Medical Social Worker - Population Health (Full Time, Day)

NorthBay Health•Fairfield, CA
•$56 - $68

About The Position

The Population Health Medical Social Worker (PHMSW) provides social services to high-risk capitated populations using a Population Health approach. The role communicates and coordinates with inpatient and outpatient healthcare teams, payers, and outside agencies to help connect patients with appropriate services. It facilitates integration with community-based resources and collaborates with community partners to optimize patient health. The PHMSW assists patients in navigating and accessing community resources and documents assessments and interventions in the patient’s electronic health record. The position requires adherence to organizational policies, procedures, quality assurance guidelines, and goals. The role is scheduled Monday through Friday, 8:00 a.m. to 5:00 p.m. NorthBay Health describes itself as an independent, nonprofit health system serving the Napa, Solano, and Yolo County regions. It offers a comprehensive benefits package subject to eligibility requirements.

Requirements

  • Master of Social Work degree from a school of Social Work accredited by the Council on Social Work Education.
  • California BBS Associate Clinical Social Worker (ASW) or Licensed Clinical Social Worker (LCSW) licensure.
  • Valid California driver’s license, access to an operating automobile, and automobile insurance meeting agency guidelines.
  • At least two years of experience in a health-related or community-based setting and familiarity with community resources.
  • Strong clinical psychosocial assessment skills.
  • Excellent verbal, written, and listening communication skills, including the ability to convey instructions, directions, and information accurately and appropriately.
  • Ability to work diplomatically with a wide variety of people, independently and collaboratively.
  • Strong critical-thinking, independent-judgment, and clinical decision-making skills.
  • Ability to initiate and maintain positive working relationships with healthcare team members and community partners.
  • Ability to work effectively with diverse populations, including across age, culture, ethnicity, and gender, and to understand the population and community served.
  • Ability and willingness to provide emotional support, encouragement, and motivation to patients and families.
  • Ability to conceptualize clinical situations and apply theory in case management and psychotherapeutic responsibilities.
  • Excellent follow-through skills.
  • Proficient computer skills.
  • Ability to demonstrate NorthBay Health’s True North values and build and maintain constructive relationships with patients, families, interdisciplinary team members, external service providers, system managers, and department staff.

Nice To Haves

  • Licensed Clinical Social Worker (LCSW) licensure is preferred but not required.

Responsibilities

  • Provide social services to high-risk capitated populations using a Population Health approach.
  • Communicate and coordinate with inpatient and outpatient healthcare team members, payers, and outside agencies to connect patients with appropriate services.
  • Facilitate integration with community-based resources and collaborate with community partners to optimize patient health.
  • Assist patients in navigating and accessing community resources.
  • Document assessments and interventions in the patient’s electronic health record.
  • Demonstrate adherence to organizational policies, procedures, quality assurance guidelines, and goals.

Benefits

  • Medical, dental, and vision insurance
  • Life, disability, and long-term care coverage
  • Paid time off, including vacation, sick leave, holidays, and bereavement
  • 403(b) retirement plan with employer match
  • Education reimbursement for eligible roles
  • Professional development and training programs
  • Employee Assistance Program
  • Wellness programs
  • Recognition programs
  • Shift differentials
  • Market-based compensation review and increases, subject to approval and organizational performance
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