Ambulatory Social Worker — Brief Assessments & Care Coordination

Description Job Title: Social Worker - Ambulatory Clinic Social Work Services at the Mount Sinai Hospital The Mount Sinai Hospital is a 1,134-bed facility with an extensive outpatient and specialty care network and is the largest hospital in the Mount Sinai Health Care System. It offers comprehensive social work services and programming to meet the myriad needs of the diverse populations we serve. We believe that total patient care must emphasize the physical, emotional, and social needs of each patient and their care partners. Social Workers collaborate within interprofessional teams to serve patients and the larger community from both a micro and macro level including both direct care and prevention. Founded in 1907, the Department of Social Work Services at the Mount Sinai Hospital is one of the oldest hospital social work departments in the nation with over 450 licensed social workers employed across more than 65 different program/service areas. Employment in our department provides a pathway to LCSW licensure as well as access to a broad range of continuing education, professional development and extra-curricular opportunities. As a member of the interdisciplinary care team in this multi-specialty care setting, the social worker will support the following medical specialty practices: Clinical Immunology, Endocrinology, Gastroenterology, Infectious Diseases, Renal, and Sleep Medicine Responsibilities In this role, the social worker focuses on same-day, brief interventions to address issues such as behavioral health assessment/referrals (including suicidal ideation), and social determinant of health needs such as, homecare, insurance, housing, and hunger. The social worker conducts brief biopsychosocial assessments, identifies mutually agreed upon goals, and assists with developing and facilitating an action plan to address those goals. The social worker is responsible for educating patients and care partners about navigating the health system and the availability of relevant resources, and linking patients/care partners to community organizations and services. This position will be an on-site position, with the social worker available to the practices Monday – Friday from 9am – 5pm. Referrals to the social worker will come from the multi-disciplinary team of the related specialty. Other means of patient identification may also be used to help ensure patients in need of social work support are connected to care. The social worker in this position will provide a range of social work services to patients. Responsibilities will include: Conducting clinical social work assessments and Social Determinant of Health screening Coordinating the psychosocial components of patient care, including but not limited to: assistance with concrete services related tobenefits and entitlements, connection to home care, medication assistance, DME orders/access, transportation, and other SDH needs impacting patient’s health outcomes and quality of life Providing counseling to patients within the context of unmet psychosocial needs and chronic illness Coordination/collaboration with the patient’s specialty care team, Care Management, community supports and others involved in patient’s care The patient population in this practice will be diverse both in regards to age/demographics and level of need for social work assistance. Insurance accepted by the practice will encompasses both private insurances and Medicare/Medicaid. Qualifications NYS LMSW or LCSW. Experience in providing rapid psychosocial assessment and focused, short-term interventions. Knowledge of entitlements, resources and the ability to assist patients with concrete needs and provide linkages, referrals, and enhanced patient follow-through by reducing barriers to care. Ability to assess needs and coordinate resources with hospital and community networks for effective management of patient care. Ability to work both autonomously and as part of a multi-disciplinary team. Excellent clinical, collaborative, organizational, and leadership skills. Capacity to work with a diverse patient population. Bilingual (English/Spanish) preferred. Minimum one year in current position. Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $88690 - $101670.78 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. #J-18808-Ljbffr Mount Sinai