Job Title: Social Worker MSW

Location: Jersey City Medical Center

Department Name: Case Management

Req #: 0000262595

Status: Salaried

Shift: Day

Pay Range: $86,600.00 - $111,100.00 per year

Pay Transparency:

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Social Work MSW– RWJBarnabas Health

At RWJBarnabas Health, Social Work Case Managers play a vital role in advancing patient-centered care by addressing the psychosocial, behavioral, and social needs that impact health outcomes across the continuum of care. This role offers the opportunity to partner with physicians, nurses, care management colleagues, and interdisciplinary teams to support safe transitions of care, improve patient outcomes, and enhance the overall patient experience. As a Social Work Case Manager, you will provide comprehensive psychosocial assessments, evidence-based clinical interventions, discharge planning, and care coordination while promoting regulatory compliance, quality improvement, and efficient patient flow. Joining RWJBarnabas Health means becoming part of an organization committed to compassionate care, collaboration, innovation, and delivering the highest standard of service for every patient and family.

A typical day for a Social Work MSW may include:

• Conducting comprehensive psychosocial and clinical assessments in the electronic health record to identify patient strengths, psychosocial needs, healthcare-related social needs, barriers to care, and discharge planning requirements
• Developing and implementing individualized clinical interventions and care plans that support safe transitions of care, reduce avoidable readmissions, and promote continuity across acute, post-acute, and community settings
• Participating in interdisciplinary rounds (IDR) with physicians, nurses, case management colleagues, and other members of the care team to communicate patient status, discharge planning updates, barriers, and care coordination needs
• Utilizing health risk assessments and Social Determinants of Health (SDOH) screenings to identify at-risk patients and coordinate appropriate community resources, financial assistance, supportive services, and other referrals
• Coordinating timely referrals for post-acute services, including durable medical equipment (DME), home care, rehabilitation, skilled nursing facilities, hospice, behavioral health, and other community-based resources through electronic referral systems
• Providing evidence-based clinical social work interventions, including supportive counseling, crisis intervention, grief and bereavement support, trauma-informed care, and psychotherapeutic approaches to address psychosocial distress related to illness, grief and loss, trauma, life transitions, and end-of-life care
• Conducting specialized psychosocial assessments, when indicated, for patient populations including hemodialysis, transplant, perinatal, oncology, and other medically complex populations
• Collaborating with Utilization Review and interdisciplinary teams to support insurance authorization, clinical documentation, medical necessity, level-of-care determinations, and appropriate utilization of healthcare resources
• Demonstrating working knowledge of healthcare financing, utilization management, revenue cycle principles, and payment models, including Medicare fee-for-service, managed care, bundled payments, value-based arrangements, and risk-based models
• Proactively identifying and addressing discharge barriers, managing patient flow, and escalating complex issues to appropriate leaders to improve length of stay, throughput, discharge efficiency, and continuity of care
• Ensuring compliance with CMS Conditions of Participation, HIPAA, Medicare beneficiary notice requirements, patient rights, state licensure standards, and organizational policies while maintaining accurate, timely, and compliant documentation
• Participating in professional development, quality improvement, and department-wide initiatives focused on length-of-stay reduction, performance improvement, patient outcomes, and team engagement

This role might be for you if:

• You are passionate about helping patients and families navigate complex healthcare systems while addressing psychosocial, behavioral, and healthcare-related social needs
• You enjoy collaborating with physicians, nurses, case managers, utilization review professionals, and interdisciplinary teams to develop patient-centered care plans and ensure safe transitions of care
• You have strong assessment, clinical reasoning, care coordination, and problem-solving skills that allow you to analyze complex patient situations and identify effective solutions
• You are comfortable identifying discharge barriers, coordinating post-acute services, and managing competing priorities in a fast-paced healthcare environment
• You communicate effectively and compassionately with patients, families, and healthcare professionals, including during difficult conversations involving discharge concerns, family dynamics, grief, and serious illness
• You understand Social Determinants of Health and can connect diverse patient populations with appropriate healthcare, financial, behavioral health, and community resources
• You thrive in environments focused on patient flow, length of stay, throughput, quality outcomes, regulatory compliance, and operational excellence
• You are organized and detail-oriented when managing caseloads, referrals, authorizations, documentation, timelines, and multiple competing priorities
• You value cultural sensitivity, patient advocacy, evidence-based practice, and respectful engagement with patients and families from diverse backgrounds
• You are committed to continuous professional development and contributing to quality improvement initiatives that enhance patient care and organizational performance

To be considered for this Social Work Case Manager opportunity,

You have earned a Master of Social Work (MSW) from an accredited program and maintain the New Jersey licensure required by the NJ State Board of Social Work Examiners, with an active Licensed Social Worker (LSW) or Licensed Clinical Social Worker (LCSW) credential. EARC certification is required within six months of hire and will be arranged by RWJBarnabas Health. Certification in Case Management, such as ACM or CCM, is preferred. Candidates with two or more years of post-licensure experience in healthcare, including acute care, home health, or post-acute services, are preferred.