Lead Social Worker / Transitional Care Registered Nurse

At Ivinson Memorial Hospital we are committed to excellence, trust, healing, and integrity.  We pride ourselves in providing compassionate, world-class care to our community. At Ivinson we offer a competitive total rewards package including; full medical, dental, and vision insurance, retirement plans, paid time off and tuition reimbursement opportunities. Ivinson aims to improve the care provided for our patients and create a work-life balance for our employees by creating a culture of transparency, teamwork, accountability, and trust.

E S S E N T I A L  F U N C T I O N S

• Provides operational and clinical leadership for the inpatient social work team and transitional care nurse (TCN) team.


• Oversees daily operations of inpatient transitions of care and social work services across the medical-surgical, intensive care, emergency department, Women and Children Center and behavioral health units.


• Collaborates and supports the oncology department as needed.


• Supervises transitional care team responsible for discharge planning, care coordination, and post-acute transition activities.


• Ensures timely, patient-centered discharge planning and care coordination in collaboration with physicians, nursing, therapy services, case management, and community partners.


• Coordinates staffing, scheduling, workload distribution, and coverage to ensure appropriate patient support across all areas of service.


• Monitors patient progression through the continuum of care to identify and address barriers to safe, timely discharge.


• Promotes interdisciplinary collaboration to improve patient outcomes, reduce avoidable readmissions, decrease excessive days in acute and elevate the patient experience.


• Provides coaching, mentoring, performance management, and professional development team.


• Participates in recruitment, onboarding, competency assessment, and retention of department staff.


• Ensures compliance with all applicable federal, state, regulatory, accreditation, and organizational standards, including CMS Conditions of Participation and Joint Commission requirements.


• Leads quality improvement initiatives designed to improve care transitions, patient safety, and operational efficiency.


• Serves as a resource for complex psychosocial, discharge planning, guardianship, placement, behavioral health, and ethical care management issues.


• Collaborates with physician leadership, nursing leadership, finance, utilization management, and community agencies to optimize care coordination.


• Assists with budget development, resource management, and departmental strategic planning.


• Participates in hospital committees, interdisciplinary rounds, and organizational initiatives.


• Performs other duties as assigned.

E D U C A T I O N

• Master’s degree in Social Work (BSW) or Bachelor of Science in Nursing (BSN) required.


• Leadership or management education preferred.

E X P E R I E N C E

• Minimum of five (5) years of progressively responsible experience in acute care hospital social work, case management, discharge planning, care coordination, or transitional care.


• Leadership, supervisory, charge, or program coordination experience preferred.


• Experience working across multiple inpatient service lines preferred.


• Demonstrated experience managing complex discharge planning and interdisciplinary care coordination.


• Experience with quality improvement initiatives, regulatory compliance, and performance metrics preferred.

C R E D E N T I A L S

For Social Work Candidate:

• Current Licensed Clinical Social Worker (LCSW) in the state of Wyoming.


• Current Basic Life Support (BLS) certification if required by organizational policy.

OR

For Nursing Candidate:

• Current Wyoming Registered Nurse (RN) license.


• Current Basic Life Support (BLS) certification

K N O W L E D G E , S K I L L S  A N D  A B I L I T I E S

• Comprehensive knowledge of acute care case management, discharge planning, psychosocial assessment, care coordination, and utilization management principles.


• Knowledge of federal and state regulations, CMS Conditions of Participation, Joint Commission standards, EMTALA, patient rights, and discharge planning requirements.


• Strong understanding of post-acute care resources, community agencies, behavioral health services, long-term care, home health, hospice, rehabilitation, and skilled nursing placement.


• Demonstrated leadership, team-building, conflict resolution, and employee development skills.


• Excellent critical thinking and clinical decision-making abilities.


• Strong organizational skills with the ability to manage competing priorities.


• Excellent verbal, written, and interpersonal communication skills.


• Ability to build collaborative relationships across multidisciplinary teams and physician groups.


• Proficiency in electronic health record (EHR) systems and Microsoft Office applications.


• Ability to analyze data, interpret performance metrics, and develop action plans for continuous improvement.


• Ability to maintain confidentiality and exercise sound judgment in complex clinical and operational situations.


• Commitment to patient-centered care, professional ethics, diversity, equity, and continuous quality improvement.

At Ivinson Memorial Hospital, we believe that our employees are our greatest investment. That’s why we are committed to fostering a supportive, empowering environment where every team member has the resources and opportunities to thrive. We know that providing world-class healthcare starts with investing in our employees, ensuring they have the tools to grow, excel, and provide exceptional care.  

Our competitive and comprehensive total rewards package includes:  

For benefits eligible employees:  

• Medical, dental, and vision insurance


• Paid time off: take the time you need to recharge


• Retirement plans, including 403(b) matching


• Employer-paid life and long-term disability insurance: Peace of mind for you and your family

For all employees:  

• Yearly work anniversary pay increases


• Education Reimbursement up to $2,500 annually


• Retirement plan participation


• Free certification classes: enhance your skills at no cost to you


• Health and Wellness discounts at local gyms


• Discounts at select mobile networks, local vendors, and Elitch Gardens


• Mental Health: 6 free confidential, in-person counseling sessions offered by Pathways annually


• Financial Counseling: free services through WellCents to help you take control of your financial journey


• Legal assistance and will preparation services


• Student Loan Forgiveness: Ivinson Memorial Hospital is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program

Please use this link for more information regarding our rewards package and benefits: Benefits Guide.  

At Ivinson Memorial Hospital, we are more than just a workplace – we are a community where your growth and well-being matter. Join us in making a difference in the lives of the Laramie community and help us provide world-class care.