Medical Social Worker

We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

The Medical Social Worker is a key member of Oak Street Health Centers, contributing a unique and valuable perspective to care teams to support the psychosocial needs of patients.

Core Responsibilities:

• Proactively support high-need patients through comprehensive assessments, telephonic check-ins, and in-person visits.
• Partner with patients and their support persons to identify goals, increase engagement in healthcare, address barriers, and drive care plan execution.
• Maintain extensive knowledge of community resources and make referrals to meet patients' healthcare and psychosocial needs.
• Navigate patient insurance benefits with the Patient Relations Manager to ensure utilisation and maximisation of plan benefits.
• Provide longitudinal and episodic comprehensive care coordination to empower patients to manage their health conditions and improve quality of life.
• Educate patients on supportive care options, including advance care planning and end-of-life care, and provide goals of care counselling, support, and advocacy.
• Provide psychoeducation to patients and families on life stage and disease-specific issues.
• Collaborate with care teams to generate creative solutions to patient issues and spearhead intervention in complex psychosocial dynamics.
• Complete concise and comprehensive documentation on time to ensure care team visibility into MSW interventions.
• Partner with Community Health Workers and provide clinical guidance and consultation on complex patient needs.
• Respond to crises and urgent needs with prioritisation, triage, and multitasking.

Requirements:

• Master of Social Work degree from a school of social work accredited by the Council on Social Work Education (CSWE).
• Minimal licensure in the state where the OSH Centre is located.
• Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities served (where necessary).
• Proficient computer skills, including Microsoft, GSuite, and electronic medical records.
• US work authorisation.

Preferred Qualifications:

• Prior experience with complex care coordination and/or population healthcare management.
• Familiarity with using metrics and data to guide practice and drive outcomes.
• Minimum one year of medical social work experience in a healthcare environment, preferably within the last two years.
• Experience working on a multidisciplinary team of other healthcare providers.

Benefits:

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. Benefits include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.