Medical Social Worker/MSW

Confluence Health

Wenatchee, WA

Central Washington Hospital


Pool Position

Day Shift




Position Summary:

Under the general supervision of the Care Management Manager, acts as a Medical Social Worker for hospital patients. Works in a team environment to collaborate, coordinate, and negotiate, to procure services and resources for acute care patients. It is expected that the 'team" will be able to decide based on patient's needs and the skills of each discipline (RNCM, MSW, or Discharge Coordinator), who will be most appropriate to primarily intervene with the patient and family regarding the discharge plan. The RN Case Manager will monitor the clinical care. Communication between team members needs to occur at least daily and more often for the complex patient or plan.

The Social Worker may be assigned primarily to Acute Care or ER. The Social Worker is flexible in assignment and hours so as to meet the needs of the department. The Social Worker is on-site Monday through Friday (variable days in ER) and shares a weekend and holiday rotation.

  Essential Functions:

1.     General Social Work Competencies.

·         Understand substance use disorders, including the causes, prevention, progression, consequences, and recovery. Understand the impact that substance use disorders have on parenting abilities and the consequences for children.

·         Understand the bio-psycho-social, cultural, and spiritual ramifications as they impact patients and families, from neonatal development through all stages of life.

·         Understand the intersection of pt's and other family, health, and social problems, including:

o    family violence

o    mental health disorders

o    physical health

o    crime

o    poverty, unemployment, and homelessness

o    educational and vocational opportunities

o    social/cultural biases {including, but not limited to, race, ethnicity, class, sexual orientation, and disability}

·         Value the importance of early intervention and prevention of mental health and social problems for patients and their families.

·         Ability to engage pt's in a manner that is respectful and nonjudgmental.

·         Ability to screen and assess pt's using developmentally appropriate assessment tools and methods.

·         Ability to identify, evaluate, and utilize existing research relevant to patients and their families.

·         Ability to use developmental appropriate and empirically supported interventions with pt's and their families.

·         Ability to help patients identify developmentally appropriate formal and informal supports in their lives.

·         Knowledge of how to access formal and informal community resources on behalf of pt's and their families.

·         Ability to provide referrals for appropriate services and supports to patients and their families.

·         Knowledge of social policies pertinent to health care.

·         Ability to advocate for individual clients, as well as to identify and advocate for appropriate policies to help patients and their families.

2.     Assists in the development and growth of the Care Management Team.

·         Provides orientation to new Social Workers.

·         Provides information to Manager about appropriate orientation materials needed.

·         Provides education to new RN Case Manager's about SW beliefs and ethics.

3.     Assessment and Planning: In collaboration with RN Case Manager, assesses patients to develop a comprehensive plan that will address psychosocial needs.

·         Collaborates with the Case Manager RN to identify patients with complex social or supportive needs, including, but not limited to psychiatric diagnosis or behaviors, drug or alcohol abuse, homelessness, new diagnosis of cancer or other life altering disease, or protective service situations.

·         Identifies patient/family/significant other's ability to participate in the plan and establishes strategies to overcome barriers identified.

·         Accurately identifies high risk factors such as family dysfunction, impaired coping, financial, regulatory factors, etc. that might limit effective participation in planning and decision-making.

·         Conducts necessary family/patient conferences as soon as possible when family presents barriers to discharge.

·         Performs psychosocial assessments that are consistently comprehensive and reflect early identification of complex problems or changes in condition that would necessitate revisions to the plan for psychosocial management or disposition.

·         Collaborates with Case Manager RN, nursing staff, physician, other disciplines as indicated, to facilitate a plan of care related to discharge planning and psychosocial needs, defining an action plan and identifying each team members' responsibilities in the plan.

·         Monitors effectiveness of the plan and makes changes as needed.

·         Assists with adoptions and supports families with perinatal loss and fetal demise when needed.

·         Anticipates conflict or volatile situations and works to diffuse these situations quickly and proactively.

4.     Coordination and Implementation.

·         Communicates with patient's family and involved physician(s) and other interdisciplinary team members to optimize plan for discharge/disposition.

·         Assures seamless transitions for the patient/family across the continuum of care by establishing appropriate plans and assuring complete and accurate communication prior to discharge/transfer.

·         Demonstrations knowledge of resources available in our area. Utilizes these resources effectively to support the patient during the episode of care and in discharge preparations.

·         Prioritizes patients effectively in order to achieve timely and appropriate patient interventions.

