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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.
Title: Medical Social Worker
Company: Oak Street Health
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.
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
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$43,888.00 - $91,052.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
*Job Requirements * Under the general supervision of the Director of Patient Care Services, an Administrative Supervisor coordinates, prioritizes, and optimizes patient flow activities by utilizing bed placement, staffing, and clinical information to optimize patient throughput. This role demonstrates values of compassion, discovery, excellence, diversity, and integrity.
Primary Responsibilities:
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
- Drives improvement in capacity management and patient flow.
- Develops, implements, and sustains efforts to improve patient flow in partnership with Patient Care Service Leadership and the Project Manager.
- Coordinates, collaborates, and communicates with administration, physicians, nursing management staff, patient and support services, and external agencies to facilitate the delivery of quality patient care.
- Communicates with Nurse Leaders and the staffing office to inform and assist in resource allocation.
- Serves as the on-site administrative resource for the facility during evenings, weekends, nights, holidays, and other designated time periods.
- Responds to organizational emergencies and issues and escalates issues per policies as needed.
- Facilitates and coordinates bed meetings to support patient flow and resource allocation.
- Ensures patient safety in the performance of job functions and through participation in hospital, department, or unit patient safety and capacity management initiatives.
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Performs all other related duties as assigned.
*Work Experience * Knowledge, Skills, & Abilities:
- Ability to think critically, develop, plan, and organize projects.
- Strong interpersonal, verbal, and written communication skills.
- Ability to use computer systems/programs to manage clinical/administrative data.
- Previous experience with scheduling of staff for a large unit.
- Exceptional clinical expertise in Medical Surgical and Critical Care Nursing.
- General understanding of data collection and analysis.
- General understanding of financials for a hospital unit.
Education & Experience:
- Graduate of an accredited school of nursing with a 4-year / Bachelor's degree (Required)
- Licensure as a Registered Nurse in the State of Maryland or eligibility through reciprocity (Required)
- Five (5) years of experience in a clinical setting (Required)
- BLS Certification (Required)
- 0-1 year of clinical expertise in nursing specialty areas. (Preferred)
- 6-9 years of experience in a supervisory or lead clinical role. (Preferred)
*Benefits * All your information will be kept confidential in accordance with EEO guidelines. Compensation:
- PRN; Days (7a-730p) Sunday-Saturday, including rotating weekends
- Pay Range: $44.76 - $67.19/hr. (based on years of experience)
- Other Compensation (if applicable):
- Review the UMMS Benefits Guide
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