Care Coordinator, Population Health Services

Essential Functions

· Assessment and Planning: Conducting thorough assessments of patients' social and emotional needs, including bio-psychosocial factors, social history, and potential barriers to care.

· Resource Connection: Identifying and connecting patients with appropriate community resources, such as support groups, financial assistance programs, and other relevant services.

· Treatment Planning: Developing and implementing individualized treatment plans in collaboration with patients and other healthcare team members.

· Advocacy: Advocating for patients' needs and ensuring they receive the necessary support and services.

· Crisis Intervention: Providing crisis intervention and support to patients experiencing emotional distress or facing urgent situations.

· Documentation: Maintaining accurate and timely documentation of patient interactions, assessments, and interventions.

· Collaboration: Working closely with other healthcare professionals, such as physicians, nurses, and other social workers, to ensure a coordinated and comprehensive approach to patient care.

· Education: Educating patients and their families about relevant resources, treatment options, and coping strategies.

Requirements:

· Master’s degree in Social Work (MSW) is required

· State licensure as a Licensed Clinical Social Worker (LCSW) or similar is preferred

· Experience in healthcare settings, particularly in ambulatory or outpatient care, is preferred

· Strong assessment, counseling, and crisis intervention skills are essential

· Excellent communication, interpersonal, and organizational skills are crucial

· Familiarity with electronic health records (EHR) and case management software is preferred