Medical Social Worker - Population Health (Full Time, Day)

At Northbay Health, the Population Health Medical Social Worker (PHMSW) is responsible for providing social services to “high-risk” capitated populations utilizing a Population Health approach. Duties include communication and coordination with members of the inpatient/outpatient healthcare team, payers and outside agencies to assist with linking patients to appropriate services. Facilitates integration with community-based resources and collaborates with community partners to optimize patient health. The PHMSW will be responsible for assisting patients in navigating and accessing community resources. Documents assessment and interventions in patient’s electronic health record. The PHMSW must be able to demonstrate adherence to the system policies, procedures, quality assurance, guidelines and goals of the organization.

Education: Master of Social Work degree from a school of Social Work accredited by the Council of Social Work Education.

Licensure/Certification: California BBS Associate Clinical Social Worker (ASW), or Licensed Clinical Social Worker (LCSW). LCSW preferred but not required for this position. Valid California driver’s license, access to an operating automobile, with automobile insurance meeting agency guidelines.

Experience: Minimum of two years of experience in a health-related/community-based setting and familiar with community resources.

Skills

• Strong clinical psychosocial assessment skills.
• Excellent interpersonal and communication skills: verbal, written and listening. Ability to convey instructions, directions and information appropriately and accurately. Ability to work diplomatically with a wide variety of people.
• Able to work independently and collaboratively.
• Strong critical thinking skills- must be capable of independent judgment, and have strong clinical decision-making skills.
• Ability to initiate and maintain positive working relationships with members of the healthcare team, and community partners.
• Ability to work effectively with diverse populations, including those with respect to age, culture, ethnicity, and gender. Understand the population/community served - community connectedness.
• Ability and willingness to provide emotional support, encouragement and motivation to patients/families.
• Ability to conceptualize clinical situations and demonstrate application of theory in case management and psychotherapeutic responsibilities.
• Excellent follow-through skills.
• Proficient computer skills.

Interpersonal Skills:

Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence. Ability to build and maintain constructive relationships with patients, families, interdisciplinary team members, external service providers, System managers, and department staff – often within the context of competing interests – essential.

Hours of Work: Monday through Friday. 8:00am-5:00pm.

Interpersonal Skills and Values

Demonstrates NorthBay Health’s True North Values: Nurture Care, Own It, Respect Relationships, Build Trust, and Hardwire Excellence. These values guide behavior, accountability, teamwork, and commitment to high-quality patient care.

Why NorthBay Health

NorthBay Health is an independent, nonprofit health system serving the Napa, Solano, and Yolo County regions. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics.

We provide advanced services in cardiovascular care, neuroscience, orthopedics, surgery, and outpatient specialties. NorthBay Health is nationally recognized for quality care, including Magnet with Distinction designation for nursing and multiple U.S. News and World Report high performing recognitions.

We are committed to being the trusted healthcare partner of choice and offer an environment where employees can grow, contribute meaningfully, and support the health of our communities.

NorthBay Health Benefits Options

NorthBay Health offers a comprehensive benefits package based on established eligibility requirements. Benefits may include medical, dental, and vision insurance, life, disability, and long-term care coverage, paid time off including vacation, sick leave, holidays, and bereavement, a 403(b) retirement plan with employer match, education reimbursement for eligible roles, professional development and training programs, Employee Assistance Program, wellness programs, recognition programs, shift differentials, and market-based compensation review and increases subject to approval and organizational performance.

Compensation Structure

NorthBay Health uses a structured compensation framework. Staff-level positions use a step-based system (Steps 1–5) based on years of directly related experience, with Step 5 representing 20 or more years of experience in the role. Manager level and above positions are paid a fixed annual base salary and are eligible for a variable incentive compensation plan. Physician compensation is structured based on specialty and role requirements.

Remote Work Disclosure

NorthBay Health is primarily an onsite organization due to the nature of healthcare. Some roles may allow hybrid or remote work based on business needs.

Remote work is not supported in Washington, Ohio, Wyoming, North Dakota, Puerto Rico, the U.S. Virgin Islands, or outside of the United States.

Notice to Recruitment Agencies

NorthBay Health utilizes a managed service provider (MSP) for agency partnerships and is not currently engaging external recruiting firms outside of established agreements. We do not accept unsolicited resumes or third-party candidate submissions. Please do not contact NorthBay Health employees, leaders, physicians, or hiring managers regarding recruitment or job postings.

More Information

Visit NorthBay Health Careers for recruitment FAQs and additional information.