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

NorthBay Healthcare Corporation•Fairfield, CA

About The Position

At NorthBay Health, 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 team members, payers, and outside agencies to help link patients with appropriate services. It facilitates integration with community-based resources and collaborates with community partners to optimize patient health, while helping patients navigate and access community resources. The PHMSW documents assessments and interventions in the patient’s electronic health record and adheres to the organization’s policies, procedures, quality assurance guidelines, and goals. The position is scheduled Monday through Friday, 8:00 a.m. to 5:00 p.m.

Requirements

  • Master of Social Work degree from a school of Social Work accredited by the Council of Social Work Education.
  • California BBS Associate Clinical Social Worker (ASW) or Licensed Clinical Social Worker (LCSW) credential.
  • Valid California driver’s license, access to an operating automobile, and automobile insurance meeting agency guidelines.
  • Minimum of 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; ability to convey instructions, directions, and information appropriately and accurately.
  • Ability to work diplomatically with a wide variety of people, independently and collaboratively.
  • Strong critical-thinking skills, 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.
  • Understanding of the population and community served, including community connectedness.
  • 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 and proficient computer skills.
  • Demonstrate NorthBay Health’s True North values: Nurture/Care, Own It, Respect Relationships, Build Trust, and Hardwire Excellence.

Nice To Haves

  • Licensed Clinical Social Worker (LCSW) credential 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 link 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 patients’ electronic health records.
  • Demonstrate adherence to system policies, procedures, quality assurance guidelines, and organizational goals.
  • Build and maintain constructive relationships with patients, families, interdisciplinary team members, external service providers, System managers, and department staff.
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