Medical Social Worker (Bilingual Spanish Preferred)

CVS Health•Providence, RI

4d•$51,256 - $111,351

About The Position

The Medical Social Worker is a key member of Oak Street Health Centers, contributing a valuable perspective to care teams to support patients’ psychosocial needs. In collaboration with the interdisciplinary care team, this role provides assessments, advocacy, and comprehensive care coordination to high-risk patients and their caregivers to help improve health status and avoid hospitalizations. The position reports to the Practice Manager. The Medical Social Worker supports patients through assessments, telephonic check-ins, and in-person visits; works with patients and support persons to establish goals and address barriers; connects patients with community resources; and helps them navigate insurance benefits. The role provides longitudinal and episodic care coordination, education and counseling on supportive care and goals of care, and psychoeducation for patients and families. It also collaborates with care teams and Community Health Workers, documents interventions, and responds to crises and urgent needs. This is a full-time position with 40 anticipated weekly hours. The typical pay range is $51,256.00–$111,351.00. The position is eligible for a CVS Health bonus, commission, or short-term incentive program, in addition to base pay. Benefits include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Bilingual Spanish is preferred in the title, and fluency in Spanish, Polish, Russian, or other languages spoken in the communities served is required where necessary.

Requirements

Master of Social Work degree from a school accredited by the Council on Social Work Education (CSWE).
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.
U.S. work authorization.
Motivated, experienced social worker with a problem-solving orientation and a flexible, positive attitude.
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 of healthcare providers.

Responsibilities

Provide comprehensive assessments, telephonic check-ins, and in-person visits to high-need patients.
Partner with patients and, when necessary, their support persons to identify goals, increase healthcare engagement, address barriers, and execute care plans.
Maintain knowledge of community resources and make appropriate referrals to meet patients’ healthcare and psychosocial needs.
Navigate patient insurance benefits 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 on 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 on 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.
Partner with Community Health Workers and provide clinical guidance and consultation on complex patient needs.
Respond to crises and urgent needs by prioritizing work, triaging situations, and multitasking.
Perform other duties as assigned.