiting complex family dynamics that impact directly on patient care and discharge Communicate with care coordinators regarding the discharge planning status of all patients referred by them Assist Case Managers with discharge planning activities, as requested. Provide consultation to Case Managers when coordination with significant or intensive community resources is necessary to achieve desired treatment outcomes Receives referrals for complex patient problem resolution from Case Managers or care team members. Screens and coordinates all new skilled nursing facility and Rehab facility referrals. Validates discharge criteria for patient and families and notifies Case Managers of newly identified resources or change in previously identified resources. Educates patient/family and physician regarding post-acute options and addresses issues of choice. Counseling and Support Demonstrate knowledge of and the ability to engage in a variety of supportive counseling interventions, including individual, group and family Ability to explore and address emotional and behavioral issues/concerns Ability to incorporate evidence-based practices, such as motivational interviewing, into professional practice to address psychosocial issues Provide emotional support, conflict resolution, and counseling to patients and their families Provide brief therapy, bereavement support, and therapeutic interventions with patients and families undergoing trauma and crisis Assist in identifying and supporting victims of child neglect and abuse; domestic violence; elder abuse, and sexual assault Demonstrate theoretical knowledge of family systems and clinical practice in negotiating with patients and families “in crisis” in order to facilitate conflict resolution Utilize Social Work theories, including Strengths-based, Empowerment, and Cognitive Behavioral Theory (CBT) Patient and Family Support in Legally Complex Cases Provide intervention in child abuse/neglect, domestic violence, guardianship (temporary/ permanent), foster care, adoption, mental health placement, advance directives, adult/elderly abuse, child protection and sexual assault Ensure safe care to patients adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice Promote individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals Communication Demonstrate competency and skill in communicating with patients, families, hospital staff, and visitors Demonstrate collaboration, professionalism, and ability to work with all health care providers Demonstrate ability to work with people of all social, economic and cultural backgrounds and is flexible, open minded and adaptable to change Demonstrate appropriate problem-solving skills Demonstrate skill and success in collaborating with Care and Case Managers Documentation • Demonstrates competency in timely and complete assessments, progress notes, and discharge plans. Time Management Demonstrates proactive, accurate, and timely assessment. Demonstrates timely response to request for Social Work intervention. Demonstrates skill in prioritizing case load for appropriate level of intervention. Performance ImprovementDemonstrates support of the Care Management department and active participation in improving performance and achieving departmental goals. Demonstrates active participation in system, institutional and unit specific initiatives. Demonstrates understanding of the hospital's mission, vision, values, culture and policies. Adheres to internal controls and reporting structure. Pre- and post-transplant and living donor patient Screening and providing assistance across the continuum (acute care to community setting) Expertise in psychosocial assessment, intervention and discharge planning for pre- and post-transplant patients and living donors Meets all regulatory guidelines for patient referred for transplant or living donor evaluation, including assessment of the patient's appropriateness as a transplant recipient or living donor Screens for the existence of a support network and identifies strengths and barriers to transplantation or living donation Active member of the Transplant Selection Committee(s) providing recommendations for patient acceptance or denial as a transplant candidate or living donor based on established selection criteria In response to audits, develops, implements and monitors quality assurance plans to facilitate compliance actions outlined in Compliance and Wellness Contracts in collaboration with members of the transplant multidisciplinary team Collaborates with the Transplant team to ensure psychosocial issues are addressed and complex discharge needs are effectively managed and completed Assesses. Plans implement, coordinates, monitors and evaluates options and services needed to meet patients' psychosocial needs through all phases of the transplant process Provides supportive counseling for patients and families dealing with end-stage organ failure and associated issues, to include organization of patient support groups Demonstrates initiative and provides leadership in developing services that respond to patient care needs, educating interdisciplinary team members regarding psychosocial issues affecting the transplant patient population Partners with the patient and family to identify appropriate decision maker(s) if the patient is without capacity, assisting in the completion and filing of appropriate forms (Medical Power