Social Worker


The Social Worker supports individuals and their families through difficult times and ensure that vulnerable people, including children and adults, are safeguarded from harm. Their role is to help in improve outcomes in people's lives.


  • Evaluate the psychosocial and emotional needs of members with ongoing and/or situational medical concerns through coaching, education, and support for low acuity emotional needs

  • Coordinating referrals for behavioral health services when their emotional/mental health needs are more chronic in nature

  • Will assist the member in both inpatient or outpatient settings and will provide discharge planning assistance, as appropriate, during an inpatient stay

  • Serves as a liaison with the community resources and their staff to facilitate smooth transition and placement of the patients within the assigned service line

  • Advocate for and help clients get resources that would improve their well-being

  • Research and refer clients to community resources, such as food stamps, child care, and health care

  • Assess clients’ needs, situations, strengths, and support networks to determine their goals

  • Develop plans to improve their clients’ well-being

  • Help clients adjust to changes and challenges in their lives, such as illness, divorce, or unemployment

  • Help clients work with government agencies to apply for and receive benefits such as Medicare

  • Respond to crisis situations such as child abuse

  • Follow up with clients to ensure that their situations have improved

  • Evaluate services provided to ensure that they are effective

  • Consult with doctors, therapists and medical professionals

  • Administer social service programs as determined by the company

  • Instruct clients’ families during treatment when necessary


  • Master’s Degree in Social Work

  • 1+ years clinical social work experience

  • Valid and current LCSW or LMSW license

  • Ability to make psycho-social assessments and develop and implement viable care plans

  • Excellent listening and communication skills

  • Bilingual preferred

  • Experience with EMRs

  • Ability to provide after-hours service as needed

  • CCM or CPHQ (or equivalent) highly desirable

  • Demonstrated knowledge in the areas of health improvement, process improvement, population health, and health systems planning

  • Thorough knowledge of medical management clinical review criteria, processes and techniques

  • Computer Skills: Microsoft Outlook and Word with advanced Excel skills

  • Commitment to the corporate mission, vision, and values

  • Positive, service-oriented attitude. High level of integrity

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