Lead Social Worker

• Building and cultivating relationships with our patients and community partners
• Leading social work and community health worker interviewing and hiring initiatives for the region
• Assisting regional leadership team with expanding social work and community health worker services
• Providing training and orientation to new social workers and community health workers
• Clinical case consultation support to care management staff
• Conducting soft audits of care plans and chart documentation
• Administrative support on care management driven modules and technology
• Providing LCSW supervision to staff
• Working as a liaison between organizational initiatives and regional care management staff
• Assisting regional care management staff in aligning and carrying out organizational goals and metrics
• Expert in local advance directive options and documentation requirements
• Coordinating and overseeing practicum/internship programs/placements
• Coordinating in-services for regional care management staff
• Performing proactive outreach to patients based on their care needs
• Conducting bio-psychosocial assessments through our AIMS care management model
• Co-managing interdisciplinary care plans with care team partners
• Sending referrals to external resources
• Providing patient education/advocacy
• Providing Brief Crisis Intervention/Therapy
• Assessing patients for referral to Oak Street Health Behavioral Health Services

• Minimum of 2 years of case coordination/care management experience
• LCSW/LMSW (or state equivalent licensure) required
• Demonstrates supportive and welcoming attitude toward our patient population of older and disabled adults
• An eagerness to build relationships with patients, their families, and the communities we serve
• A problem-solving orientation with a flexible and positive attitude
• Bilingual fluency preferred-depending on community served
• Proficient PC skills
• US work authorization

Bilingual fluency depending on community served

• Paid vacation and sick time
• Generous 401K match with immediate vesting
• Health benefits
• Affordable medical plan options
• Employee stock purchase plan
• No-cost wellness screenings
• Tobacco cessation and weight management programs
• Confidential counseling and financial coaching
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access