·         Provides short term counseling to help make decisions about specific problems or crisis intervention with sudden, unexpected patient or family problems.

·         Is knowledgeable about entitlement programs and assists patients as needed to facilitate plan.

5.     Monitoring and Evaluation – Analyzes outcomes, patterns, and trends.

·         Identifies trends in psychosocial or discharge planning management for populations of patients and works with nursing and physician to establish standardized options for psychosocial intervention.

·         Monitors and applies federal and state regulations effectively.

·         Monitors and identifies administrative issues that may affect reimbursement or increased length of stay (for example, facility not available for admissions during the holidays, etc) Communicates findings to the Manager, and adds information to the Avoidable Days or Saved Days log.

6.     Communication – Demonstrates effective communication, documentation and interpersonal skills.

·         Advocates for the patient for additional resources if gaps exist.

·         Reviews consults from RN Case Manager throughout the day and provides updates to the team as indicated.

·         Fosters cordial, positive and professional interpersonal relationships with patients, family members, physicians, staff, nursing homes, community agencies, insurance companies and peers. Shows courtesy and consideration for others.

·         Shows a full understanding of and compliance with the terms of the Confidentiality Agreement.

·         Documents according to accepted departmental practice and standards. Documentation is accurate and complete. If it is not written, it is not done. The chart is the "source of truth".

·         Completes Psychosocial Assessment and Plan of Care as per Single Bed Certification Process on all detained patients within 24 judicial hours of admission, and documents in the EHR.

·         Face to Face communication is desirable when handing patients off. If handing off is via telephone, or if leaving weekend or coverage report, leave detailed pt information and provide a way for peer to contact you for further information.

·         Participates in multidisciplinary rounds as needed for patients with complex psychosocial needs.

7.     Functions as part of the ED Healthcare Team in determining a safe discharge plan for identified patients.

·         Informs patients and families of resources in the community.

·         Makes referrals to community agencies.

·         Knowledgeable regarding EMTALA.

·         Sets up safety nets for patient (i.e. Home Health Services, Aging and Adult Care).

·         Conference with the patient's primary care physician as needed re: behavioral health/ chemical dependency issues.

·         Provides Crises Intervention services.

·         Locates families/ Next of Kin (NOK) as needed.

8.     Make appropriate interventions for patients with inappropriate use of the ED, due to high volume visits or inappropriate setting for condition.

·         Contributes as needed to the patient-specific care plan.

Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.



    • Master's in Social Work from an accredited program.
    • Medical Terminology – ability to pass exam with 80% accuracy.
    • Three to five years of work experience in a health care setting.
    • Knowledge of post acute care community resources.
    • Consideration will be given to applicant with LSWAIC licensure with commitment to achieving LICSW or LASW within the time-frame specified by the State of Washington.
    • Must be currently certified in BLS, and recertified bi-annually.
    • Demonstrates effective interpersonal and communication skills.
    • Demonstrates flexibility via an ability to adapt to changing priorities and regulations.
    • Demonstrates tact, diplomacy, negotiation skills, and good customer relations.
    • Ability to apply creative problem solving skills.
    • Ability to prioritize assignments and effective time-management skills.
    • Basic knowledge of clinical and psychosocial aspects of patient care.
    • Ability to present a professional presence and appearance.
    • Must be detail oriented, flexible, and committed to patient advocacy.
    • Ability to work interdependently.
    • Demonstrates skills in planning, organizing, and managing multiple functions and complex processes.
    • Knowledge of Medical Terminology with ability to pass exam with score of 80% accuracy at time of interview.
    • Excellent verbal and written communication skills.
    • Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management.
    • Knowledge of area resources and referrals.


    • Acute hospital experience.
    • Licensure as LICSW or LASW.
    • Accreditation in ACMA.
    • Certification in Clinical Gerontology.

Who We Are: Confluence Health is an integrated healthcare delivery system that includes two hospitals and more than 40 medical specialties, to provide comprehensive medical care in North Central Washington. With over 270 physicians and 150 advanced practice clinicians, Confluence Health is the major medical provider between Seattle and Spokane. Our goal is to deliver high-quality, safe, compassionate, and cost-effective care close to home. Staying on the leading edge of healthcare innovation is important, so we invest in technology--to provide better care for our patients and allow our providers to operate at the highest level. Our Mission: We are dedicated to improving our patients' health by providing safe, high-quality care in a compassionate and cost-effective manner. Our Vision: To become the highest value rural healthcare system in the nation that improves health, quality of life, and is a source of pride to those who work here.