Remote Licensed Master Social Worker (LMSW)

About the role

The Licensed Social Worker plays a crucial role in the interdisciplinary care team, supporting patients with complex medical, social, and behavioral health challenges. This position requires collaboration with various healthcare professionals and community resources to enhance patient outcomes.

Responsibilities

• Collaborate with interdisciplinary team members to deliver comprehensive virtual care services to patients.
• Provide support for patients and families coping with life transitions, chronic illnesses, and other psychosocial challenges.
• Empower patients and caregivers by providing ongoing education regarding psychosocial issues related to kidney disease and connecting them to relevant support services.
• Conduct virtual assessments to identify patients’ social, emotional, and financial needs, focusing on social drivers of health.
• Develop and implement individualized care plans addressing patients' needs, connecting them with relevant community resources such as housing assistance, food programs, financial aid services, etc.
• Manage referrals for patients at high risk of poor health outcomes, barriers to complete treatment recommendations, and complex psychosocial barriers.
• Identify root causes of barriers, develop a plan of intervention with an evidence-based approach, execute the intervention, and monitor its success.
• Re-evaluate interventions and plans as necessary.
• Provide supportive counseling services to patients as permitted within the scope of their clinical training and state license.
• Report unreported medical or social conditions or changes at home that may lead to adverse outcomes to the clinical team and ensure these are referred to appropriate sources for attention.
• Advocate for patients by facilitating access to appropriate social services and supporting them through healthcare and social care navigation.
• Maintain thorough and timely documentation of all patient interactions, care plans, and interventions, ensuring compliance with company policies and regulatory requirements.

Requirements

• Master's degree in Social Work from an accredited program.
• Active unrestricted Social Worker license in the state of residence.
• Willingness to obtain and maintain additional state licensures as needed, which may require passing the Association of Social Work Boards (ASWB) exam.
• 1+ years of experience in social work, preferably in a healthcare or community-based setting.
• 2+ years’ experience in the delivery of care to patients with CKD, ESKD, or other chronic diseases.
• Knowledge of healthcare regulations (including HIPAA) and a strong commitment to patient confidentiality, ethics, and professional standards.
• Proficiency in using virtual care platforms to deliver education, document care, collaborate with interdisciplinary teams, and create a positive, engaging, and impactful patient experience remotely.
• Strong case management skills, with the ability to manage complex patient needs and caseloads effectively in a virtual or remote care environment.
• Deep understanding of social determinants of health, with experience connecting patients to appropriate social, behavioral, and community-based resources.
• Excellent communication and interpersonal skills, with the ability to build trust and collaborate effectively with patients, caregivers, and interdisciplinary care teams remotely.
• Proven ability to advocate for patients and navigate complex healthcare and social service systems to address barriers to care.
• High levels of empathy, emotional intelligence, and sound judgment when supporting patients and caregivers through challenging or sensitive situations.
• Strong organizational, time management, and problem-solving skills, with the ability to adapt priorities and manage patient care effectively in a remote setting.

Qualifications

• Must hold an active unrestricted Social Worker license in the state of residence.
• Willingness to obtain and maintain additional state licensures as needed, which may require passing the Association of Social Work Boards (ASWB) exam.
• Experience in a healthcare or community-based setting.
• Experience in delivering care to patients with CKD, ESKD, or other chronic diseases.
• Knowledge of healthcare regulations (including HIPAA).
• Proficiency in using virtual care platforms.
• Strong case management skills.
• Understanding of social determinants of health.
• Excellent communication and interpersonal skills.
• Proven ability to advocate for patients.
• High levels of empathy and emotional intelligence.
• Strong organizational and problem-solving skills.

Skills

• Effective communication and interpersonal skills.
• Ability to build trust and collaborate with patients, caregivers, and interdisciplinary care teams remotely.
• Strong case management skills.
• Understanding of social determinants of health.
• Proficiency in virtual care platforms.
• Knowledge of healthcare regulations (including HIPAA).
• Ability to advocate for patients and navigate complex healthcare and social service systems.
• High levels of empathy and emotional intelligence.
• Strong organizational and problem-solving skills.

Benefits

Interwell Health offers competitive compensation packages, comprehensive benefits, and opportunities for professional growth and development. Details will be discussed during the interview process.

Pay

Competitive compensation package based on experience and qualifications.

Schedule

This role is typically full-time, with flexible working hours to accommodate virtual care delivery. Remote work is expected.

Company Culture

We are committed to fostering a diverse, equitable, and inclusive workplace where everyone feels valued and respected. Our mission-driven values guide our actions and decisions, and we strive to create a culture that supports our employees and patients alike.

Equal Opportunity Employer

Interwell Health is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other characteristic protected by law.