Medical Social Worker

Medical Social Worker

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Company: Oak Street Health

Location: 2301 N 29th St Suite 500, Philadelphia, PA 19132

Role Description

The Medical Social Worker (MSW) is a key member of Oak Street Health, contributing a unique and valuable perspective to our care teams to support the psychosocial needs of our patients. As a dedicated care team, they will provide assessments, advocacy, and comprehensive care coordination services to our highest-risk patients and their caregivers. The MSW's goal is to help our patients improve their health status, avoid hospitalizations, and live healthier and happier lives.

Core Responsibilities:

• Proactively support our highest-need patients by providing comprehensive assessments, telephonic check-ins, and in-person visits.
• Partner with the patient and their support persons (if necessary) to identify goals, increase engagement in their healthcare, address barriers, and drive the execution of their care plan.
• Respond to crises and urgent needs with the keen ability to prioritize work, triage situations, and multitask.
• Maintain extensive knowledge of community resources and make referrals, as appropriate, to help ensure the patient's healthcare and psychosocial needs are met.
• Navigate patient insurance benefits in collaboration with the Patient Relations Manager (PRM) to ensure mindful utilization and maximization of plan benefits
• Provide both longitudinal and episodic comprehensive care coordination with the ultimate goal of empowering patients to independently manage their health conditions and have increased quality of life.
• Educate patients on supportive care options (including advance care planning and end-of-life care) and provide goals of care counseling, support, and advocacy at all stages of the patient journey.
• Provide psychoeducation to patients and families surrounding life stage and disease-specific issues, including dementia, adjustment to illness, aging, caregiver support, etc.
• Meet with care teams to collaborate and generate creative solutions to patient issues, and spearhead intervention in situations with complex psychosocial dynamics.
• Complete concise and comprehensive documentation on time to ensure that all care team members have visibility into the status of MSW interventions
• Partner with Community Health Workers (CHW) and provide clinical guidance and consultation regarding complex patient needs to these team members.
• Other duties as assigned.

What We're Looking For:

Required Qualifications:

• Must meet State of Pennsylvania required licensure: Either Licensed Clinical Social Worker (LCSW) OR Licensed Social Worker (LSW). This includes a Master's Degree of Social Work (MSW) from an accredited program.
• Minimum one year of recent medical social work experience in a healthcare environment.
• Proficient computer skills (including Microsoft, GSuite, and electronic medical records)
• Prior experience with complex care coordination and/or population healthcare management, with a focus on mental health.
• US work authorization

Strongly Preferred Qualifications:

• Experience using metrics and data to guide practice and drive outcomes
• Positive attitude, with a drive to improve the lives of an underserved population, including older adults, adults with disabilities, and those with chronic mental and physical illnesses.
• Ability to adapt, multi-task and stay flexible in a fast-paced environment.

Preferred Qualifications:

• Familiarity with the local community, including socioeconomic challenges, healthcare barriers, and resources to overcome these obstacles.
• Experience working on a multidisciplinary team of other healthcare providers
• Fluency in another language is not required, but is a plus when it comes to connecting with our diverse patient communities

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: $51,256.00 - $111,351.00

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.