Role Description
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 our patients. In collaboration with the interdisciplinary care team, they will provide assessments, advocacy, and comprehensive care coordination services to our highest-risk patients and their caregivers to help them improve their health status and avoid hospitalizations
Check out this 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.
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 and provide clinical guidance and consultation regarding complex patient needs to these team members.
Respond to crises and urgent needs with the keen ability to prioritize work, triage situations, and multitask.
Other duties as assigned.
This role reports to the Practice Manager.
What we're looking for
Required Qualifications
Master of Social Work degree required from a school of social work accredited by the Council on Social Work Education (CSWE)
Minimally licensed in the state where OSH Center is located
Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve (where necessary)
Proficient computer skills (including Microsoft, GSuite, and electronic medical records)
US work authorization
Strongly 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
Preferred Qualifications:
Experience working on a multidisciplinary team of other healthcare providers
Other Skills
Motivated, experienced social workers with a problem-solving orientation and a flexible and positive attitude who are driven to improve the lives of the individuals that OSH serves.
Passion for working with Medicare-eligible populations, including older adults, adults with disabilities, and adults with severe and persistent mental illness
Someone who embodies being 'Oaky'
Medical Social Worker (LSW) • Indianapolis, Indiana
Overview Social Worker - MSW / LCSW Location: IU Health Gateway Building, Indianapolis (Primarily Virtual with In-Person Training/Meetings) Shift: Full-Time Days | 8:30 AM - 5:00 PM, Monday - Fri... Show more
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better.Our mission is to help people lead healthier, more fulfilling lives... Show more
Department/Specialty: Labor and Delivery.Schedule: Full Time Night | 7:00pm - 7:00am | Work every 4th weekend rotation.Life at Ascension: Where purpose meets opportunity.Ascension is a leading nonp... Show more
Specialty: OB High Risk Hospitalist.Schedule: 84 annual, 24 hour shifts which also includes 6 PTO shifts for 78 worked shifts.Location: Indianapolis, Indiana.This job location is not currently loca... Show more
ARMY SOCIAL WORKERS USE THEIR SKILLS TO ENHANCE UNIT READINESS AND THE WELL-BEING OF SOLDIERS AND THEIR FAMILIES.If you are a practicing professional as a social worker and want to combine your spe... Show more
Overview Position Title: Social Worker – MSW / LSW Location: North Hospital, Carmel, IN Shift: Full-Time, Days Position Overview The Social Worker provides face-to-face psychosocial assessmen... Show more
Licensed Clinical Social Worker (LCSW).Monday–Friday, 9:00 AM–5:00 PM.This full-time telehealth role gives Licensed Clinical Social Workers the opportunity to provide practical, client-focused ther... Show more
Thrive Counseling, LLC is looking for Licensed Clinical Social Workers in Carmel, Indiana.This role involves providing a mix of telehealth and face-to-face sessions.Candidates must hold an active L... Show more
AlliedTravelCareers is working with AMN Healthcare Allied to find a qualified Speech Language Pathologist (SLP) in COLUMBUS, Indiana, 47201!.Job Description & Requirements.School Psychologist (... Show more
Greater Indianapolis Metro (30 Minutes to Downtown!).Flexible schedule, Option for a 3 or 4-day work week.Desirable Practice Setting, Ideal Work Environment:.Only one weekend of practice call a qua... Show more
CME allowance $3000 + 40 hours dedicated CME time (based on FTE status).Malpractice coverage with tail.This job location is not currently located in a Health Professional Shortage Areas (HPSAs) and... Show more
Damien Center in Indianapolis is seeking a Medical Social Worker.This role provides intensive psychosocial support for individuals living with or affected by HIV, enhancing retention in care.The id... Show more
GENEROUS PTO package up to 5 weeks.Health Benefits-Medical, Dental and Vision, and Life.Licensed Clinical Social Worker (LCSW).Licensed Clinical Social Worker (LCSW).The LCSW delivers evidence-base... Show more
Doctor of Medicine | Cardiology - General/Other.Competitive weekly pay (inquire for details) .LocumJobsOnline is working with CompHealth to find a qualified Cardiology MD in Columbus, Indiana, 4720... Show more
Joshua Max Simon Primary Care Center.CME allowance $1800 + 24 hours dedicated CME time (based on FTE status).Malpractice coverage with tail.This job location is not currently located in a Health Pr... Show more
Excellent Family Medicine opportunity in a university community!.IU Health Arnett Physicians seeks a.Otterbein Family Medicine Clinic.Otterbein is a short 15-minute drive from West Lafayette, IN (H... Show more
Family Medicine physician job in Indiana :.Join an FQHC with 15+ physicians and 6 sites are adding a Family Medicine physician in Indianapolis Suburbs.Monday - Friday is strictly outpatient practic... Show more
Position Summary A Behavioral Health Consultant (BHC) is responsible for providing behavioral healthcare services to include, but are not limited to assessment, diagnosis, psychological intervent... Show more
Family Medicine physician job in Indiana :.Premise's mission is to help people get, stay, and be well.We hope you will join us in our mission and experience why amazing health starts with amazing h... Show more
Alpha Home a Waters Community in Indianapolis is hiring a Licensed Social Worker/Social Services Director (SSD).This role involves improving residents' physical and emotional needs, developing care... Show more
