Medical Social Worker - Bilingual Spanish Preferred

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This role is part of CVS Health® and Oak Street Health, a mission-driven primary-care network for Medicare patients, focusing on quality over volume and keeping patients healthy in their communities.

About the role

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. In collaboration with the interdisciplinary care team, they provide assessments, advocacy, and comprehensive care coordination services to highest-risk patients and their caregivers to improve health status and avoid hospitalizations.

Responsibilities

• Proactively support highest-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 execution of care plans.
• Maintain extensive knowledge of community resources and make referrals to ensure patients' healthcare and psychosocial needs are met.
• Navigate patient insurance benefits with the Patient Relations Manager to ensure mindful utilization and maximization of plan benefits.
• Provide longitudinal and episodic comprehensive care coordination to empower patients to independently manage 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 counseling, support, and advocacy.
• Provide psychoeducation to patients and families on life-stage and disease-specific issues, including dementia, adjustment to illness, aging, and caregiver support.
• Collaborate with care teams to generate creative solutions to patient issues and spearhead interventions in complex psychosocial situations.
• Complete concise and comprehensive documentation on time to ensure visibility of MSW interventions for all care team members.
• Partner with Community Health Workers, providing clinical guidance and consultation on complex patient needs.
• Respond to crises and urgent needs with the ability to prioritize work, triage situations, and multitask.
• Other duties as assigned.

Requirements

• Master of Social Work degree from a school accredited by the Council on Social Work Education (CSWE).
• Minimally licensed in the state where the Oak Street Health Center is located.
• Fluency in Spanish.
• Proficient computer skills (including Microsoft, GSuite, and electronic medical records).
• US work authorization.

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 healthcare providers.

Skills

• Motivated, experienced social workers with a problem-solving orientation and flexible, positive attitude.
• Passion for working with Medicare-eligible populations, including older adults, adults with disabilities, and adults with severe and persistent mental illness.
• Embodies "Oaky" values: radiating positive energy, assuming good intentions, creating an unmatched patient experience, driving clinical excellence, taking ownership, and being relentlessly determined.

Benefits

• Mission-focused career impacting change and measurably improving health outcomes for Medicare patients.
• Paid vacation and sick time.
• 401K match options.
• Health insurance, vision, and dental benefits.
• Opportunities for leadership development and continuing education stipends.
• New centers and flexible work environments.
• Opportunities for high levels of responsibility and rapid advancement.

Pay

The typical pay range for this role is $51,256.00 – $111,351.00 annually. This range represents the base full-time salary and may include bonus, commission, or short-term incentive programs. The actual base salary offer will depend on factors such as experience, education, geography, and other relevant considerations.

Schedule

• Full-time position.
• 40 anticipated weekly hours.