Social Worker / Discharge Planner - Care Navigation - Monroe Regional Hospital - Full Time - Days

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.

What You�ll Do

• 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.

• Education: Bachelor�s in Social Work (BSW) or higher; candidates with limited licenses considered on a case-by-case basis.

• License: Licensed Social Worker (LSW) required.

• Skills & Attributes:

  • Strong knowledge of healthcare regulations, community resources, and post-acute care options.

  • Critical thinking, negotiation, and problem-solving skills essential to complex care planning.

  • Excellent verbal and written communication skills with a compassionate, patient-centered approach.

  • Ability to thrive in fast-paced, high-acuity hospital settings.

  • Technologically proficient in Microsoft Outlook and electronic medical records (EMRs).

  • Ability to work effectively across diverse socioeconomic and cultural backgrounds.

Preferred Qualifications

• Education: Master�s in Social Work (MSW).

• Experience: Prior experience in discharge planning, case management, or hospital social work.

• Certifications: Care Management certification (e.g., CCM, ACM) is a plus.

• Skills: Strong background in patient advocacy and deep understanding of hospital and community resources.

The above list of accountabilities is intended to describe the general nature and level of work performed by the incumbent; it should not be considered exhaustive.

ProMedica is a mission-based, not-for-profit integrated healthcare organizational headquartered in Toledo, Ohio.  For more information, please visit www.promedica.org/about-promedica

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org

Equal Opportunity Employer/Drug-Free Workplace