Social Work Coordinator

ArchWell Health•St. Louis, MO

About The Position

The Social Work Coordinator supports ArchWell Health members’ social, emotional, and practical needs by connecting them with community resources, assisting with social service needs, and helping reduce barriers that affect health and well-being. Working closely with Social Workers (LMSW/LCSW), providers, and interdisciplinary care teams, the coordinator helps members navigate resources, benefits, support services, forms, and applications, and addresses Social Determinants of Health (SDOH). The role also helps facilitate care transitions, outreach, and member education. The ideal candidate is empathetic, organized, resourceful, and passionate about helping seniors maintain independence and improve their quality of life. ArchWell Health provides value-based primary care for older adults at neighborhood centers. Its care model emphasizes strong provider-patient relationships, routine wellness, prevention, and helping members remain healthy and engaged.

Requirements

High school diploma or GED.
At least 1 year of experience in clinical administrative support, social services, care coordination support, community outreach, healthcare administration, or a related role.
Knowledge of community resources, social services programs, and Social Determinants of Health.
Strong interpersonal communication and active listening skills.
Empathy, compassion, a non-judgmental approach, and a member-focused attitude.
Ability to build trust and rapport with seniors, caregivers, and community partners.
Strong organizational, follow-up, and attention-to-detail skills.
Ability to manage multiple priorities while providing excellent customer service.
Experience collaborating within an interdisciplinary team environment.
Problem-solving skills and ability to identify practical solutions for member needs.
Ability to communicate effectively with members, families, providers, community organizations, and internal teams.
Proficient computer skills, including Microsoft Office and electronic medical record systems.

Nice To Haves

Bachelor’s or master’s degree in Social Work or a related field.
Experience supporting patients or individuals with social service needs.
Experience working with senior populations.
Experience with electronic medical record (EMR) systems.
Understanding of healthcare, insurance benefits, and managed care programs.
Fluency in Spanish or other languages spoken within the communities served, when applicable.

Responsibilities

Conduct outreach calls to members to assess needs and provide support related to Social Determinants of Health (SDOH).
Connect members with community-based resources and services, including food assistance, housing support, transportation, utility assistance, caregiver resources, and other social services.
Assist Social Workers (LMSW/LCSW) with care coordination, discharge planning, and support for placement in higher levels of care.
Help members navigate managed care plans, available benefits, and community support programs.
Guide members and families seeking help with social, financial, or environmental challenges.
Facilitate referrals to community organizations, healthcare providers, government agencies, and social service programs.
Help members complete forms and documentation, including handicap parking placards, housing-related provider letters, and emotional support animal requests.
Support access to services that promote members’ independence, safety, and well-being.
Collaborate with providers, social workers, care teams, and community partners to address member needs.
Assist with workshops and educational programs about SDOH, Advanced Care Planning, and other member support topics.
Maintain accurate and timely documentation in the electronic medical record (EMR) system.
Follow HIPAA guidelines and protect the confidentiality of protected health information (PHI).
Participate in interdisciplinary team meetings and contribute to member care planning discussions.