of Attorney) Participates in hospital-wide or service line activities such as consultation teams, collaborative practice meeting, outpatient clinics, Ethics Committee, organ donor awareness events, etc Assists the Transplant Administrator in establishing departmental and program goals and meeting hospital goals Salary Range:Commensurate with experience $60,720 - $75,900 WORKING ENVIRONMENT/LOCATION OF POSITION Hospital, ambulatory care, or community environment. Conditions such as noise, odors, cramped workspace and/or fumes could sometimes cause discomfort. Moderate physical effort may be required, such as walking, standing, and lifting materials, equipment, and/or objects Must be able to move about the physical facilities in which they are located in order to visit patients. Vision, hearing, speech, and sense of touch abilities must be adequate to enable one to quickly and accurately perform tasks such as reading small print, defining details, sending and receiving clear and accurate oral communication. Shift, on-call, holiday and weekend work may be required. Alertness and careful attention to detail will be required to avoid injury. May be exposed to occupational hazards such as communicable diseases and disoriented or combative patients. Qualifications Equal Employment OpportunityUTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. Primary Location: United States-Texas-GalvestonWork Locations: 0571 - Clinical Science Bldg 301 University Blvd. Clinical Science Building, rm 4. 104 Galveston 77555-0571Job: Social ServiceOrganization: UTMB Health: RegularShift: StandardEmployee Status: Non-ManagerJob Level: Day ShiftJob Posting: Nov 11, 2025, 2:42:38 PM

Support Families. Guide Care. Shape End-of-Life Experiences. If you're driven by compassion and committed to guiding others through serious illness and loss, we invite you to join our team as a Hospice Social Worker (MSW). We believe that holistic care includes emotional, social, and spiritual support. As a key member of the interdisciplinary team, you'll help ensure patients and families receive the guidance and resources they need to navigate the hospice journey with dignity and peace of mind. As a Hospice Social Worker (MSW), You Will: • Serve as the psychosocial support expert on the interdisciplinary care team • Provide assessments and care planning based on the emotional, psychological, environmental, and cultural needs of patients and families • Deliver counseling, crisis intervention, and practical resource support aligned with each patient's individualized plan of care • Work closely with patients, families, physicians, nurses, chaplains, and other care team members to support the emotional and social well-being of the patient-family unit • Educate families on hospice services, advance care planning, grief, and coping strategies • Assist with long-term planning, community referrals, and resource navigation when needed • Monitor and document psychosocial changes in the patient or family situation and recommend plan of care updates as appropriate • Uphold ethical standards and professional judgment in end-of-life care About You Qualifications - What You'll Bring: • Master's Degree in Social Work (MSW) from a CSWE-accredited program • Current licensure as required by the state of employment • Minimum of 1 year of experience as a Social Worker in a healthcare or hospice setting • Knowledge of the psychosocial dynamics of illness, grief, loss, and end-of-life care • Ability to provide empathetic support and maintain boundaries in emotionally intense situations • Strong communication skills, cultural sensitivity, and respect for diverse family systems Preferred Qualifications (Not Required): • 3 to 5 years of experience as a Social Worker in hospice or healthcare • Experience supporting terminally ill patients and their families • Advanced grief counseling or palliative care training • Bilingual skills We Offer Benefits for All Hospice Associates (Full-Time & Per Diem): • Competitive Pay • 401(k) with Company Match • Career Advancement Opportunities • National & Local Recognition Programs • Teammate Assistance Fund Additional Full-Time Benefits: • Medical, Dental, Vision Insurance • Mileage Reimbursement or Fleet Vehicle Program • Generous Paid Time Off + 7 Paid Holidays • Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) • Education Support & Tuition Assistance • Free Continuing Education Units (CEUs) • Company-paid Life & Long-Term Disability Insurance • Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Ready to Join a Team That Cares? Apply today and bring your heart and your clinical expertise to a team that values whole-person care. Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace Keywords: Hospice Social Worker, Palliative Care Social Worker, Social Worker, MSW, LCSW, Licensed Clinical Social Worker, Licensed Master Social Worker, LMSW, Clinical Social Worker, Medical Social Worker, Behavioral Health Social Worker Location Gentiva Hospice Our Company At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states. Our place is by the side of those who need us - from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis. Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care Home health care: Heartland Home Health Advanced illness management: Illumia Health With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized - and kindness is celebrated.

