Are you passionate about helping patients navigate complex healthcare systems and life challenges? Join our dedicated care team as an Acute Care Navigation Social Worker, where your role goes beyond discharge planning—you’ll be a critical advocate for patients facing serious health and social barriers.

In this dynamic position, you'll support high-risk patients with psychosocial complexities, unmet Social Determinants of Health (SDOH), and challenges transitioning from hospital to home or other care environments. You’ll play a key role in easing stress, coordinating services, and creating a seamless care experience that empowers patients and families.

Assess and support patients with complex psychosocial needs including trauma, mental health concerns, terminal diagnoses, and social challenges.

Develop and coordinate effective discharge plans in collaboration with a multidisciplinary care team.

Identify and connect patients with community-based and post-acute services that align with their needs and resources.

Serve as a liaison between patients, families, care teams, and community partners to ensure smooth care transitions and reduce unnecessary delays.

Act proactively—self-refer or respond to referrals from physicians, nurses, and care coordinators to meet patient needs in real time.