Virtua Health
Social Worker, Kidney-Pancreas Transplant, MSW LCSW, Full Time
Virtua Health, Camden, New Jersey, United States, 08100
Social Worker, Kidney-Pancreas Transplant, MSW LCSW, Full Time
Join to apply for the
Social Worker, Kidney-Pancreas Transplant, MSW LCSW, Full Time
role at
Virtua Health
Job Summary Provides ongoing psychosocial support and navigation services to patients with advanced organ disease, transplant candidates and recipients, mechanical circulatory support candidates and recipients, living donors and caregivers throughout all phases of care. The role spans inpatient and outpatient care settings where the Social Worker collaborates closely with the multidisciplinary care team, ensuring compliance with regulatory documentation standards and is available after hours as needed for emergent evaluations and candidate selection meetings. The Social Worker also provides counseling, crisis interventions, referral to community agencies, education, bio-ethics consultation and complex discharge planning coordination. Works with patients, families and caregivers in a compassionate, culturally competent, age-appropriate manner to facilitate access to transplantation and advanced care services. The Social Worker will participate in multidisciplinary rounds, multidisciplinary selection meetings, as well as outreach initiatives designed to enhance patient and community education about transplantation and advanced care disease services.
Position Responsibilities
Inpatient and Outpatient Psychosocial Assessment and Counseling: Uses culturally competent skills to conduct comprehensive psychosocial assessments in both inpatient and outpatient settings addressing patient needs, family dynamics, social histories, and financial needs; interviews family members and others to obtain relevant information required to develop an individualized care plan; communicates pertinent psychosocial data to the transplant and advanced organ disease teams and referral sources; provides supportive counseling and collaborates and refers to psychiatry or behavioral health teams as needed; participates in and develops inpatient and community programs; implements support groups for specified disease processes or biopsychosocial issues; maintains appropriate and complete documentation of assessments, interventions, plans, and referrals; follows up on referrals for behavioral health, psychiatry, substance use disorder treatment, end-of-life supportive care and other biopsychosocial needs; assists patients with advanced care planning and collaborates with teams to facilitate palliative care or hospice consults; acts as an advocate for patients and families throughout the continuum of care.
Caseload Management and Care Coordination: Maintains a cumulative caseload of patients, providing indefinite support unless a patient relocates or expires; continually assesses and identifies the need for emotional support, financial assistance, medication assistance, lodging and other community resources; manages follow-up for each patient, offering continuous check‑ins to monitor psychosocial needs and updating care plans accordingly; prioritizes and balances the psychosocial needs of all patients based on acuity and complex needs; regularly updates the team on patient progress and addresses any new changes that arise across the care continuum.
Navigation and Coordination of Outpatient and Inpatient Services: Primary point of contact for patients and families, coordinating resources across the inpatient and outpatient settings and supporting through the phases of care; participates in multidisciplinary team meetings such as case discussions, discharge rounds and chart reviews; collaborates closely with multidisciplinary team members, including physicians, nurses, coordinators, dietitians, pharmacists, and financial coordinators; coordinates follow‑up appointments, home health referrals and other outpatient resources; develops comprehensive discharge plans in collaboration with clinicians and the interdisciplinary care team; for outpatients, provides guidance through transplant and mechanical circulatory support evaluations and selection processes, including medication, financial and housing support needed for post‑procedure recovery.
Education and Support Across the Inpatient and Outpatient Settings: Educates patients and families on essential aspects of transplant and advanced organ disease management; provides or assists with in‑service education and orientation of new and existing staff; participates in conducting clinical research on psychosocial aspects of transplantation, living donation and advanced organ disease; offers workshops, group sessions and individual counseling to help patients and caregivers adapt to quality‑of‑life changes; facilitates support groups to provide a space for shared experiences and coping strategies.
Documentation and Compliance with Regulatory Requirements: Documents all patients’ assessments, encounters, interventions, and care plans in compliance with hospital policies and state and federal governing bodies; ensures all documentation meets the standards set by applicable regulatory bodies; tracks and reports psychosocial indicators as required for compliance, quality assurance, and performance improvement.
Position Qualifications Required Experience
Two–three years of experience in healthcare with a focus on transplant, chronic illness or advanced organ disease in the inpatient and outpatient setting.
Strong understanding of the complex and ongoing needs of transplant and advanced organ disease patients.
Proficient in care navigation, crisis intervention, discharge planning and managing cumulative caseloads.
Excellent verbal and written communication skills, problem solving, conflict management, organization, and planning skills.
Demonstrated competence in providing clinical social work services, including psychosocial counseling for supporting patients and families in high‑stress situations.
Ability to understand medical terminology, diagnostic criteria, with the ability to communicate effectively with people of diverse backgrounds.
Required Education Minimum education of Master’s Degree in Social Work (MSW), from an accredited school of social work.
Training / Certification / Licensure Current valid New Jersey State Social Worker License. LCSW required. Valid driver’s license may be required.