Job Description We are seeking a compassionate and motivated Social Worker to join our team in the Houston area. The ideal candidate will possess strong clinical skills and a commitment to improving the lives of individuals and families. This position is available as both permanent and temporary roles. Key Responsibilities: Conduct comprehensive assessments of clients' needs, strengths, and challenges. Develop individualized service plans that address client needs effectively. Provide counseling support to clients dealing with various issues such as mental health concerns, family dynamics, crisis intervention, or substance abuse. Advocate for clients' rights within healthcare settings or community resources. Coordinate services with other professionals including healthcare providers, governmental agencies, schools, and community organizations. Maintain accurate records of client interactions including assessments, case notes, treatment plans in compliance with ethical guidelines and legal regulations. Stay informed about local resources available for clients (e.g., housing assistance programs; mental health services) to provide appropriate referrals. Participate in multidisciplinary team meetings to discuss patient care strategies. Qualifications: Master's degree in Social Work (MSW) from an accredited program required; Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) preferred but not mandatory for all positions depending on role requirements. Previous experience working with diverse populations is highly desirable; new graduates are encouraged to apply for certain positions Strong interpersonal skills conducive to building rapport with clients Excellent written communication abilities Skills: Knowledgeable about social justice issues affecting individuals/families within the community Proficient use of electronic health record systems Ability to handle sensitive situations calmly while maintaining professionalism Flexible problem-solving abilities guided by empathy Work Environment: This role may require working evenings or weekends based on client availability. Positions may be located in hospitals; clinics; schools; or community organizations.

This 500-bed state-of-the-art hospital in Houston is looking for a full-time, permanent Social Worker. About the facility - Join a team of highly trained healthcare professionals who offer world-class care. - Named as a Top Workplace for 10 consecutive years by the Houston Chronicle (based on survey responses from employees, as well as company values, culture, leadership, and benefits) - Rated highly based on values and meaningful work - Comprehensive benefits package Descriptions - The Licensed Master Social Worker systematically intervenes to provide clinical social work and complex discharge planning to patients and their families who have complex psychosocial needs. - S/he offers crisis intervention and/ or mental health assessment and facilitates the development of a multidisciplinary discharge plan of care for high-risk patient populations. - S/he participates in an interdisciplinary team (including Physicians, Case Managers, Staff Nurses and other members of the care team) to provide services for individuals from at-risk populations and ensure that psychosocial issues are attended to and treated as required across the continuum of care.

Includes, but not limited to: Licensed Clinical Social Worker; Medical Social Worker Minimum Qualifications: Degree: Master's degree in Social Work (MSW). Education: Graduate from a School of Social Work fully accredited by the Council on Social Work Education (CSWE). Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions. Licensure: Current, full, active, and unrestricted license to practice as a Licensed Clinical Social Worker. Core Duties: Coordinate appropriate referrals to community and other Government agencies for services. Independently assess the psychosocial functioning and needs of patients and their family members and formulate and implement a treatment plan, identifying the patient's problems, strengths, weaknesses, coping skills and assistance needed, in collaboration with the patient, family and interdisciplinary treatment team. Independently conduct psychosocial assessments and provide psychosocial treatment to a wide variety of individuals from various socio-economic, cultural, ethnic, educational and other diverse backgrounds. Use medical and mental health diagnoses, disabilities and treatment procedures. This includes acute, chronic and traumatic illnesses/injuries, common medications and their effects/side effects, and medical terminology. Implement treatment modalities in working with individuals, families and groups who are experiencing a variety of psychiatric, medical and social problems to achieve treatment goals. Independently provide counseling and/or psychotherapy services to individuals, groups, couples, and families. Must practice within the bounds of the license or certification. Provide consultation services to other staff about the psychosocial needs of patients and the impact of psychosocial problems on health care and compliance with treatment. Participate in professional peer review case conferences, research studies, or other organizations required at the MTF.

