Bilingual Social Worker, High-Risk Patient Care (Hybrid)

CenterWell; Park (KS); Hybrid; USD 65,000 - 89,000; Full time

Job summary

CenterWell in Florida seeks a Social Worker in the High-Risk Patient Management program. You will perform psychosocial assessments, care coordination, and resource navigation for the most complex patients.

The role emphasizes collaboration with Care Coaches and PCPs, addressing social determinants of health, and ensuring safe transitions across care settings. Strong multilingual skills are required.

Qualifications

• Master’s degree in Social Work (MSW) from an accredited program.
• Licensure: Licensed or license-eligible per Florida requirements (LCSW welcome but not required).
• Bilingual in English and Spanish with reading/writing/speaking fluency.
• 3+ years of clinical social work experience across complex care ecosystems.
• Experience with high-risk, medically complex or socially vulnerable populations.
• Experience addressing health-related social needs and social determinants of health.

Responsibilities

• Serve as the program’s primary resource for complex socioeconomic barriers and psychosocial needs.
• Prioritize patients identified as high psychosocial or social risk.
• Provide time-limited, outcomes-focused social work interventions.
• Coordinate with internal and external partners to secure services.
• Assist in mitigating crises that threaten care continuity or patient safety.
• Partner with Care Coach and PCP to address socioeconomic barriers and psychosocial needs.

Skills

Psychosocial assessment

Systems navigation

Communication skills

Cultural humility

Independent working

Documentation

Education

MSW degree

Job description

CenterWell in Florida seeks a Social Worker in the High-Risk Patient Management program. You will perform psychosocial assessments, care coordination, and resource navigation for the most complex patients.

The role emphasizes collaboration with Care Coaches and PCPs, addressing social determinants of health, and ensuring safe transitions across care settings. Strong multilingual skills are required.