Medical Social Worker (LMSW and Bilingual Spanish/English Required)
Core
Provide assessments, advocacy, and comprehensive care coordination for highest-risk patients and caregivers to improve health status and avoid hospitalizations.
Role type
Medical Social Worker (IC)
Builds
Patient care plans and care coordination services
Domain
Healthcare / Social Work
Deliverable
client delivery
Required skills
psychosocial assessment, care coordination, community resource navigation, insurance benefits navigation, crisis triage, psychoeducation, documentation, interdisciplinary collaboration
Preferred skills
complex care coordination, population healthcare management, data-driven practice, multidisciplinary team experience
Technologies
Microsoft Office, GSuite, electronic medical records
Responsibilities
Conduct telephonic check-ins and in-person visits; partner with patients to identify goals and address barriers; refer to community resources; navigate patient insurance benefits; educate on supportive care and advance care planning; collaborate with care teams to generate solutions; document interventions; provide clinical guidance to Community Health Workers.
Seniority
Individual Contributor