Job Summary and Responsibilities Heart Transplant / LVAD Social Worker directs services through the continuum of care, Provides appropriate clinical information to third party payers to ensure reimbursement of series, provide education and emotional support to patients and significant others and assist the patent and family as they progress through the continuum of care. Essential Functions 1. Assess, plan, implement, coordinate, monitor and evaluate options and services needed to meet the patient's health needs as they move through the Rehabilitation phase in the continuum of care 2. Provide educational information and emotional support to the patient and family/significant other throughout rehabilitation and subsequent community settings 3. Identify patient care needs with input from members of the rehabilitation health care team and communicate/coordinate alternative settings with third party payers and other health care providers 4. Complete all necessary arrangements for transfer of care from one health care setting to the next after the rehabilitation care phase. Coordinate transfer and communicate to appropriate members of the health care team 5. Function as a case manager ensuring that a coordinated team approach to patient care is utilized throughout the continuum and into the community setting for patients 6. Identify discharge planning needs determined through patient and significant other contact, chart reviews, health care team rounds and clinical pathways and protocols 7. Execute DC plans that include home health referrals, durable medical equipment (DME) and identification of other social services needs 8. Reconcile services rendered with patient benefits and communicate with physicians and third party payers to ensure appropriate services and reimbursement 9. Identify when services rendered no longer meet reimbursement guidelines and apprise &/or initiate denial of benefits process 10. Comply with all required standards for medical/legal reporting situations (elder abuse, commitment, guardianship, etc.) 11. Ensure consistent communication with all team members throughout the care continuum, including patient, families and other health care providers in acute settings. Disclosure summary The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned. Job Requirements Education and Experience Required * Masters Degree from a Council on Social Work Education * Five (5) years of hospital work experience Licensure and Certifications Required * Licensed Clinical Social Worker: TX (LCSW:TX) * Preferred: Transplant/MCS Certification Knowledge, Skills, Abilities, and Training * Proven creative problem resolution skills * Excellent interpersonal and team work skills Where You'll Work Baylor St. Luke's Medical Center is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care, neuroscience, oncology, transplantation, and more. Our team's efforts have led to the creation of many research programs and initiatives to develop advanced treatments found nowhere else in the world. In our commitment to advancing standards in an ever-evolving healthcare environment, our new McNair Campus is designed around the human experience-modeled on evidence-based practices for the safety of patients, visitors, staff, and physicians. The 27.5-acre campus represents the future of healthcare through a transformative alliance focused on leading-edge patient care, research, and education. Our strong alliance with Texas Heart Institute and Baylor College of Medicine allows us to bring our patients a powerful network of care unlike any other. Our collaboration is focused on increasing access to care through a growing network of leading specialists and revolutionizing healthcare to save lives and improve the health of the communities we serve.

St. Gabriel's Hospice and Palliative is seeking a compassionate and dedicated Social Worker to join our team. In this role, you will provide emotional, social, and practical support to patients and their families during their most challenging times. Your expertise will be instrumental in helping our patients navigate the complexities of end-of-life care with dignity and respect. The Social Worker will participate in the coordination of care with the Interdisciplinary Group (IDG).Essential Functions: Assesses and completes the Comprehensive Assessment within five (5) days of the patients election of hospice care to identify patient and familys psychosocial, financial, environmental and community needs as evidence by POC documentation, clinical records, IDG meetings and community resource referrals.\t Assists with advance directives, funeral planning, discharge planning, family counseling and may assist in changes in the level of care as indicated by the patient or familys needs.\t Uses effective interpersonal communication skills, both verbal and written.\t Meets mandatory continuing education requirements of the Hospice and licensing board.\t Demonstrates commitment, professional growth, and competency by maintaining a working knowledge of public and private eligibility standards and requirements.\t Provides patient and family/care giver counseling around issues of end-of-life, death, and grief.\t Promote hospice philosophy and administrative policies to ensure quality of care.\t Attends IDG meetings, participate in the patient care planning process and coordinating and collaborating with the IDG to promote coordination of patient care.\t Accepts clinical assignments that are consistent with education and competence to meet the needs of the patients.Job Qualifications: Education: Social Work (MSW) degree from a school of social work accredited by the Council on Social Work Education; or Baccalaureate degree in social work from an institution accredited by the Council on Social Work Education; or Baccalaureate degree in psychology, sociology, or other field related to social work and is supervised by a MSWLicensure: Licensed as required by the state where practicing. Current drivers license. Experience: Two (2) years of experience in hospice, palliative care, or a related field preferred. Skills: Working knowledge of community resources. Good interpersonal skills. Demonstrates ability to work with computers. Transportation: Reliable transportation and valid auto liability insurance.What We Offer:Opportunity to make a meaningful difference in the lives of patients and their families.Supportive and collaborative team environment. Competitive compensation based on experience and qualifications. Ongoing professional development and training opportunities.Join St. Gabriel's Hospice and Palliative and be a part of a team that truly makes a difference in the lives of those we serve

