NYC Health + Hospitals
Senior Discharge Social Work Specialist (Associate Director of Social Work)
NYC Health + Hospitals, New York, New York, us, 10261
Senior Discharge Social Work Specialist (Associate Director of Social Work)
NYC Health + Hospitals provided pay range. This range is provided by NYC Health + Hospitals. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $125,000.00/yr - $150,000.00/yr
Marketing Statement NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city’s five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers.
At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
Duties & Responsibilities The Complex Discharge Escalation Team provides enterprise-level expertise, technical assistance, and structured support for high-complexity cases.
Serving as a centralized source of consultation and operational support, the team will engage directly with facility-based staff to assess barriers, clarify clinical and regulatory requirements, coordinate with internal and external partners, and facilitate appropriate escalations to legal, governmental, or executive stakeholders.
The Senior Discharge Social Work Specialist serves as a senior partner to facility teams, bringing deep expertise in complex discharge planning, psychosocial assessment, behavioral health, legal coordination, and structural discharge barriers. The Specialist will play a key role in developing partnerships with external stakeholders, including post-acute and community-based care providers, city, state and federal agencies, legal entities, immigration offices, and vendors to resolve eligibility issues, secure services, and overcome regulatory and placement-related challenges. The position requires strong critical thinking, exceptional communication, adaptability, a solution-oriented mindset with the ability to develop creative, patient-centered strategies in the face of complex and evolving system constraints.
Serves as consultant for the System on complex discharge planning, including identifying and resolving medical, behavioral, legal and social barriers
Provides leadership in Central Office in the development, coordination with facility leadership and Central Office partners to collaboratively overcome barriers, leading systemwide case conferencing escalation processes.
Apply intensive troubleshooting and creative problem-solving to generate viable discharge solutions for patients with unique and nontraditional care needs.
Establishes enterprise-level discharge planning social work related policies, methods, procedures, and program assignments and development; determines program priorities within the scope of program planning, particularly related to discharge planning.
Develops, plans and administers discharge planning related strategies.
Leads coordination of complex care plans involving adult protection, intellectual developmental disabilities, guardianship, housing, immigration status, legal involvement, or complex behavioral health presentations.
Serves as the primary liaison for coordination with external agencies, including DSS, OMH, OPWDD, DOH, APS, and community-based organizations.
Builds and sustains partnerships with internal and external SNFs, assisted living programs, CHHAs, LHCSAs, housing providers, and other service networks to facilitate timely placements.
Supports PASRR (Preadmission Screening and Resident Review) processes, including submission of documentation, support for denial reconsiderations, and coordination of fair hearings when appropriate.
Oversees planning and documentation for repatriation cases, including coordination with international consulates, receiving facilities, transport vendors, and regulatory bodies.
Partners with Legal Affairs and other internal stakeholders to address legal and regulatory discharge barriers, including capacity issues, court orders, and surrogate decision-making.
Participates in systemwide ALC reviews, and case conferences to resolve psychosocial and systemic barriers to discharge.
Develops and implements department budget for complex discharge planning programming, overseeing contracts vendors as appropriate.
Collaborates with Central Office partners (e.g., Behavioral Health, Office of Population Health, Legal Affairs, Housing for Health) to develop strategies that address key domains of complex discharge planning and coordinate on individual cases as appropriate.
Fosters strong interdisciplinary collaboration across facility-based teams, including social workers, care managers, medical providers, and other stakeholders involved in complex discharges.
Tracks escalation activity and discharge barriers in Epic, using structured documentation tools to support coordination and transparency.
Participates in formulation and development of health care setting policies regarding participation in discharge planning with respect to social work, developing and implementing standardized systemwide workflows, escalation procedures, and guidance documents.
Develops and establishes training programs for social work personnel and in-service training for professional and non-professional personnel for social work activity in support of discharge planning.
Evaluates and audits discharge planning related programs and program accomplishments, and makes system-level recommendations for appropriate action, utilizing data analytics to monitor trends in escalated cases, SNF denials, and ALC days.
Provides consultation to community agencies regarding collaboration with hospital systems to support discharge planning and activities relating to medical and psychiatric social work.
Formulates, plans, directs and initiates research objectives and programs in areas of social work, and coordinates cooperative research projects with other departments, leading quality improvement initiatives to evaluate and strengthen social work and discharge planning interventions for high-barrier cases.
Collaborates with administration and professional staff in planning social work participation within the healthcare setting, in education and training programs and in formulation of policy and practices in accordance with objectives of the health care setting.
Engage in ongoing professional development and education to maintain expertise and follow trends across complex discharge domains.
Perform additional duties as assigned
Minimum Qualifications
A Master's Degree (MSW) from an accredited School of Social Work and certification by the State of New York; and,
Six years of experience in clinical social work, of which three years are in a health care or medical care setting including psychiatric and medical social work, and three years in a supervisory, consultative and administrative capacity in an organization adhering to acceptable standards with knowledge of administration, with administrative and managerial skills and abilities; or,
A satisfactory completion of education, training and experience which includes at least a Master's Degree from an accredited School of Social Work, plus certification from the New York State Department of Education; and,
Demonstrated ability to function productively and cooperatively with Director of Social Work, Medical Staff, Administrative Staff and to supervise effectively.
Department Preferences
Deep understanding of the interplay between clinical needs, behavioral health, trauma history, immigration status, legal system involvement, and other social needs.
