About The Position

The Social Worker is a member of the interdisciplinary care management team responsible for assessing and addressing members' psychosocial, behavioral, and social determinants of health needs. This role supports members and their families in navigating health, social service, and entitlement systems; promotes effective adjustment to illness or disability; and facilitates access to community resources to improve health outcomes, independence, and quality of life.

Requirements

  • Master's degree in Social Work (MSW) from an accredited program required
  • One (1) year of experience in healthcare or acute care setting required
  • Active licensure as a Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) in state of New York required
  • Knowledge of social determinants of health and their impact on member outcomes
  • Understanding of applicable regulatory standards (e.g., CMS, Joint Commission, managed care requirements)
  • Strong assessment, problem-solving, and care coordination skills
  • Ability to communicate effectively with diverse populations, including geriatric and medically complex members
  • Demonstrated ability to navigate community resources and entitlement programs
  • Strong documentation and organizational skills
  • Ability to work collaboratively across interdisciplinary teams
  • Proficiency in basic computer applications and electronic documentation systems
  • Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need

Nice To Haves

  • Experience in managed care or home health care preferred
  • Bilingual - Russian, Mandarin, or Cantonese Preferred

Responsibilities

  • Conduct comprehensive psychosocial assessments to identify member needs, barriers to care, coping abilities, and social determinants of health.
  • Develop, implement, and update care plans in collaboration with care managers, physicians, and interdisciplinary team members.
  • Provide counseling, care coordination, and resource navigation to members and caregivers to support adherence to treatment plans and improve functional outcomes.
  • Coordinate with internal teams and external partners (e.g., community agencies, skilled nursing facilities, physicians) to ensure continuity of care.
  • Perform standardized assessments (e.g., cognitive, depression, suicide risk, functional status) as appropriate to support care planning.
  • Assist members in accessing entitlement programs and community-based services.
  • Monitor and document member progress, interventions, and outcomes in accordance with regulatory and organizational requirements.
  • Participate in interdisciplinary team meetings and case conferences.
  • Maintain timely, accurate, and complete documentation of all member interactions and services.
  • Perform any other job related duties as requested.

Benefits

  • Substantial and comprehensive total rewards package
  • Bonus tied to company and individual performance
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