Social Work Case Manager

Licenses/Certifications: Provisional license in Counseling or Social Work

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.
• Pediatric Social Work Case Managers provide specialized care coordination, discharge planning, and psychosocial assessment services for infants, children, adolescents, and their families across multiple pediatric settings, including the Mother-Baby Unit (MBU), Intensive Care Nursery (ICN), Pediatric Intensive Care Unit (PICU), General Pediatric Unit (GPU), Carrie Tingley Hospital (CTH) Inpatient Rehabilitation Unit, and Pediatric Emergency Department. This highly specialized role requires close collaboration with physicians, nurses, therapists, behavioral health providers, families, and community partners to develop safe, effective plans of care that support successful discharge and transitions across the continuum of care. Social Work Case Managers play a critical role in addressing social determinants of health, complex family dynamics, child safety concerns, access to resources, and care coordination needs unique to pediatric populations. Pediatric Social Work Case Managers work extensively with local, state, tribal, and community agencies, including child welfare, protective services, schools, early intervention programs, developmental services, behavioral health providers, and other community resources to ensure children and families receive the support necessary to achieve optimal outcomes. Pediatric Social Work Case Managers serve as essential advocates and coordination leaders, ensuring that children and families have access to the resources, services, and supports necessary for safe discharge and ongoing care. Success in this role requires strong critical thinking, exceptional communication skills, and a commitment to teamwork. Effective collaboration with families, healthcare providers, and community partners is fundamental to achieving positive outcomes for New Mexico's pediatric population.

Community Partnerships and Collaboration UNMH Social Work Case Managers partner with numerous local, state, tribal, and federal agencies to support patients and families. Collaboration may include healthcare providers, behavioral health programs, schools, child welfare agencies, aging and long-term services agencies, community shelters, housing programs, legal resources, public assistance programs, tribal organizations, and other community-based partners that help meet the needs of New Mexico residents.

Why UNMH? At UNMH, social workers serve patients from urban, rural, frontier, and tribal communities across New Mexico. Team members routinely assist patients who travel long distances for care and navigate unique challenges related to healthcare access, transportation, language, culture, poverty, and resource availability. This role offers the opportunity to make a meaningful impact on patients and families while working in a collaborative academic environment dedicated to innovation, education, and excellence in patient care.

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.

• This is a fully onsite position at UNM Hospital. Due to direct patient care, interdisciplinary collaboration, discharge planning, and care coordination responsibilities of the role, remote work is not available. Social Work Case Managers are expected to work onsite to effectively support patients, families and healthcare teams.

Sign-On Bonus Available

Relocation Assistance Available