Cleveland Clinic PT-Case-Management-Social-Worker in Cleveland, Ohio

Job Summary:

Coordinates the care and services of select patients. Intervenes with patients who have complex psychosocial and discharge planning needs. Conducts detailed psychosocial assessments and coordinates with community resources and supportive counseling. Offers crisis interventions to patients and families with psychosocial needs and facilitates transition of care for high risk patients facing barriers to care.


  • ​Manages all aspects of discharge planning for assigned patients in order to ensure a timely discharge and provide appropriate connection with post-discharge care providers.

  • Works with families exhibiting complex family dynamics.

  • Communicates with interdisciplinary team regarding the discharge planning status of all patients that are referred.

  • Educates patient, family and physician regarding post-acute options and addresses freedom of choice and financial concerns.

  • Conducts psychosocial assessment and interventions and makes treatment recommendations to engage patients and families in adherence to the treatment plan by reducing or eliminating the social, psychological, financial, behavioral and regulatory barriers to successful medical outcomes.

  • Serves as a resource person to provide counseling and intervention related to treatment decisions and end-of-life issues.

  • Advocates for patient and family by providing intervention in cases involving child abuse and neglect, domestic violence, elderly abuse, institutional abuse and sexual assault.

  • Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed serves within the health care system.

  • Meets core social work competencies and adhering to regulations.

  • Remains current with regulations which impact the care of patients and regulatory compliance.

  • Promotes individual, professional growth and development and meets mandatory and continuing education requirements.

  • Supports department-based goals which contribute to the success of the organization.

  • Serves as a preceptor, mentor, and resource to less experienced staff and represents the department on committees.

  • Other duties as assigned.


  • Master's Degree in Social Work (or Clinical Counseling within Behavioral Health)


  • Current state licensure as a Social Worker.

  • Eligible licensure includes LSW, LISW, LISW-S or PC.

  • Department requirement: Certification as a Clinical Social Worker or Case Manager within one year of eligibility from an approved professional organization.

  • Basic Life Support (BLS) through American Heart Association (AHA)

Complexity of Work:

  • Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.

  • Must be able to work in a stressful environment and take appropriate action.

Work Experience:

  • Hospital Social Work experience preferred.

  • Exposure and experience in pre-acute and post-acute care.

  • Knowledge of community resources preferred.

  • Excellent communication and negotiation skills necessary to work collaboratively with multidisciplinary teams for optimal outcomes.

  • Demonstrated ability to work independently as well as with teams.

  • Must be flexible, open-minded and adaptable to change.

Physical Requirements:

  • Requires full range of motion, manual and finger dexterity and eye-hand coordination.

  • Requires standing and walking for extensive periods of time.

  • Requires normal or corrected hearing and vision to normal range.

  • Sedentary work exerting up to 10 pounds of force occasionally (Occasionally: active or condition exists up to 1/3 of the time) and /or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Personal Protective Equipment:

  • Follows Standard Precautions using personal protective equipment as required for procedures.

The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic’s Smoking Policy will be permitted to reapply for open positions after 90 days. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic facility.

Cleveland Clinic is pleased to be an equal employment employer: Women/Minorities/Veterans/Individuals with Disabilities