Primary Care Social Work Case Manager
Core
Provide social work and case management support to patients with complex healthcare needs, helping them overcome psychosocial challenges and access appropriate care.
Role type
Primary Care Social Work Case Manager
Builds
Personalized care plans and coordinated support for patients with complex medical and psychosocial needs
Domain
Healthcare / Social Work
Deliverable
client delivery
Required skills
Psychosocial assessments, patient advocacy, care coordination, social work interventions, emotional support, navigating community resources, long-term care planning, advance care planning, EHR documentation
Preferred skills
Bilingual proficiency (English and Haitian Creole, Spanish, or Vietnamese), Medicare Advantage experience, geriatric care experience
Technologies
Electronic health records (EHR), Google Workspace, Slack
Responsibilities
Conduct telephone and video consultations with patients and caregivers; Perform psychosocial assessments and screenings; Develop and implement personalized care plans; Help patients navigate behavioral health services and community resources; Support long-term care planning and advance care planning; Maintain accurate documentation in EHR
Seniority
Mid-level, hands-on IC