Medical Social Worker
About The Position
The Medical Social Worker (MSW) is a key member of Oak Street Health care teams, supporting the psychosocial needs of patients. The MSW provides assessments, advocacy, and comprehensive care coordination for high-risk patients and their caregivers, with the goal of improving health status, avoiding hospitalizations, and helping patients live healthier, happier lives. The role includes in-person and telephonic support, care planning, crisis response, community-resource referrals, insurance-benefit navigation, supportive-care education, and collaboration with multidisciplinary care teams and Community Health Workers. The position is based at 2310 S Christopher Columbus Blvd, Philadelphia, PA 19148, and is full-time with 40 anticipated weekly hours.
Requirements
- Pennsylvania licensure as either a Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW).
- Master’s Degree of Social Work (MSW) from an accredited program.
- Proficient computer skills, including Microsoft, GSuite, and electronic medical records.
- Prior experience with complex care coordination and/or population healthcare management.
- US work authorization.
Nice To Haves
- Experience using metrics and data to guide practice and drive outcomes.
- At least one year of recent medical social work experience in a healthcare environment.
- Positive attitude and drive to improve the lives of underserved populations, including older adults, adults with disabilities, and people with chronic mental and physical illnesses.
- Ability to adapt, multitask, and remain flexible in a fast-paced environment.
- Familiarity with the local community, including socioeconomic challenges, healthcare barriers, and resources.
- Experience working on a multidisciplinary team of healthcare providers.
- Fluency in another language.
Responsibilities
- Provide comprehensive assessments, telephonic check-ins, and in-person visits to highest-need patients.
- Partner with patients and, when necessary, their support persons to identify goals, increase healthcare engagement, address barriers, and carry out care plans.
- Respond to crises and urgent needs by prioritizing work, triaging situations, and multitasking.
- Maintain knowledge of community resources and make referrals to help meet patients’ healthcare and psychosocial needs.
- Navigate patient insurance benefits in collaboration with the Patient Relations Manager to support mindful utilization and maximize plan benefits.
- Provide longitudinal and episodic comprehensive care coordination to empower patients to manage their health conditions and improve quality of life.
- Educate patients about supportive care options, including advance care planning and end-of-life care, and provide goals-of-care counseling, support, and advocacy throughout the patient journey.
- Provide psychoeducation to patients and families about life-stage and disease-specific issues, including dementia, adjustment to illness, aging, and caregiver support.
- Collaborate with care teams to develop solutions to patient issues and lead interventions involving complex psychosocial dynamics.
- Complete concise and comprehensive documentation on time so care team members can see the status of MSW interventions.
- Partner with Community Health Workers and provide clinical guidance and consultation regarding complex patient needs.
- Perform other duties as assigned.
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- CVS Health bonus, commission, or short-term incentive program, subject to eligibility
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What This Job Offers
Job Type
Full-time
