Care Transitions Social Worker
Company: Bryan Health
Location: Lincoln
Posted on: January 18, 2026
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Job Description:
Summary GENERAL SUMMARY: The Care Management Social Worker is
responsible for collaborating with health care team members to
identify and plan for the complex and problematic psychosocial
needs of the patient and family. Assists patients and families in
adjusting to the demands of chronic health care needs across the
continuum. Serves as a resource to the inter-disciplinary team.
Provides support and case consultation to other case management
team members when complex issues arise. PRINCIPAL JOB FUNCTIONS:
*Commits to the mission, vision, beliefs and consistently
demonstrates our core values. *Completes case management
assessments; determines priorities for case management intervention
and differential treatment needs of patients and families;
documents assessment, plans and interventions based upon
departmental standards. *Utilizes knowledge of high-risk indicators
to identify all forms of family violence; understands impact of
different types of chronic illness on the patient and family.
*Provides supportive counseling to patients and families to enhance
coping mechanisms. Provides crisis intervention services to
patients, families and staff; assists patients, families and staff
in problem solving and conflict resolution. *Serves as a resource
to the inter-disciplinary team and Care Management Discharge
Specialists in meeting complex needs of patients and families
throughout the process of discharge planning. *Partners with Care
Management Discharge Planning staff to assist in identification and
resolution of complex and problematic discharge planning issues.
*Maintains professional relationships and communicates effectively
with other members of the inter disciplinary team. *Initiates
communication with peers about clinical practice issues. EDUCATION
AND EXPERIENCE: Masters degree in Social Work (MSW) from a School
of Social Work OR Masters degree in Counseling required. Current
certification as a Licensed Mental Health Practitioner (LMHP) by
the State of Nebraska preferred. Prior case management experience
desired.
Keywords: Bryan Health, Lincoln , Care Transitions Social Worker, Healthcare , Lincoln, Nebraska
