Prisma Health·Sumter, South Carolina
Provides psychosocial screening, assessment, and discharge planning for patients and families within a hospital setting. Collaborates with interdisciplinary healthcare teams to coordinate post-hospital care and manage crisis interventions.
Inspire health. Serve with compassion. Be the difference.
Provides screening, assessment, planning, problem resolution, resource management, counseling and crisis management as they relate to the health care and discharge planning needs of the patient/family. Manages and collaborates in discharge planning for patients with simple and complex needs and coordinates with agencies providing post hospital care. Functions as an interdisciplinary health care team member collaborating with other health care professionals to coordinate in the assessment of patient/family needs and development of a comprehensive plan of care, and to coordinate and facilitate resolution of patient needs. Services are provided in accordance with accepted standards of professional practice and the policies and procedures of Prisma Health.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference
On the basis of preliminary risk screening, assesses patients’ 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.
Ensures documentation in the medical record is legible and conforms to hospital department policies and procedures including but not limited to screening, initial discharge plan, change of condition updates and final discharge plan.
Promotes the Hospital Case Management team concept with discharge planning activities as requested and/or assessed. Maintains close communication with post-acute care providers. Accountable for readmission assessments, risk stratification review and action planning. Uses proactive measures towards comprehensive discharge planning.
Screens and coordinates all SNF and Rehab facility referrals as deemed appropriate. Provides consultation to team members regarding clinical needs as deemed appropriate.
Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system
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.
Provides intervention in cases involving child abuse/neglect, domestic violence, elderly abuse, institutional abuse and sexual assault.
Serves as a resource person and provides counselling and intervention related to treatment decisions and end-of-life issues.
Participates in the development and implementation of policies and procedures for the Case Management program.
Assesses the patient's behavioral health needs in collaboration with physician, psychiatrists, and other members of the mental health team. Provides counseling, crisis intervention, and psychosocial assessments to patients/families with appropriate medical staff supervision.
Performs other duties as assigned.
Required Certifications, Registrations, Licenses
Currently licensed as a Licensed Master Social Worker (LMSW) by the state Board of Social Work Examiners or currently licensed as a Licensed Independent Social Worker (LISW) by the state Board of Social Work Examiners.
Team members employed in this job prior to July 1, 2020, are grandfathered under prior educational and experience requirements. In addition, team members must be certification eligible and will have one year to obtain required certification.
ACM, CCM, C-SWCM or ACSW certification preferred
Work Shift: Day (United States of America)
Facility: 1570 Tuomey Hospital
Department: 15707517 Hospital Case Management
to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Requires a Master's degree in Social Work and a current LMSW or LISW license. Preference is given to candidates with one year of social work experience in a healthcare setting.
Market context
Hospital case management social workers are commonly needed in South Carolina as hospitals focus on discharge planning, care coordination, and connecting patients with community resources. This role is competitive because employers often prefer a master’s degree, an LMSW or LISW, and prior healthcare experience, with ACM or CCM certifications strengthening a candidate’s profile. Review the AI-summarized requirements and benefits on this platform, then tailor your application to show hospital-based coordination, patient advocacy, and licensure status.