Complex Care Social Work Case Manager
Core
Improve healthcare experiences and outcomes for patients with complex medical and social needs by identifying barriers and coordinating care.
Role type
Complex Care Social Work Case Manager
Builds
Tailored care plans and coordinated support services for vulnerable populations
Domain
Healthcare / Social Work
Deliverable
physical/clinical work
Required skills
Psychosocial assessment, Care plan development, Resource coordination, Advance care planning, Burnout support, Family dynamics navigation
Responsibilities
Build trusting relationships with patients through virtual and telephone interactions, Collaborate with physicians and community health workers to deliver coordinated care, Identify social and logistical barriers and coordinate community resources, Conduct psychosocial assessments and develop personalized action plans, Identify caregivers experiencing burnout and offer emotional support, Help patients navigate complex family dynamics and healthcare situations