Social Worker II
Job Ref # 36549
Category: Case Management/Social Work
Job Type: Full-Time
Houston Methodist Hospital
6565 Fannin St
Houston, TX

Work Shift: DAY

Work Week: M - F

Job Summary

As a Social Worker II (SW II), the individual comprehensively provides clinical social work and complex discharge planning to patients and their families of a targeted patient population on a designated unit(s). Works with the physicians and multidisciplinary care team to facilitate efficient quality care and achievement of desired treatment outcomes. Assures that psychosocial issues are addressed and treated as needed across the continuum of care. Serves as a unit-based and service-line leader for psychosocial related issues, complex discharge planning activities, and population management.
Describe the age group of primary customers/patients served if applicable to this position.

¿ Not applicable¿ School Age (6-12 years)
¿ Neonate (Birth to 28 days)¿ Adolescence (12-18 years)
¿ Infants/Toddlers (29 days to 18 months)¿ Young Adult (19-40 Years)
¿ Toddler (18 months to 3 years)¿ Middle Adult (40-65 Years)
¿ Preschooler (3-6 years)¿ Mature Adult (65 years and older)

System and department specific ICARE values

INTEGRITY: We are honest and ethical in all we say and do.
COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
ACCOUNTABILITY: We hold ourselves accountable for all our actions.
RESPECT: We treat every individual as a person of worth, dignity, and value.
EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.

Duties and Responsibilities are cross-referenced to the hospital¿s Pillars of Excellence and will be transferred to Performance Evaluation. Please include % breakout of tasks/essential functions.

PEOPLE (20%)
1.Identifies leadership opportunities for professional growth of peers. (People)
2.Communicates in an active, positive and effective manner to all health care team members and reports pertinent patient care and family data in a comprehensive and unbiased manner, listens and responds to the ideas of others.  (People) (EF)
3.Uses downtime efficiently, aware of team members¿ workload, consistently offers assistance, and responds positively to requests for assistance from other team members. (People) (EF)
4.Leads staff education specific to patient populations and unit processes. Can act as a preceptor to new employees. (People) (EF)

1.Contributes to meeting departmental financial target on scorecard, with focus on length of stay. (Finance) (EF)
2.Completes timely and thorough assessment on all unfunded patients to identify community resources required for effective transition. (Finance) (EF)
3.Demonstrates an effective community resource knowledge base and the judgment and the ability to effectively select and coordinate available resources, including referrals to regulatory agencies. (Finance) (EF)
4.Demonstrates the ability to mobilize alternative resources to fill gaps in established community resources. (Finance) (EF)
5.Provides pertinent patient information to case managers and healthcare team when coordination with significant or intensive resources is necessary to achieve desired treatment outcomes. (Finance) (EF)
6.Demonstrates service line expertise on community resources and is a consultant to staff.  (Finance) (EF)

1.Modifies care based on evaluation of the patient¿s progress, demonstrates problem-solving and critical thinking, and makes decisions using evidence-based analytical approach. (Quality/Safety(EF))
2.Plans for routine discharge and anticipates/prevents and manages/elevates emergent situations. Specific focus given to discharge plan and elimination of barriers. Involves patient/family in all treatment and discharge. (Quality/Safety) (EF)
3.Contributes to meeting departmental targets for quality and safety measures on scorecard. (Quality/Safety) (EF)
4.Uses a structured format for regular communication with patients and families.  (Quality/Safety) (EF)
5.Manages usual patient assignment and other unit demands, completes responsibilities in timely manner with accurate documentation, organizes multiple priorities and anticipates/plans for potential problems.  (Quality/Safety) (EF)
6.Reports ¿near misses¿ as well as errors promptly and consistently to improve systems and processes and identify trends.  (Quality/Safety) (EF)
7.Collaborates with staff from the interdisciplinary team concerning safety data to improve outcomes and the safe transition of care through effective patient handoffs. (Quality/Safety) (EF)
8.Implements unit and hospital initiatives to achieve National Patient Safety Goals.  (Quality/Safety) (EF)
9.Identifies opportunity for practice changes. Researches the change and presents options to shared governance and leadership. (Quality/Safety) (EF)
10.Assures that designated core measures are met in providing care.  (Quality/Safety) (EF)