Job DescriptionSocial Worker Facility: Nexus Children's Hospital - Shenandoah - Shenandoah Nexus Children's Hospital - Shenandoah is a 50-bed specialty inpatient hospital providing advanced, structured care for children and adults with complex medical and behavioral health needs. Our campus includes a 16-bed ICU/Medical-Surgical Unit for high-acuity medical care and a 34-bed Medical-Behavioral Unit supporting patients with co-occurring medical and psychiatric conditions. We specialize in treating brain and spinal cord injuries, chronic illnesses, neurobehavioral disorders, and adolescents with complex co-occurring diagnoses. At Nexus Health Systems, we are bridging medical and behavioral care so no patient falls through the cracks. Our programs deliver compassionate, specialty-driven treatment that helps individuals heal, grow, and achieve long-term success - because at Nexus, we're mending minds. Position Summary The Social Worker Case Manager is a vital member of the interdisciplinary team, supporting patients and families from admission through discharge. This role focuses on safe, effective discharge planning, psychosocial assessment, patient/family advocacy, and strengthening communication between families and clinical teams. The Social Worker helps families navigate stressors, understand the care process, and access needed community resources - ensuring each patient transitions safely and smoothly back into their community. Key ResponsibilitiesClinical & Assessment Complete social service screening, psychosocial assessment, and discharge planning assessment for each admission/readmission within 72 hours. Ensure assessments include all required policy elements and are documented clearly in the medical record. Develop a social services plan of care and integrate it into the interdisciplinary care plan. Update care plans weekly during team conference. Family Support & Counseling Identify patients and families in need of counseling and provide support with warmth, empathy, and professionalism. Help patients and families focus on and resolve psychosocial issues affecting their hospital experience. Act as a patient/family advocate during care plan discussions and conferences. Communication & Coordination Facilitate effective communication between families and the interdisciplinary treatment team. Coordinate family conferences with case managers and physicians during admission and discharge planning. Work collaboratively with clinical staff to support required family education before discharge. Communicate team recommendations and level-of-care needs to families after each treatment conference. Discharge Planning Identify and document discharge barriers and collaborate with the team to resolve them early. Maintain care provider relationships and locate appropriate community resources for post-discharge needs. Provide verbal and written referrals to patients and families. Initiate early communication with CPS when discharge barriers present significant safety or care concerns. Documentation & Compliance Document progress, barriers, and interventions in the medical record thoroughly and timely. Maintain communication with staff members regarding updates in patient care. Perform other duties as assigned to support patient care and hospital operations. QualificationsEducation Bachelor's degree in Social Work required Master's degree in Social Work preferred Experience Minimum of 2 years of experience as a Social Worker or Case Manager Experience in a medical setting preferred Licensure/Certification Active Texas Social Work license required

Job DescriptionDescription: The Social Worker is responsible for assisting the clinic in responsibilities related to the OVC Human Trafficking grant. The ideal candidate will have 2-3 years of experience in healthcare in program coordination and has a keen attention to detail. The ability to work independently and proactively to provide accurate and timely information to all of the collaborative partners is a must. DUTIES AND RESPONSIBILITIES: Serves as a liaison between collaborative partners and other organizations identified and oversees the quality assurance of the day-to-day program operations of the Anti-Human Trafficking Program. Provides project management/coordination for assigned projects/events and accountable for achieving results. Has a thorough understanding of policies, procedures and guidelines supporting the administrative Functions of the department manager and team. Consults with the screening and identification of potential human trafficking patients and coordinating of appropriate healthcare services. Develops and maintains the Human Trafficking Training Program for collaborative. Conducts training seminars on human trafficking for healthcare providers, advocacy agencies, and concerned community members. Refers clients between agencies and others within the network for continuity of care. Consults with established social workers and care managers in outpatient, emergency, and inpatient areas across disciplines in medicine, psychiatric and surgery. Works closely with community advocacy agencies to ensure that referred patients receive appropriate substance abuse services. Works closely with case management partners in the local shelters and/or other community/faith based or hospital programs, to bring victims identified in the community in need of health care services. Appropriately refers victims to social services specific for trafficking victims, including legal, police and refugee resources. Participates on weekly calls with the Path collaborative, representing San Jose Clinic. Translates data into clear and concise communications and assists with reports. Demonstrates strong project management skills; shows strong organizational and time management skills. Works well with little or no direct supervision; and is a self-starter. Demonstrates initiative and is compelled to drive towards the completion of stated goals. Requirements: QUALIFICATIONS, EDUCATION, AND EXPERIENCE: Bachelor's degree in Social Work Must be proficient in both Spanish and English 2-3 years in the healthcare industry, human trafficking experience preferred Proficient in Excel, Access, Word, Outlook and PowerPoint Excellent written and verbal communication skills Excellent presentation skills Experience with advanced data visualization tools Knowledge of healthcare quality reporting and analysis, statistics, benchmarking, predictive modeling

