Social Worker (MSW) - Discharge Planning/Case Management

Provides a wide range of clinical social work services in a primary care or home health setting, including support and consultation to care team in managing patients. Evaluate psychosocial assets and deficits for the purpose of enabling the pt to maintain the greatest level of independence. Coordinates with others to establish a plan of care. Provides short term counseling, teaching and brokering with other resources for care giving needs.

• Provide appropriate social work interventions to all age patients and their families including but not limited to psychosocial assessment, brief individual or family, advocacy, linkage, referral, group work, case coordination, and long-term care planning and placement.


• Consultation and coordination with multidisciplinary team of care professionals and primary care site medical/nursery staff, to include family conferences, care conferences, team meetings and etc.


• Assesses patient and family needs for care and communicates with other health care providers appropriately. Collects data relevant to visit with ongoing assessment throughout the duration of care. Evaluate psychosocial assets and deficits for the purpose of enabling the pt to maintain the greatest level of independence.


• Evaluates patients/family needs through timely assessment, communication and observation. Modifies plan of care through assessement based upon patient/care systems response.

• Minimum one (1) year of previous social work experience.
• Per the National Agreement, current KP Coalition employees have this experience requirement waived.

• Masters degree in social work (MSW).

• Licensed Marriage and Family Therapist (Washington) OR Licensed Advanced Social Worker License (Washington) OR Licensed Social Worker Associate-Independent Clinical (Washington) OR Licensed Independent Clinical Social Worker (Washington) OR Mental Health Counselor License (Washington)

• Excellent written and verbal communication skills.
• Demonstrated success as part of a multi-disciplinary team and commitment to diversity.

• Two (2) years of post-masters experience.
• Care coordination experience in managed care system, in-/outpatient setting, skilled nursing or long-term care facility.
• Knowledge of social case management, conflict resolution and team building practices.
• Familiarity with Microsoft Office.
• Familiarity with electronic charting.