Full-Time

Medical Social Worker

Palliative Care

Updated on 9/17/2026

Jefferson Health

Jefferson Health

Academic health system

No salary listed

Philadelphia, PA, USA

In Person

Master's

Category
Social & Community Services (1)
Required Skills
CPR
Medical Terminology
Electronic Health Records (EHR)

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Requirements
  • A Master’s degree from an accredited Master of Social Work program is required.
  • Two years of hospital-based social work experience are required.
  • Knowledge of medical terminology and disease processes is required.
  • Knowledge of community resources is required.
  • Knowledge of insurance regulations and requirements is required.
  • Ability to work with multidisciplinary teams, outside resources, patients, families, and significant others is required.
  • Ability to establish an appropriate plan to safely discharge patients to the next level of care is required.
  • Ability to provide counseling and intervention related to treatment decisions and end-of-life care issues is required.
  • Ability to provide psychosocial assessment and intervention and document updates in the electronic medical record throughout hospitalization, discharge planning, and relevant post-acute care is required.
  • Ability to facilitate completion of placement-related documentation, referrals, and applications is required.
  • Ability to coordinate discharge planning and post-acute services, including home care, hospice, transportation, and facility placement, is required.
  • Ability to obtain post-acute authorizations and manage Livanta appeal determinations is required.
  • Ability to complete relevant 302 paperwork when necessary is required.
  • Ability to meet the physical demands of lifting and carrying 25 pounds, frequent sitting and standing, frequent keyboard use, and role-specific patient-care activities such as kneeling, bending, squatting, and CPR is required.
Responsibilities
  • Conduct psychosocial assessments of patients and significant others concerning social, emotional, and cognitive capabilities in relation to illness and health-maintenance needs.
  • Develop and implement intervention plans addressing needs identified during assessments.
  • Collaborate with the multidisciplinary team to ensure appropriate discharge planning.
  • Provide counseling to patients, families, and significant others to assist with coping with new diagnoses, chronic illness, and palliative or terminal care.
  • Advocate for patients and families to help them obtain necessary services.
  • Provide counseling and intervention related to treatment decisions and end-of-life care issues.
  • Refer patients and significant others to community-based services and resources across the continuum of care.
  • Coordinate team and family conferences to facilitate patient care progression.
  • Provide psychosocial counseling and crisis intervention, including interventions involving abuse, domestic violence, guardianship, foster care, adoption, psychiatric assessment and placement, advance directives, trauma, and substance abuse.
  • Facilitate placement-related documentation, nursing-home grants and applications, and referrals to options programs.
  • Document in accordance with hospital and departmental requirements.
  • Work with case managers to provide discharge-planning services in collaboration with the multidisciplinary team and patient or family.
  • Identify patients and locate family members or next of kin.
  • Educate patients and significant others about obtaining health insurance and provide documents and information for welfare-insurance applications.
  • Initiate or follow up on medical-assistance applications when necessary.
  • Provide psychosocial assessment and intervention and document updates in the electronic medical record throughout hospitalization, discharge planning, and relevant post-acute care.
  • Supervise the field placement of Master of Social Work students.
  • Refer cases to the Placement Official Social Worker when assistance is needed to obtain discharge placement.
  • Precept and mentor new staff members in their roles and department.
  • Facilitate and coordinate discharge plans for weekend discharges, including home care or hospice services, transportation, and post-acute facility placements.
  • Perform assessments and develop interventions for trauma patients when assigned.
  • Obtain relevant post-acute authorizations.
  • Manage Livanta appeal determinations and address alternate discharge plans when necessary.
  • Provide updates to post-acute facility liaisons regarding possible weekend discharges.
  • Review discharge orders to determine which patients can transition to the next level of care that day.
  • Assist with completing relevant 302 paperwork when necessary.
  • Document updates for weekday staff according to department procedures.

Jefferson Health is an academic health system serving Philadelphia, South Jersey, and surrounding communities. The system delivers hospital, specialty, primary, emergency, outpatient, research, and professional education services across its care network. It serves patients, families, clinicians, students, researchers, and regional communities. Its operating model centers on clinical care integrated with university education, research, physician practices, and shared health-system operations. Teams work across nursing, physicians, allied health, research, education, technology, facilities, administration, and patient access. This structure supports consistent delivery across the organization.

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