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary The Licensed Master Social Worker systematically intervenes to provide clinical social work and complex discharge planning to patients and their families who have complex psychosocial needs, require assistance with eligibility determination for social programs and funding sources and qualify for community assistance from a variety of special funds and agencies. Under the supervision of a licensed clinical social worker, offer crisis intervention and/ or mental health assessment to patients and families with psychosocial needs and coordinates and facilitates the development of a multidisciplinary discharge plan of care for high-risk patient populations. This role will participate in an interdisciplinary team (including Physicians, Case Managers, Staff Nurses and other members of the care team) to provide services for individuals from at-risk population and ensure that psychosocial issues are attended to and treated as required across the continuum of care. Typically reports to the Manager or Director, Case Management.Job Description Minimum Qualification Education: Graduate of an accredited Master of Social Work program (MSW) Licenses/Certifications: Current license as a Master Social Worker (LMSW) in the state of Texas required; ACM certification from American Case Management Association (ACMA) preferred Experience / Knowledge / Skills: Field placement or internship in health services/health care provider experience Acute inpatient hospital social work experience preferred Effective oral and written communication skills Working knowledge of DSM V and ICD-10 manuals Demonstrates knowledge and skill in social work assessment and treatment of patients for mental health status and substance abuse screening Excellent therapeutic communication and negotiation skills in interactions with patients, families, physicians and health care team colleagues Strong analytical skills Working knowledge and/or experience in utilization management, managed care, and payer issues Exposure and/or experience in pre-acute and post-acute care, as well as, community resources Ability to work independently, as well as, to develop collaborative relations with physicians, families, patients, interdisciplinary team and other community agencies Effective oral and written communication skills Principal Accountabilities Assesses patient's and family's psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to illness and ability to cope. As part of a multidisciplinary team, develop and carry out a treatment plan by the use of a clinical social work diagnoses, assessments, and treatment interventions. Intervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability; accesses and mobilizes family/community resources to meet identified needs. Under supervision this may include short term individual, marital and family therapies as well as crisis intervention Provides intervention in cases involving child abuse/neglect, domestic violence, guardianship (temporary/ permanent), institutional abuse, foster care, adoption, mental health placement, advance directives, adult/elderly abuse, child protection and sexual assault. Serves as a resource person and provides counseling and intervention related to treatment decisions and end-of-life issues. Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system. Participates in discharge planning activities for complex patients, in order to ensure a timely discharge and to provide appropriate linkage with post-discharge care providers. Deals with families exhibiting complex family dynamics that impact directly on patient care and discharge. Communicates with clinical care team members regarding the discharge planning status of all patients referred by them. Provides consultation to Case Managers when coordination with significant or intensive community resources is necessary to achieve desired treatment outcomes. Receives referrals for complex patient problem resolution from Case Managers or clinical care team members. Works in collaboration with the clinical and case management team members on transition planning and referrals to post acute care providers. Keeps clinical and case management team members up-to-date on the status of the post-acute provider acceptance and clearance for discharge. Validates discharge criteria for patient and families and notifies clinical and case management team members of newly-identified resources or change in previously-identified resources. Educates patient/family and physician regarding post-acute options and addresses issues of choice. Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues. Other duties as assigned.

Job DescriptionPosition Description: St. Gabriel's Hospice and Palliative is seeking a compassionate and dedicated Social Worker to join our team on a PRN basis at our Houston location. In this role, you will provide emotional, social, and practical support to patients and their families during their most challenging times. Your expertise will be instrumental in helping our patients navigate the complexities of end-of-life care with dignity and respect. The Social Worker will participate in the coordination of care with the Interdisciplinary Group (IDG). Essential Functions: Assesses and completes the Comprehensive Assessment within five (5) days of the patients election of hospice care to identify patient's and patient's family psychosocial, financial, environmental, and community needs as evidenced by POC documentation, clinical records, IDG meetings, and community resource referrals. Assists with advance directives, funeral planning, discharge planning, family counseling, and may assist in changes in the level of care as indicated by the patient's or familys needs. Uses effective interpersonal communication skills, both verbal and written. Meets mandatory continuing education requirements of the Hospice and licensing board. Demonstrates commitment, professional growth, and