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

Title: Medical Social Worker 

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.  

Check out this pamphlet for a sneak peek into the life of an Oak Street Medical Social Worker!

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.