Medical Social Worker - LMSW

CVS Health • Memphis, TN

6d

About The Position

The Medical Social Worker is a key member of Oak Street Health Centers, contributing a unique perspective to care teams to support patients’ psychosocial needs. In collaboration with the interdisciplinary care team, the Medical Social Worker provides assessments, advocacy, and comprehensive care coordination for high-risk patients and their caregivers to help improve health status and avoid hospitalizations.

The role supports patients through assessments, telephonic check-ins, and in-person visits; helps patients and their support persons identify goals and address barriers; coordinates community resources and insurance benefits; and provides ongoing care coordination to help patients manage health conditions and improve quality of life. The Medical Social Worker also educates and counsels patients and families about supportive care, advance care planning, end-of-life care, and life-stage or disease-specific issues. The position collaborates with care teams and Community Health Workers, documents interventions, and responds to crises and urgent needs. The role reports to the Practice Manager.

Requirements

• Master of Social Work degree from a Council on Social Work Education-accredited school of social work.
• At least minimally licensed in the state where the Oak Street Health Center is located.
• Fluency in Spanish, Polish, Russian, or another language spoken in the communities served, where necessary.
• Proficient computer skills, including Microsoft, GSuite, and electronic medical records.
• US work authorization.
• Motivated, experienced social worker with a problem-solving orientation and a flexible, positive attitude, driven to improve the lives of the individuals Oak Street Health serves.
• Passion for working with Medicare-eligible populations, including older adults, adults with disabilities, and adults with severe and persistent mental illness.

Nice To Haves

• Prior experience with complex care coordination and/or population healthcare management.
• Familiarity with using metrics and data to guide practice and drive outcomes.
• At least one year of medical social work experience in a healthcare environment, preferably within the last two years.
• Experience working on a multidisciplinary team with other healthcare providers.

Responsibilities

• Provide comprehensive assessments, telephonic check-ins, and in-person visits for high-need patients.
• Work with patients and, when appropriate, their support persons to identify goals, increase healthcare engagement, address barriers, and carry out care plans.
• Maintain knowledge of community resources and make referrals to help meet patients’ healthcare and psychosocial needs.
• Coordinate with the Patient Relations Manager to navigate insurance benefits and support mindful utilization and maximization of 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.
• 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, comprehensive documentation on time so care team members can see the status of interventions.
• Provide clinical guidance and consultation to Community Health Workers regarding complex patient needs.
• Respond to crises and urgent needs by prioritizing work, triaging situations, and multitasking.
• Perform other duties as assigned.

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility
• Eligible for a CVS Health bonus, commission, or short-term incentive program in addition to base pay

What This Job Offers

• Job Type: Full-time