Website Baylor Scott & White Medical Center - Frisco

Hospital Social Worker – Discharge Planner / PRN 


Facilitates progress through the continuum of care, from Pre- Admission through Discharge; Evaluates patients for discharge planning needs and appropriately directs the patient’s care; Monitors resource consumption for most effective use; Provides feedback to payors on patient’s clinical status and secures approvals for additional days of stay; Identifies teaching and psychosocial concerns for the best patient outcome; Functions as Patient Advocate to assist patients in resolving concerns.


  • Previous experience in case management/discharge planning preferred; acute care experience preferred; experience with Mother/ Baby preferred
  • Current Texas license as RN or Medical Social Work required
  • Ability to work independently; working knowledge of Microsoft Word and Excel preferred; willingness to learn computer applications necessary for work functions; ability to adapt to changing situations and various personalities with a positive attitude


  • Demonstrates knowledge and skill level necessary to assist the healthcare team in meeting the patient’s discharge planning needs.
  • Serves as a liaison with community agencies, organizations, or groups to promote services and opportunities for the health care consumer as delegated.
  • Effectively interviews patients and families and assesses psychosocial status, relationships, and post-hospital care needs when indicated.
  • Identifies patient and family problem areas and develops an appropriate treatment plan.
  • Participates in discharge planning rounds by providing relevant information and collaborating with the treatment team regarding psychological adjustment and continuity of care needs or concerns as requested.
  • Identifies patient’s and family learning needs and implements education, properly documenting patient’s medical records.
  • Assists in crisis situations.
  • Provides ongoing emotional support to enable patient and family to adjust to limitations or disability.
  • Demonstrates the knowledge and skill to make contact (concurrently or retrospectively) with the patient’s payor source to provide clinical updates to secure approval (certification) for days of hospitalization.
  • Documents insurance contacts properly.
  • Facilitates proper resource management by assisting patients through the continuum of care in a timely manner.
  • Performs the functions of the Patient Advocate to assist the patient and their family in resolving conflicts or concerns.
  • Adheres to hospital policies.