Social Worker MSW

About Us

We're Maimonides Health, Brooklyn's largest healthcare system, serving over 250,000 patients each year through the system's 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers. At Maimonides Health, our core values H.E.A.R.T drives everything we do. We uphold and maintain Honesty, Empathy, Accountability, Respect, and Teamwork to empower our talented team, engage our respective communities and adhere to Planetree's philosophy of patient-centered care. The system is anchored by Maimonides Medical Center, one of the nation's largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Children's Hospital, Brooklyn's only children's hospital and only pediatric trauma center. Maimonides' clinical programs rank among the best in the country for patient outcomes, including its Heart and Vascular Institute, Neuroscience Institute, Boneand Joint Center, and Cancer Center. Maimonides is an affiliate of Northwell Health and a major clinical training site for SUNY Downstate College of Medicine.

Overview

Maimonides is seeking a Licensed Social Worker to deliver brief, evidence‑based caregiver support services as part of the Caring for Caregivers (C4C) initiative for adults who are 65 years old and older and their identified care partners. This per‑diem role focuses on caregiver identification, outreach and consent, needs and quality tracking screening, goal‑aligned ("What Matters") action planning, tailored resource linkage with teach‑back, EMR documentation, care‑team communication, and prompt time‑limited follow‑ups.

Responsibilities

• Identify and engage caregivers of adults who are 65 and older through admission/rounds flags and referrals; obtain consent and explain program scope.
• Conduct brief structured screens using evidence-based tools (e.g., PHQ‑2/9, GAD‑2/7, brief caregiver‑burden check, health‑literacy and SDOH prompts).
• Facilitate a concise "What Matters" conversation to elicit the caregiver's priority needs and preferences; co‑create an action plan focused on1-3 priority areas.
• Provide tailored resource packets (education, benefits, respite, mental health, community‑based supports); use teach‑back to ensure understanding and feasibility.
• Coordinate with the care team (e.g., primary team, case management, nursing, behavioral health) to align plans and communicate a concise summary note.
• Track outputs and outcomes (encounters, screening completion, referrals provided, closed‑loop hand‑offs, caregiver‑reported stress/depressive symptoms when available).

Qualifications

• MSW from an accredited School of Social Work; NYS licensure or permit as applicable.
• Minimum 1 year in medical, geriatric, primary care, or community health social work experience with brief screening, goal‑setting, and resource navigation preferred.
• Motivational interviewing or equivalent brief counseling; familiarity with evidence-based screening tools (eg, PHQ/GAD screening); knowledge of accessible and relevant caregiver resources (respite, benefits, mental health); EMR proficiency; strong communication and teamwork.
• Diligent and effective follow-up; problem‑solving and sound judgment.

Pay Range

USD $45.81 - USD $64.77 /Hr.

Equal Employment Opportunity Employer

Maimonides Medical Center (MMC) is an equal opportunity employer.