Social Case Manager

St. Mary’s Healthcare has been providing high-quality, compassionate healthcare to the people of Montgomery and Fulton counties since 1903. At St. Mary’s Hospital, the Rao Outpatient Pavilion and other locations, the local, independent healthcare organization offers the comprehensive, critical services its community needs and deserves. St. Mary’s Healthcare has also been named a 2026 Times Union Top Workplace—the first acute care hospital in the Capital Region to earn the distinction since the Times Union launched the recognition program 15 years ago.

Job Requisition: SOCIA001929

Employment Type: Full-Time

Shift: Days

Hours Per Week: 40 hours 

Hiring Range: $49.732.80-$64,667.20

The actual compensation for this position will be determined based on experience and other factors permitted by law.

Responsibilities:

     • Facilitates partnerships with intra-hospital departments and essential community networks to ensure successful development of social services programs to meet patient needs. Connects patients to visiting nurse agencies to address medical needs following hospital discharge. Connects patients to subacute rehab when indicated for continued rehabilitative services and/or acute rehab when appropriate.
     • Oversees primary needs of patient, including assessment of patient and family/caregivers and develops a comprehensive discharge plan
     • Provides consultation to complex patient and family needs within the area of expertise and in collaboration with the interdisciplinary team
     • Monitors patient care/plan of care through assessment, evaluations, and or patient medical record. Advocates for resources and identifies potential barriers to moving the patient through the care continuum
     • Maintains ongoing dialogue with patient/family/caregivers/interdisciplinary team members both within the hospital setting and community setting to ensure a safe and appropriate transition of care plan/discharge plan.

Complexity of work:

• Within scope of job, requires critical thinking skills, decisive judgment and the ability to work with
  minimal supervision. Must be able to work in a stressful environment.

Personal Protective Equipment:

      • Follows Standard Precautions using personal protective equipment as required.

Minimum Qualifications:

Education, Training & Experience:

     • Bachelors degree in Human Services or related field required.
Work Experience:
     • Recent experience in acute care setting preferred
     • Knowledge of insurances and prior authorization process preferred
     • Knowledge of community based organizations (ie: Nursing homes, CHHA's, Assisted Living/Adult homes) preferred

Required Skills and Attributes:

• Ability to organize and establish day-to-day priorities while using critical thinking skills in all aspects of the job.

• Must be able to multitask while remaining professional, focused, composed and positive.
• Excellent customer service skills
• Displays integrity, friendliness, and compassion.
• Must be able to establish an appropriate and effective rapport with others.
• Demonstrates flexibility
• Takes initiative
• Able to work in a fast-paced environment
• Embraces new opportunities to grow both personally and professionally.
• Effective critical thinking and problem-solving skills.
• Proficient with various Microsoft Office products (Word and Excel).
• Strong organizational skills.
• Effective interpersonal skills.
• Ability to take and follow direction in a positive and appropriate manner.
• Ability to work as part of a team and independently. Must be able to demonstrate effective and appropriate written and oral communication skills.
• Must be able to speak, read, write and follow instructions in English.