Regional Lead Medical Social Worker - AZ/CO/NM (LCSW)
Description
Company : Oak Street Health
Title : Regional Lead Social Worker (LCSW)
Location : Various
Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities.
By providing holistic, comprehensive and integrated care right in our patients' communities, we can help keep them healthy and reinvest cost savings in further care for those same communities and others.
Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people across the nation. With an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about our mission to rebuild healthcare as it should be.
For more information, visit .
Role Description :
Oak Street Health takes a team-based approach to providing outstanding patient care. Our Care Teams, consisting of a Physician, Nurse Practitioner, Nurse, Medical Assistants, and Medical Social Workers, build individual relationships across a panel of 500-800 patients.
The Care Team is responsible for delivering excellent, high-touch, primary care, and coordinating the care of our patients throughout the healthcare delivery system.
Regional Lead Social Workers are an important part of our Care Teams, providing support to other clinic social workers throughout the region.
Due to the level of responsibility of the Lead Social Worker, high levels of flexibility, attention to detail, being an advocate for the social work profession, and problem solving are required to be successful.
Core Responsibilities :
Social Work Leadership
Building and cultivating relationships with our patients and community partners
Leading social work interviewing and hiring initiatives for the region
Assisting local leadership team with expanding social work services in expansion markets / centers
Providing training and orientation to new social workers
Clinical case consultation support to social work staff
Conducting soft audits of care plans and chart documentation
Administrative support on social work driven modules and technology
Administrative support on adopted care management model
Providing LCSW (or state equivalent licensure) supervision to staff (where applicable)
Working as a liaison between organizational initiatives and social workers to ensure execution of assignments and responsibilities are adequately completed
Assisting social workers in aligning and carrying out organizational goals and metrics
May assist clinic social workers with home visitation needs
Partners with other leaders to discuss social work initiatives, concerns, needs, and updates
Local Advance Directive Expert
Coordinating and overseeing practicum / internship programs / placements (where applicable)
Coordinating in-services for social workers in region on established cadance
A Lead Social Worker may intermittently provide patient care by :
Performing proactive outreach to patients based on their care needs
Conducting bio-psychosocial assessments through our AIMS care management model
Co-managing interdisciplinary care plans with care team partners
Medication assistance (financial assistance)
Home visitations may be necessary
Sending referrals to external resources (home health, transportation services, mental health agencies, local, state, and federal aid agencies, etc)
Providing patient education / advocacy
Brief Crisis Intervention / Therapy (when applicable)
Assessing patients for referral to BHS services and external mental health services
Leading case plan discussions
Other duties as assigned
What are we looking for?
Minimum of 2 years of case coordination / care management experience, including conducting home visits and providing telephonic support
Clinical Licensure required at time of hire
Demonstrates supportive and welcoming attitude toward our patient population of older and disabled adults
An eagerness to build relationships with patients, their families, and the communities we serve
A problem-solving orientation with a flexible and positive attitude
Bilingual fluency preferred-depending on community served
Proficient PC skills
US work authorization
Someone who embodies being 'Oaky.'
What does being 'Oaky' look like?
Radiating positive energy
Assuming good intentions
Creating an unmatched patient experience
Driving clinical excellence
Taking ownership and delivering results
Being scrappy
Why Oak Street?
Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as :
Collaborative and energetic culture
Fast-paced and innovative environment
Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits
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