Northbay Health is seeking a Medical Social Worker to join their team in Fairfield, CA, supporting inpatient hospital units and broader care coordination efforts. This role is crucial for enhancing patient outcomes through clinical intervention, education, and continuity of care in both inpatient and outpatient settings. The position focuses on identifying patients at risk for readmission and ensuring smooth transitions across the continuum of care. The Medical Social Worker will provide psychosocial assessment, case management, crisis intervention, and care coordination services to patients undergoing treatment for substance use disorders within an addiction medicine clinic. This includes assessing and documenting emotional, social, financial, environmental, or referral needs under guidance. The role involves collaborating with interdisciplinary teams and Population Health, including physicians, pharmacy, counselors, and peer recovery specialists, to support patient engagement in treatment, recovery, and long-term stability. A psychosocial plan of care will be developed based on the patient’s unique strengths and needs, facilitating integration with community-based resources to optimize patient health. All activities will align with the System's mission and values and comply with applicable regulations and policies.
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Career Level
Mid Level