Social Worker Rehab and Nursing

Corewell Health
Grand Rapids, MI

Job Summary

To work collaboratively with members of an interdisciplinary team in order to assist patients and families with complex psychosocial needs. These interventions may include but are not exclusive to: alternate site coordination discharge planning addressing all forms of identified abuse/neglect adoption substance use disorders assisting with end of life decisions providing appropriate referral resources bereavement support adjustment counseling facilitating guardianships and behavioral health concerns (including psychiatric transfers).

Essential Functions - LMSW

  • Conducts psychosocial assessments with patient and or family to assist with identified psychosocial needs or who may be identified to require an alternate site of care post discharge and executes a plan.

  • Communicates with alternate sites of care and/or community agencies in an effective and timely manner to best address the patients needs.

  • Completes and documents the assessment and plan in the electronic medical record accurately reflecting the patients current condition situational factors transition of care needs and psychosocial imperatives.

  • Provides consultation and resources to members of the healthcare team.

  • Responsible for maintaining relevant and current knowledge of community resources.

  • Participates or assists in department regional or statewide stakeholder committees projects etc. as assigned/requested.

  • Develops and maintains current knowledge of federal and state regulations as they pertain to role.

  • Provide short term therapeutic support as appropriate for setting and location.

-or-

Essential Functions - BWS

  • Competently gathers information using assessment skills to identify physical psychosocial financial and environmental health care needs of the patient/resident. Assess and identify appropriate resource utilization level of care and treatment options to develop a plan of care that will impact quality outcomes in a cost effective manner.

  • Collaborates with the patient/resident family and health care team to promote quality care prevent delay in discharge and complications to improve with the patient and physician to develop a plan of care that meets their needs and will avoid duplication and or fragmentation of services. Ensure appropriate use of ancillary services providing guidance and direction and implementing modification to the plan of care as needed.

  • Efficiently documents assessments clinical findings completed tasks plan for treatment and progress toward goals for discharge. Keep accurate record of patient/family contact and team consultation. Works to actively facilitate an appropriate level of care for discharge and educate the patient on the progress of the discharge plan and the safety and benefits of the plan.

  • Monitor evaluate and coordinate referrals from multiple sources while measuring patient care outcomes interpreting reports and addressing data from sources to better serve and impact the patient and their adjustment to illness and treatment.

  • Actively promotes frequent communication between all team members providers patients and family members to ensure a smooth transition from one level of care to another. Share and educate on community resources support systems and available benefits. Maintain communication with providers delivering care to ensure consistency in communication to patient/resident and family.

  • Demonstrate self directed self motivated responsible behavior recognizing when there is a need for adjustment and flexibility in professional function. Respect confidentiality of all parties involved in the patient/resident care process and utilize the professional skills of other team members and disciplines for improvement in the discharge plan.

  • Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis.

  • Performs other duties as assigned.

Qualifications - LMSW

  • Masters Degree Social Work

  • LIC-Master Social Worker (MSW-Master) - STATEMI State of Michigan Upon Hire

Preferred

  • 2 years of relevant experience healh care related experience post obtaining Masters Degree in Social Work

  • Care management experience

  • Experience in individual family assessment crisis intervention grief and loss counseling and discharge planning preferred

-or-

Qualifications BSW

Required

  • Bachelors Degree in Social Work: Exceptions for persons without a

    social work degree can be made for those who have a human

    services degree and carry a current social work

    license

Preferred

  • 1 year of experience Supervised social work experience in health care setting working directly with individuals.

  • 1 year of experience skilled nursing home process and procedure

  • 1 year of experience mental health substance abuse assessment and treatment

  • 1 year of experience community resources and discharge planning

  • 3 years of experience Hospital or Nursing Home Social work

How Corewell Health cares for you

  • Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.

  • On-demand pay program powered by Payactiv

  • Discounts directory with deals on the things that matter to you like restaurants phone plans spas and more!

  • Optional identity theft protection home and auto insurance pet insurance

  • Traditional and Roth retirement options with service contribution and match savings

  • Eligibility for benefits is determined by employment type and status

Primary Location

SITE - 1226 Cedar St NE - Grand Rapids

Department Name

MSW - RNC Cedar

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8 a.m. to 4:30 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

CURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drug-free workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race color national origin sex disability age religion genetic information marital status height weight gender pregnancy sexual orientation gender identity or expression veteran status or any other legally protected category.

An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.

Posted 2025-11-19

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