competency by maintaining a working knowledge of public and private eligibility standards and requirements. Provides patient and family/caregiver counseling around issues of end-of-life, death, and grief. Promote hospice philosophy and administrative policies to ensure quality of care. Attends IDG meetings, participates in the patient care planning process, and coordinates and collaborates with the IDG to promote coordination of patient care. Accepts clinical assignments that are consistent with education and competence to meet the needs of the patients.Job Qualifications: Education: Social Work (MSW) degree from a school of social work accredited by the Council on Social Work Education; or Baccalaureate degree in social work from an institution accredited by the Council on Social Work Education; or Baccalaureate degree in psychology, sociology, or other field related to social work, with MSW supervision. Licensure: Licensed as required by the state where practicing. Current driver's license. Experience: Two (2) years of experience in hospice, palliative care, or a related field preferred. Skills: Working knowledge of community resources. Good interpersonal skills. Demonstrates ability to work with computers. Transportation: Reliable transportation and valid auto liability insurance. What We Offer: Opportunity to make a meaningful difference in the lives of patients and their families. Supportive and collaborative team environment. Competitive compensation based on experience and qualifications. Ongoing professional development and training opportunities. Join St. Gabriel's Hospice and Palliative and be a part of a team that truly makes a difference in the lives of those we serve

As a CCISD employee, you will have a primary purpose to: Prepare appropriate quantities of food to meet menu requirements and maintain high standards of food production, sanitation, and safety practices. Actively engage in actions that contribute to the overall mission and strategic plan of Clear Creek ISD. Qualifications Education/Certification/Licensure Valid food handlers permit or the ability to obtain one within 60 days of employment Special Knowledge/Skills Effective communication and interpersonal skills Ability to read, write, and understand verbal instructions in English Reading comprehension and basic math skills Working knowledge of the kitchen equipment and food production Experience Minimum of one-year experience in quantity food production preferred Major Responsibilities and Duties Maintain a valid food handler permit. Prepare quality food according to a planned menu of tested, uniform recipes. Maintain proper storage, care of food items and supplies; clean and organized storage. Demonstrate knowledge and follow care and use of equipment. Maintain sanitary working condition to eliminate contamination. Meet all scheduled meal times, portions, and serve the food per policy and procedure. Act as a cashier or backup cashier as instructed. Maintain garbage collection in a neat and sanitary fashion. Enforce standards of cleanliness, health, and safety. Maintain professional appearance and hygiene. Promote teamwork and interaction with fellow staff members. Exhibit CCISD Core Values of trustworthiness, respect, responsibility, fairness, caring, and citizenship. Actively engage in actions that contribute to the overall mission and strategic plan of Clear Creek ISD. Stay up-to-date professionally through the selection of quality professional learning opportunities for personal growth. Research district policy, precedent, and current practices prior to taking action. Participate as an effective team member who contributes to district, department, and content goals. Demonstrates proficient levels of technology applications. Participates fully in drills and safety exercises to provide for the safety and overall emotional wellbeing of students. Utilize time wisely for effective management of job responsibilities. Maintain punctuality in daily work times, appointments, and meetings. Meet task completion deadlines established by supervisor. Maintain friendly customer-service-driven interactions with all stakeholders, students, teachers, administrators, and co-workers. Work cooperatively with co-workers and supervisors to ensure that the goals of the school/department are met. Maintain a positive and professional tone in all communication (i.e. email, written, and verbal). Perform other duties and accept other responsibilities as assigned. Working Conditions Mental Demands Effective communication Concentration while performing duties Ability to maintain emotional control under stress Work with frequent interruptions Physical Demands/Environmental Factors Daily standing, walking, bending, reaching, stooping; frequent lifting and carrying up to 50 pounds Repetitive hand motions Limited exposure to extreme hot and/or cold temperatures Terms: 171 - High School Hours per day: 5 to 5.5 Hours per week: 25 to 27.5 Pay Grade: CN2 ($13.13/hr.) Anticipated Schedule: 6:30-2:30 PM

Job DescriptionBenefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Training & development Vision insurance Summary: Under general supervision, provides programs and services to clients; monitors and evaluates programs and activities that provide additional assistance to clients beyond housing. Essential Job Functions: The following duties ARE NOT intended to serve as a comprehensive list of all duties performed by all employees in this classification. Shown are duties intended to provide a representative summary of the major duties and responsibilities. Incumbent(s) may not be required to perform all duties listed and may be required to perform additional, position-specific duties. Makes referrals to clients for various social and economic needs in order to reach goals. Assist staff to identify and use providers of services that assist participants of HUD programs or grants. Identifies services providers and establishes MOUs as needed. Conducts family needs assessments and monitors the retention of data in the RHA data system. Conducts zero income interviews with families before recertification appointments and every 6 months for those who continue to be on zero income. Helps with those who have special needs, or need more time during interviews, needs walk through of applications or requires home visits. Identifies grants for family