CSW (Certified Social Worker

Social Work Case Manager - Care Management Services

UNMH is New Mexico's only Level I Trauma Center and the state's premier academic medical center. As a teaching hospital we are committed to advancing patient care education research and community health while serving one of the most culturally geographically and socioeconomically diverse populations in the Southwest.

The Social Work Case Manager plays a critical role in addressing the social determinants of health that impact patient outcomes across the lifespan. Social Work Case Managers provide comprehensive psychosocial assessment care coordination discharge planning advocacy and resource management services for patients and families facing complex medical behavioral social financial and environmental challenges. This position works closely with interdisciplinary teams to ensure safe transitions of care and equitable access to services.

Areas of Specialty Practice:

• Emergency Department and Trauma Services
• Adult Acute Care and Specialty Inpatient Units
• Intensive Care and Progressive Care Services
• Newborn and Neonatal Populations
• Pediatric Inpatient Services
• Adolescent and Young Adult Care
• High-Risk and Medically Complex Populations
• Aging and Geriatric Care
• Transplant and Specialty Programs

Key Responsibilities:

• Conduct comprehensive psychosocial assessments to identify barriers to care discharge needs and community support requirements.
• Develop implement coordinate and evaluate individualized care transition and discharge plans.
• Address social determinants of health including housing instability food insecurity transportation barriers financial hardship caregiver limitations access to healthcare services and community resource needs.
• Coordinate care for vulnerable populations including older adults newborns infants children individuals with complex medical conditions and patients experiencing social or economic barriers to recovery.
• Collaborate with physicians nurses therapists care managers behavioral health providers and community partners to promote positive patient outcomes.
• Facilitate referrals and connections to community-based resources government programs long-term services behavioral health services and other support systems.
• Coordinate multidisciplinary care conferences and participate in complex case consultations.
• Address legal guardianship abuse neglect exploitation mandated reporting and protective services concerns as appropriate.
• Maintain accurate and timely documentation in accordance with regulatory accreditation and organizational standards.
• Promote patient safety quality improvement and best practices in care coordination and discharge planning.

This position offers the opportunity to practice at the top of your license while helping improve health outcomes for New Mexico's diverse and underserved communities.