Medical Social Worker

• Proactively support our highest need patients through telephonic check-ins, clinic visits
• Partner with patients to identify their goals, increase engagement in care and reduce barriers to achieving healthcare goals and execution of their care plan
• Facilitate patient referrals to community agencies and resources, under direction of the provider and in line with Oak Street Health medical management efforts
• Navigate Managed Care plans and resources to ensure mindful utilization
• Provide community case management to increase patient ability to independently manage health conditions and reduce reliance on support services
• Increase patient understanding of end-of-life options and prepare patients and their caregivers for potential challenges in end-of-life care
• Conduct biopsychosocial assessments using evidence-based tools for patients in care
• Participate in care team meetings, leading discussion around patients in his/her caseload
• Complete case and progress documentation in a timely manner to allow for visibility into case status and productivity.

• Master’s degree in Social Work required, preferably from a school of social work accredited by the Council on Social Work Education
• Minimally Licensed in the State of Practice Social Worker
• Minimum one year of clinical social work experience
• Motivated social workers with a problem-solving orientation and a flexible and positive attitude
• Prior independent care management or case coordination experience
• Experience conducting home visits and providing telephonic support
• Experience working on a multidisciplinary team preferred
• US work authorization.

Experience working on a multidisciplinary team.

• Collaborative and energetic culture
• Fast-paced and innovative environment
• Competitive benefits including paid vacation and sick time
• Generous 401K match with immediate vesting
• Health benefits
• Affordable medical plan options
• Employee stock purchase plan
• No-cost programs for wellness screenings, tobacco cessation, and weight management programs
• Confidential counseling
• Financial coaching
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Tuition assistance
• Retiree medical access.