Job Details
Seniority level : Mid-Senior level
Employment type : Full‑time
Job function : Health Care Provider
Industry : Hospitals and Health Care
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Social Worker, Kidney-Pancreas Transplant, MSW LCSW, Full Time
role at
Virtua Health
Job Summary Provides ongoing psychosocial support and navigation services to patients with advanced organ disease, transplant candidates and recipients, mechanical circulatory support candidates and recipients, living donors and caregivers throughout all phases of care. The role spans inpatient and outpatient care settings where the Social Worker collaborates closely with the multidisciplinary care team, ensuring compliance with regulatory documentation standards and is available after hours as needed for emergent evaluations and candidate selection meetings. The Social Worker also provides counseling, crisis interventions, referral to community agencies, education, bio-ethics consultation and complex discharge planning coordination. Works with patients, families and caregivers in a compassionate, culturally competent, age-appropriate manner to facilitate access to transplantation and advanced care services. The Social Worker will participate in multidisciplinary rounds, multidisciplinary selection meetings, as well as outreach initiatives designed to enhance patient and community education about transplantation and advanced care disease services.
Position Responsibilities
Inpatient and Outpatient Psychosocial Assessment and Counseling: Uses culturally competent skills to conduct comprehensive psychosocial assessments in both inpatient and outpatient settings addressing patient needs, family dynamics, social histories, and financial needs; interviews family members and others to obtain relevant information required to develop an individualized care plan; communicates pertinent psychosocial data to the transplant and advanced organ disease teams and referral sources; provides supportive counseling and collaborates and refers to psychiatry or behavioral health teams as needed; participates in and develops inpatient and community programs; implements support groups for specified disease processes or biopsychosocial issues; maintains appropriate and complete documentation of assessments, interventions, plans, and referrals; follows up on referrals for behavioral health, psychiatry, substance use disorder treatment, end-of-life supportive care and other biopsychosocial needs; assists patients with advanced care planning and collaborates with teams to facilitate palliative care or hospice consults; acts as an advocate for patients and families throughout the continuum of care.
Caseload Management and Care Coordination: Maintains a cumulative caseload of patients, providing indefinite support unless a patient relocates or expires; continually assesses and identifies the need for emotional support, financial assistance, medication assistance, lodging and other community resources; manages follow-up for each patient, offering continuous check‑ins to monitor psychosocial needs and updating care plans accordingly; prioritizes and balances the psychosocial needs of all patients based on acuity and complex needs; regularly updates the team on patient progress and addresses any new changes that arise across the care continuum.
Navigation and Coordination of Outpatient and Inpatient Services: Primary point of contact for patients and families, coordinating resources across the inpatient and outpatient settings and supporting through the phases of care; participates in multidisciplinary team meetings such as case discussions, discharge rounds and chart reviews; collaborates closely with multidisciplinary team members, including physicians, nurses, coordinators, dietitians, pharmacists, and financial coordinators; coordinates follow‑up appointments, home health referrals and other outpatient resources; develops comprehensive discharge plans in collaboration with clinicians and the interdisciplinary care team; for outpatients, provides guidance through transplant and mechanical circulatory support evaluations and selection processes, including medication, financial and housing support needed for post‑procedure recovery.
Education and Support Across the Inpatient and Outpatient Settings: Educates patients and families on essential aspects of transplant and advanced organ disease management; provides or assists with in‑service education and orientation of new and existing staff; participates in conducting clinical research on psychosocial aspects of transplantation, living donation and advanced organ disease; offers workshops, group sessions and individual counseling to help patients and caregivers adapt to quality‑of‑life changes; facilitates support groups to provide a space for shared experiences and coping strategies.
Documentation and Compliance with Regulatory Requirements: Documents all patients’ assessments, encounters, interventions, and care plans in compliance with hospital policies and state and federal governing bodies; ensures all documentation meets the standards set by applicable regulatory bodies; tracks and reports psychosocial indicators as required for compliance, quality assurance, and performance improvement.
Position Qualifications Required Experience
Two–three years of experience in healthcare with a focus on transplant, chronic illness or advanced organ disease in the inpatient and outpatient setting.
Strong understanding of the complex and ongoing needs of transplant and advanced organ disease patients.
Proficient in care navigation, crisis intervention, discharge planning and managing cumulative caseloads.
Excellent verbal and written communication skills, problem solving, conflict management, organization, and planning skills.
Demonstrated competence in providing clinical social work services, including psychosocial counseling for supporting patients and families in high‑stress situations.
Ability to understand medical terminology, diagnostic criteria, with the ability to communicate effectively with people of diverse backgrounds.
Required Education Minimum education of Master’s Degree in Social Work (MSW), from an accredited school of social work.
Training / Certification / Licensure Current valid New Jersey State Social Worker License. LCSW required. Valid driver’s license may be required.
Job Details
Seniority level : Mid-Senior level
Employment type : Full‑time
Job function : Health Care Provider
Industry : Hospitals and Health Care
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