1.Maintains individual competencies around critical Social Work functions including; payer rules and regulations, psycho-social assessments and discharge planning methods. (Service) (EF)
2.Serves as a unit-based leader and service-line leader for comprehensive social work activities including assessing high-risk patients and leading team to support discharge plan for high-risk patients, participating in daily Care Coordination Rounds, and identifying and leading resolution to barriers of efficient patient throughput.(Service) (EF)
3.Uses therapeutic communication to establish a relationship with patients and families and communicates the discharge plan.  (Service) (EF)
4.Performs timely psychosocial evaluations of patients and families in order to consider all variables that may impact treatment plans and outcomes, including diagnosis of emotional, social, and environmental strengths and problems related to their illness, treatment and/or life situation.
5. Completes full assessment based on the social work high-risk screening tool. (Service) (EF)
6.Analyzes complex data and assesses social and emotional functioning as well as patient/family adjustment to illness/disability as it impacts patient treatment, recovery, and discharge plans. (Service) (EF)
7.Applies crisis intervention theory in the practice setting. (Service) (EF)
8.Documentation reflects, completed patient screening/assessment and reassessment upon admission and concurrently as needed. This is documented in MethOD. (Service) (EF)
9.Facilitates discharge planning activities for assigned patients by demonstrating knowledge of and ability to assess age-related issues as they impact treatment, recovery, compliance, and discharge plans. (Service) (EF)
10.Formulate, develop and implement a comprehensive psychosocial treatment plan utilizing appropriate clinical social work diagnosis, treatments and interventions, including crisis intervention, brief individual, marital and family therapies, and patient, family and caregiver groups.
11.Establishes therapeutic relationships with patients and families.
12.Establishes mutual educational goals with patient and family, provides appropriate resources, incorporating planning for care after discharge.  (Service) (EF)
13.Supports patients and families in preventing/resolving clinical or ethical issues.  (Service) (EF)
14.Contributes to meeting target for patient satisfaction on scorecard, with focus on discharge domain.  (Service) (EF)
15.Uses knowledge of levels of care to ensure discharge disposition is to the appropriate level and facilitates transfers to SNFs, hospice, and palliative care. Building on the assessment procedure process, develops, coordinates, implements and revises treatment/discharge plans for assigned patients to ensure good transitional management and continuity of care. (Service) (EF

1.Provides education to unit-based physicians, nurses, and other healthcare providers on community resources or psychosocial topics. Also provides education to colleagues within the department and at the service line level. (Growth/Innovation) (EF)
2.Identifies and presents areas for improvement in patient care or unit operations and offers solutions by participating in unit projects and activities.   (Growth/Innovation) (EF)
3.Supportive of change initiatives. Adapts to unexpected changes.  (Growth/Innovation) (EF)
4.Identifies areas for improvement based on understanding of evidence-based practice literature. Initiates evidence-based practice/performance improvement projects based on these observations.  (Innovation/Growth(EF))
5.Identifies own learning needs, consults with healthcare team experts and seeks continuing education opportunities to meet those needs.  (Growth/Innovation) (EF)

This position description is not intended to be all inclusive, and the employee will also perform other reasonably related business duties as assigned by the immediate supervisor and other management as required. The Methodist Hospital reserves the right to revise or change job duties and responsibilities as the need arises.

Maintains level of professional contributions as defined in Clinical Career Path program guide. (EF)

Master¿s Degree in Social Work from accredited University

At least 3 years of experience in a healthcare setting


Case Management related Certification or LCSW Required.


¿Works independently with minimal supervision
¿Strong assessment, organizational and problem solving skill
¿Knowledge of community resources (acquired within 6 months of hire)
¿Knowledge of health care financial and payer issues, and eligibility for state, local and federal programs (acquired within 6 months of hire)
¿Computer skills
¿Advanced oral and written communication skills
¿Collaboration, negotiation, and mediation skills
¿Time management and prioritization skills
¿Critical thinking

Equal Employment Opportunity

Houston Methodist is an Equal Opportunity Employer.

Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of  race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law.

VEVRAA Federal Contractor – priority referral Protected Veterans requested.

Company Profile

Since its founding in 1919, Houston Methodist Hospital has earned worldwide recognition. Houston Methodist Hospital is affiliated with the Weill Medical College of Cornell University and New York-Presbyterian Hospital, one of the nation's leading centers for medical education and research.  Houston Methodist is consistently ranked in U.S. News & World Report’s “Best Hospital” list and was recently named the number one hospital in Texas. FORTUNE magazine has placed Houston Methodist on its annual list of “100 Best Companies To Work For” since 2006.  Houston Methodist Hospital directs millions of research dollars into patient care and offers the latest innovations in medical, surgical and diagnostic techniques. With 1,119 licensed beds, 67 operating rooms and over 6,000 employees, Houston Methodist offers complete care for patients from around the world.