Care Management Social Worker - Complex Needs

Conviva Care Solutions; The Villages (FL); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Conviva Care Solutions seeks a Social Worker to provide psychosocial assessment, care coordination, and interventions for our highest-risk patient population. The role focuses on addressing social, environmental, and behavioral barriers that affect engagement and transitions across settings, delivering time-limited, goal-oriented support.

Hybrid role; location near assigned markets and clinics with onsite 2-3 days per week and remote days otherwise.

Qualifications

• Master's degree in Social Work (MSW) from an accredited program.
• Licensed or license-eligible per state requirements (LCSW welcome but not required).
• Minimum 3 years of experience in clinical social work supporting patients across complex care and community-based services.
• Experience working with high-risk, medically complex or socially vulnerable populations.
• Experience addressing health-related social needs and social determinants of health impacting patient outcomes and system navigation.

Responsibilities

• Serve as the primary resource for complex socioeconomic barriers and psychosocial needs.
• Identify patients with 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 Manager and PCP to address socioeconomic barriers and psychosocial needs.
• Follow organizational policies related to safety, documentation, and attendance.

Skills

Clinical social work

Care coordination

Behavioral health screening

Resource navigation

Stakeholder collaboration

Education

MSW degree

Job description

Conviva Care Solutions seeks a Social Worker to provide psychosocial assessment, care coordination, and interventions for our highest-risk patient population. The role focuses on addressing social, environmental, and behavioral barriers that affect engagement and transitions across settings, delivering time-limited, goal-oriented support.

Hybrid role; location near assigned markets and clinics with onsite 2-3 days per week and remote days otherwise.