programs and completes the grant application requirements, Provides reports on grant programs and status of program goals. Meets monthly with community organizations to discuss partnering with RHA to provide needed services to residents. Assures the satisfaction of customers in quality and responsiveness of services. Explains nature of RHA programs, procedures and services to families; maintains absolute confidentiality of work-related issues, client records and RHA information. Supports the relationship between RHA and the constituent population by demonstrating courteous and cooperative behavior when interacting with clients, visitors, and RHA staff. Enthusiastically promotes the Executive priorities for the operations of RHA. Performs other duties as assigned or required. Help identify and determine reasonable accommodations and verifies the accommodations are being used for specific purposes. Visits for accommodations once a year. Meet the families by being available on walk-in days and during interviews to better acquaint with the services provided. Research/find services that would benefit RHA families to find work, gain skills, and education, help with budgeting and financial planning. Help create a self sufficiency program that would provide a monetary reward for those who have succeeded in employment, skills and education and maintained employment. Create service plans for families and follow up. Partner with financial institutions to provide mortgages or help with promoting savings accounts to assist families with home ownership Knowledge and Skills: Knowledge of RHA organization, operations, policies and procedures. Knowledge of HUD and RHA programs, grants and services standards and procedures. Knowledge of community programs and services. Knowledge of personnel rules and budgeting systems. Knowledge of techniques in assessing individual needs. Knowledge of the principles of record keeping and records management. Skill in accessing individual needs and providing alternatives for meeting those needs. Skill in establishing relationships with community service providers. Skill in assessing and prioritizing multiple tasks, projects and demands. Skill in operating a personal computer utilizing a variety of business software. Skill in effective communication, both verbal and written. Skill in interacting with people of different social, physical, economic, and ethnic backgrounds. MINIMUM QUALIFICATIONS: Bachelors degree in Sociology, Social Work or a related field, and five (5) years of social work or community services experience; OR an equivalent combination of education and experience. Valid Texas driver's license Must have a reliable vehicle for making house calls and attending service provider meetings and interviews.

We are seeking a compassionate and motivated Social Worker to join our team in the Houston area. The ideal candidate will possess strong clinical skills and a commitment to improving the lives of individuals and families. This position is available as both permanent and temporary roles. Key Responsibilities: Conduct comprehensive assessments of clients' needs, strengths, and challenges. Develop individualized service plans that address client needs effectively. Provide counseling support to clients dealing with various issues such as mental health concerns, family dynamics, crisis intervention, or substance abuse. Advocate for clients' rights within healthcare settings or community resources. Coordinate services with other professionals including healthcare providers, governmental agencies, schools, and community organizations. Maintain accurate records of client interactions including assessments, case notes, treatment plans in compliance with ethical guidelines and legal regulations. Stay informed about local resources available for clients (e.g., housing assistance programs; mental health services) to provide appropriate referrals. Participate in multidisciplinary team meetings to discuss patient care strategies. Qualifications: Master's degree in Social Work (MSW) from an accredited program required; Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) preferred but not mandatory for all positions depending on role requirements. Previous experience working with diverse populations is highly desirable; new graduates are encouraged to apply for certain positions Strong interpersonal skills conducive to building rapport with clients Excellent written communication abilities Skills: Knowledgeable about social justice issues affecting individuals/families within the community Proficient use of electronic health record systems Ability to handle sensitive situations calmly while maintaining professionalism Flexible problem-solving abilities guided by empathy Work Environment: This role may require working evenings or weekends based on client availability. Positions may be located in hospitals; clinics; schools; or community organizations.

Job Summary and Responsibilities As a Social Worker at CHI you will provide direct social work services including assessment, treatment planning, intervention, counseling, and recommendations to individual patients (adolescents, adults, elder) and their families/significant others and/or groups of patients. Is knowledgeable in areas such as active listening, social perceptiveness, critical thinking, and coordination. The social worker has the ability to carry the role of advisor, therapist, administrator and clinician. Job Requirements * Master's Degree from a Council on Social Work Education accredited graduate school of social work * TX LMSW or eligible for LCSW * Three (3) years clinical social work or allied health practice, with hospital or medical background or experience Where You'll Work St. Luke's Health-Brazosport Hospital is located on a beautiful, 25-acre campus in Lake Jackson, Texas. Offering state-of-the-art diagnostic and comprehensive treatment services, our hospital is home to a 154-bed patient tower, level III trauma center, advanced cardiac care center, and full-service, multidisciplinary cancer center. Our team consists of over 100 board-certified physicians and nearly 600 highly skilled team members to meet our patients' medical needs. South Brazoria County's premier healthcare system, St. Luke's Health-Brazosport Hospital is dedicated to providing quality care with compassion for the communities we serve.