This position is primarily responsible for providing direct support and communication to the site medical team as well as a wide range of social work and medical case management services to CBHS patients and families, with the goal of addressing social determinants of health that directly impact access to and engagement in medical care and treatment. Activities include working with an interdisciplinary team to support, guide, and address treatment, education, adherence and psychosocial needs; directly facilitating specialty medical care referrals, and external medical stakeholder activities/communication as needed. This position will also serve as the coordinator for specialty care internal referrals as well as coordinate student interns for their site.