Social Worker II, Care Coordination

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Wake Forest Baptist Health
November 2, 2021
Winston-Salem, North Carolina
Job Type


Social Worker II, Care Coordination  "Job Details"

Winston-Salem, NC, United States

Job Identification


Job Category

Health / Human Services


  • Medical Center Blvd, Winston Salem, NC, 27157, US

Posting Date

11/01/2021, 11:12 AM

Job Schedule

Full time

Job Shift


Job Description

Experienced candidates qualify for a sign-on bonus up to $5,000, provided the candidate meets the minimum eligibility requirements (Master’s degree with at least one year of healthcare care coordination experience)


Provide social work services, complex discharge planning, and care coordination to patients and their families.   Identify needed community services and refer patients in need to the appropriate services.  Collaborate with other members of the multi-disciplinary team to affect positive patient and family outcomes.  Communicate with other hospital staff re: psycho-social issues that impact health condition/status.


Master's degree in Social Work from a school accredited by the Council on Social Work Education (CSWE) required.  One year of hospital experience preferred.


Clinical licensure (or provisional status) desirable.  Certification as an Accredited Case Manager preferred (ACM-SW) preferred.


  • Demonstrates competence related to age and developmentally appropriate care.
  • Establishes positive work relationships and works to reduce work place conflict.
  • Demonstrates ability to work in fast paced environment with multiple interruptions.
  • Embraces change in rapidly changing health care environment.
  • Social work experience in a healthcare setting.


  1. Identifies patients who would benefit from Case Management interventions based on an initial screening assessment of discharge needs.
  2. Assesses all relevant data and obtains information by interviewing patient/family and performing objective evaluation of patient needs.
  3. Completes psychosocial assessments in accordance with departmental and professional standards to identify emotional, social and environmental needs related to diagnosis, illnesses, treatment and life situations.
  4. Formulates, develops and implements a psychosocial treatment plan utilizing appropriate social work modalities and interventions, which may include crisis intervention, individual and family therapies, and grief and bereavement counseling.
  5. Initiates appropriate internal and external referrals specific to individual patient needs.
  6. Maintains current knowledge of available federal, state, and local regulations.
  7. Advocates for unmet needs on behalf of patients.
  8. Participates in the development of a discharge plan in collaboration with the multidisciplinary team to drive patient progression through the continuum of care.
  9. Maintains current knowledge and awareness of payer and reimbursement practices impacting the plan of care.
  10. Coordinates patient and family care conferences as needed.
  11. Identifies barriers to efficient and effective management of patient care and seeks strategies to eliminate the barriers.
  12. Documents in in the Electronic Medical Record in accordance with departmental reporting standards.
  13. Maintains working knowledge of payer and reimbursement practices impacting the plan of care. Demonstrates the ability to guide the patient and family through an evaluation of their options for post discharge care.


  • Clean, well lit, comfortable environment (office space).
  • Exposure to sights and smells associated with medical treatments in progress.
  • Moderate noise environment.
  • High stress levels at times.

About Us

Wake Forest Baptist Health and Atrium Health have joined forces in a strategic combination that will enhance care, transform medical education and create economic opportunity for countless lives in North Carolina and beyond. As a part of that combination, the two health systems will be integrating technology and platforms, including our career sites.

This means that although you are applying on the Wake Forest Baptist Health Career Site, you receive communications from the Atrium Health Recruitment Team. Please know that this is an expected process, and thanks in advance for your flexibility.

Wake Forest Baptist Health ( is a nationally recognized academic health system in Winston-Salem, North Carolina, with an integrated enterprise including educational and research facilities, hospitals, clinics, diagnostic centers, and other primary and specialty care facilities serving 24 counties in northwest North Carolina and southwest Virginia.

It comprises: a regional clinical system with more than 300 locations, 2,100 physicians and 1,535 acute care beds; Wake Forest School of Medicine; and Wake Forest Innovations, which promotes the commercialization of research discoveries and operates Innovation Quarter, an urban research and business park specializing in biotechnology, materials science and information technology.  Wake Forest Baptist’s clinical, research and educational programs are consistently ranked among the best in the country.

About the Team


Wake Forest Baptist Health's mission is to improve the health of our region, state and nation by:

  • Generating and translating knowledge to prevent, diagnose and treat disease.
  • Training leaders in health care and biomedical science.
  • Serving as the premier health system in our region, with specific centers of excellence recognized as national and international care destination.


Wake Forest Baptist Health is a preeminent learning health system that promotes better health for all through collaboration, excellence and innovation.



  • Demonstrate the highest standards of patient-centered care, education, research and operational effectiveness


  • Responsive to the physical, emotional, spiritual and intellectual needs of all


  • Cultivate selfless contribution for the greater good


  • Demonstrate fairness, honesty, sincerity and accountability


  • Demonstrate respect for and inclusion of all backgrounds, identities, experiences, and perspectives


  • Foster mutual respect, facilitate professional growth and mentorship, and reward teamwork and collaboration


  • Promote creativity to enhance discovery and the application of knowledge


  • Embrace a culture of reliability through better process design and accountability

Patient and Family Promise

We promise to:

  • Keep you safe.
  • Care for you.
  • Involve you and your family.
  • Respect you and your time.

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