Job Description

Job Description

We’re excited to welcome TriHealth Clinton Regional Hospital to our system—marking a new chapter in our shared mission to deliver exceptional care and strengthen our regional network.

Job Overview:  

Coordinates, facilitates, and executes Social Work functions with the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. Follows patients throughout the care continuum, identifying and addressing psychosocial needs. Provides ongoing support and expertise through specialized application of assessment, individual treatment plans, continuous evaluation of treatment planning, case management, mediation, referral, consultation, education, and advocacy. Enhances the quality of patient management and satisfaction to promote continuity of care through the integration of the functions of case management, discharge planning, and the application of social work practices. Acts as a patient advocate, investigates and reports adverse occurrences, performs staff education related to discharge planning and psychosocial aspects of healthcare delivery. Advocates for the understanding of significant physical, biological, psychological, emotional, and environmental factors underlying patient's health issues.

Job Requirements:

Education:

Graduate of an accredited program in Social Work, Psychology, or a related field. Master of Social Work preferred.

License/Certification:

Social Work License preferred. Certification in Case Management preferred. 

Experience:

Three years of experience in a healthcare setting required. Experience in case management or discharge planning preferred

Job Responsibilities:

Essential Functions:

• Coordinates psychosocial activities with the Interdisciplinary Team and Physicians to provide comprehensive discharge planning.

• Utilizes critical thinking to develop and execute effective discharge plans.

• Conducts comprehensive, ongoing biopsychosocial assessments of patients and families.

• Serves as a patient advocate and fosters collaborative relationships to support informed decision-making.

• Participates in interdisciplinary patient care rounds and/or conferences.

• Provides patient and family education on post-hospital needs.

• Collaborates with clinical staff on the development and implementation of care plans.

• Educates patients, families, and the healthcare team on cultural, ethical, abuse/neglect, and financial matters.

• Refers patients and families to appropriate community resources.

• Applies knowledge of growth and development to provide age-appropriate support.

• Coordinates social services to support family functioning and healthcare utilization.

• Serves on division and hospital committees as needed.

• Arranges for post-hospital care through community institutions and agencies.

Knowledge/Skills/Abilities/Expectations:

• Knowledge of payor practices, regulations, and reimbursement related to discharge planning.

• Familiarity with Medicare benefits, insurance processes, and contracts.

• Understanding of accreditation standards and compliance requirements.

• Proficiency in English; strong verbal and written communication skills.

• Strong critical thinking, prioritization, and time management skills.

• Basic computer skills, including Microsoft Office.

• Effective interpersonal skills with patients, families, and staff.

• Regular attendance required.

• Travel requirement: Approximately 0%.

Working Conditions :

Bending - Frequently
Climbing - Rarely
Concentrating - Frequently
Continuous Learning - Frequently
Hearing: Conversation - Frequently
Hearing: Other Sounds - Frequently
Interpersonal Communication - Frequently
Kneeling - Occasionally
Lifting <10 Lbs. - Frequently
Lifting 50+ Lbs. - Frequently
Lifting <50 Lbs. - Occasionally
Pulling - Occasionally
Pushing - Occasionally
Reaching - Occasionally
Reading - Consistently
Sitting - Occasionally
Standing - Frequently
Stooping - Occasionally
Talking - Frequently
Thinking/Reasoning - Frequently
Use of Hands - Frequently
Color Vision - Frequently
Visual Acuity: Far - Frequently
Visual Acuity: Near - Consistently
Walking - Frequently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS...
• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS...
• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service

Respect: ALWAYS...
• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone's opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS...
• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS...
• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community

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