Knowledge of long‑term care, assisted living, CHHAs, LHCSAs, and housing programs, and the regulatory and operational nuances of transitioning patients across these settings.
How To Apply If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.
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Base pay range $125,000.00/yr - $150,000.00/yr
Marketing Statement NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city’s five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers.
At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
Duties & Responsibilities The Complex Discharge Escalation Team provides enterprise-level expertise, technical assistance, and structured support for high-complexity cases.
Serving as a centralized source of consultation and operational support, the team will engage directly with facility-based staff to assess barriers, clarify clinical and regulatory requirements, coordinate with internal and external partners, and facilitate appropriate escalations to legal, governmental, or executive stakeholders.
The Senior Discharge Social Work Specialist serves as a senior partner to facility teams, bringing deep expertise in complex discharge planning, psychosocial assessment, behavioral health, legal coordination, and structural discharge barriers. The Specialist will play a key role in developing partnerships with external stakeholders, including post-acute and community-based care providers, city, state and federal agencies, legal entities, immigration offices, and vendors to resolve eligibility issues, secure services, and overcome regulatory and placement-related challenges. The position requires strong critical thinking, exceptional communication, adaptability, a solution-oriented mindset with the ability to develop creative, patient-centered strategies in the face of complex and evolving system constraints.
Serves as consultant for the System on complex discharge planning, including identifying and resolving medical, behavioral, legal and social barriers
Provides leadership in Central Office in the development, coordination with facility leadership and Central Office partners to collaboratively overcome barriers, leading systemwide case conferencing escalation processes.
Apply intensive troubleshooting and creative problem-solving to generate viable discharge solutions for patients with unique and nontraditional care needs.
Establishes enterprise-level discharge planning social work related policies, methods, procedures, and program assignments and development; determines program priorities within the scope of program planning, particularly related to discharge planning.
Develops, plans and administers discharge planning related strategies.
Leads coordination of complex care plans involving adult protection, intellectual developmental disabilities, guardianship, housing, immigration status, legal involvement, or complex behavioral health presentations.
Serves as the primary liaison for coordination with external agencies, including DSS, OMH, OPWDD, DOH, APS, and community-based organizations.
Builds and sustains partnerships with internal and external SNFs, assisted living programs, CHHAs, LHCSAs, housing providers, and other service networks to facilitate timely placements.
Supports PASRR (Preadmission Screening and Resident Review) processes, including submission of documentation, support for denial reconsiderations, and coordination of fair hearings when appropriate.
Oversees planning and documentation for repatriation cases, including coordination with international consulates, receiving facilities, transport vendors, and regulatory bodies.
Partners with Legal Affairs and other internal stakeholders to address legal and regulatory discharge barriers, including capacity issues, court orders, and surrogate decision-making.
Participates in systemwide ALC reviews, and case conferences to resolve psychosocial and systemic barriers to discharge.
Develops and implements department budget for complex discharge planning programming, overseeing contracts vendors as appropriate.
Collaborates with Central Office partners (e.g., Behavioral Health, Office of Population Health, Legal Affairs, Housing for Health) to develop strategies that address key domains of complex discharge planning and coordinate on individual cases as appropriate.
Fosters strong interdisciplinary collaboration across facility-based teams, including social workers, care managers, medical providers, and other stakeholders involved in complex discharges.
Tracks escalation activity and discharge barriers in Epic, using structured documentation tools to support coordination and transparency.
Participates in formulation and development of health care setting policies regarding participation in discharge planning with respect to social work, developing and implementing standardized systemwide workflows, escalation procedures, and guidance documents.
Develops and establishes training programs for social work personnel and in-service training for professional and non-professional personnel for social work activity in support of discharge planning.
Evaluates and audits discharge planning related programs and program accomplishments, and makes system-level recommendations for appropriate action, utilizing data analytics to monitor trends in escalated cases, SNF denials, and ALC days.
Provides consultation to community agencies regarding collaboration with hospital systems to support discharge planning and activities relating to medical and psychiatric social work.
Formulates, plans, directs and initiates research objectives and programs in areas of social work, and coordinates cooperative research projects with other departments, leading quality improvement initiatives to evaluate and strengthen social work and discharge planning interventions for high-barrier cases.
Collaborates with administration and professional staff in planning social work participation within the healthcare setting, in education and training programs and in formulation of policy and practices in accordance with objectives of the health care setting.
Engage in ongoing professional development and education to maintain expertise and follow trends across complex discharge domains.
Perform additional duties as assigned
Minimum Qualifications
A Master's Degree (MSW) from an accredited School of Social Work and certification by the State of New York; and,
Six years of experience in clinical social work, of which three years are in a health care or medical care setting including psychiatric and medical social work, and three years in a supervisory, consultative and administrative capacity in an organization adhering to acceptable standards with knowledge of administration, with administrative and managerial skills and abilities; or,
A satisfactory completion of education, training and experience which includes at least a Master's Degree from an accredited School of Social Work, plus certification from the New York State Department of Education; and,
Demonstrated ability to function productively and cooperatively with Director of Social Work, Medical Staff, Administrative Staff and to supervise effectively.
Department Preferences
Deep understanding of the interplay between clinical needs, behavioral health, trauma history, immigration status, legal system involvement, and other social needs.
Knowledge of long‑term care, assisted living, CHHAs, LHCSAs, and housing programs, and the regulatory and operational nuances of transitioning patients across these settings.
How To Apply If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.
#J-18808-Ljbffr