Ambulatory Care Management Social Worker - Licensed

TriHealth, Inc.; Cincinnati (OH); On-site; USD 52,000 - 76,000; Full time

Job summary

TriHealth is seeking a licensed social work professional to join our pediatric care team in Cincinnati, OH. The role centers on psychosocial assessment, crisis intervention, care coordination, advocacy, and resource navigation for vulnerable pediatric populations.

You will collaborate with pediatric providers, behavioral health professionals, schools, and community agencies to improve outcomes. Ideal candidates bring passion for child advocacy, health equity, and family-centered care.

Qualifications

• Bachelor’s degree in Social Work, Addictions, Counseling is required.
• 3–4 years of experience required.
• LCSW / LISW / LSW license required or in good standing.

Responsibilities

• Conduct psychosocial assessments and identify barriers affecting child and family health.
• Provide crisis intervention, advocacy, and brief supportive counseling.
• Coordinate referrals to community, educational, behavioral health, and social service resources.
• Collaborate with providers and interdisciplinary teams to support high‑risk patients and families.
• Support value‑based care, population health, and other initiatives.
• Maintain timely documentation and track outcomes of interventions and referrals.

Skills

Crisis intervention

Care coordination

Interdisciplinary teamwork

Advocacy

Education

Bachelor’s Degree in Social Work, Addictions, Counseling

Job description

Location

625 Eden Park Dr., Cincinnati OH (TriHealth Corporate Offices)

Schedule

Full-time, day shift.

Benefits

https://careers.trihealth.com/what-we-offer/benefits

We offer competitive shift differentials where applicable, opportunities for professional growth, and a comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement.

*Please note: OPTIONAL positions are not eligible for TriHealth benefits*

Job Requirements

• Bachelor's Degree in Social work, Addictions, Counseling (Required)
• 3 - 4 years experience (Required)
• Other LCSW- License Clinical Social Worker Required or
• Other LSW - Licensed Social Worker Required or
• Other LISW - Licensed Independent Social Worker Required

Job Overview

In this collaborative role, you will partner with pediatric providers, behavioral health professionals, schools, community agencies, and care teams to provide psychosocial assessment, crisis intervention, care coordination, advocacy, and resource navigation. You will help families connect with critical supports, address social drivers of health, and improve outcomes for vulnerable pediatric populations.

Key Responsibilities

• Conduct psychosocial assessments and identify barriers affecting child and family health.
• Provide crisis intervention, advocacy, and brief supportive counseling.
• Coordinate referrals to community, educational, behavioral health, and social service resources.
• Collaborate with providers and interdisciplinary teams to support high-risk patients and families.
• Support value-based care, population health, and other initiatives.
• Maintain timely documentation and track outcomes of interventions and referrals.

Ideal candidates are passionate about child advocacy, family-centered care, health equity, and helping children reach their full potential.

Working Conditions

• Bending -
• Climbing - Rarely
• Concentrating - Frequently
• Continuous Learning - Frequently
• Hearing: Conversation - Consistently
• Hearing: Other Sounds - Frequently
• Interpersonal Communication - Consistently
• Kneeling - Rarely
• Lifting <10 Lbs. - Frequently
• Lifting 50+ Lbs. - Rarely
• Lifting <50 Lbs. - Occasionally
• Pulling - Rarely
• Pushing - RarelyReaching - Rarely
• Reading - Frequently
• Sitting - Frequently
• Standing - Rarely
• Stooping - Rarely
• Talking - Consistently
• Thinking/Reasoning - Consistently
• Use of Hands - Frequently
• Color Vision - Frequently
• Visual Acuity: Far - Frequently
• Visual Acuity: Near - Consistently
• Walking - Frequently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS

• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS

• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service

Respect: ALWAYS

• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone's opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS

• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS

• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community