Field Social Worker - Care Coordination & Resources

Optum; Phoenix (AZ); On-site; USD 60,000 - 107,000; Full time

Benefits offered by this job

Comprehensive benefits package

Job summary

Optum in Phoenix, AZ invites a compassionate Social Worker to join our interdisciplinary team. You will assess social determinants of health, coordinate resources, and help members navigate complex health and social systems to improve outcomes.

The role emphasizes Medicaid/Medicare support, care transitions, and goals-of-care discussions. A valid license and 2+ years in medical or community social work are required, with bilingual English/Spanish a plus. Competitive benefits offered.

Qualifications

• Active, unrestricted license LCSW or LISW.
• 2+ years of medical, care management, or community social work experience.
• Valid driver's license and reliable transportation.

Responsibilities

• Conduct psychosocial, SDOH, caregiver, and behavioral health assessments.
• Identify barriers to care and connect members to community resources and support services.
• Develop and implement individualized care plans in collaboration with the interdisciplinary team.
• Coordinate referrals for housing, food, transportation, utilities, caregiver support, and other community-based services.
• Assist members with Medicaid, Medicare Savings Programs, Extra Help/LIS, and D-SNP eligibility and recertification.
• Support care transitions and post-discharge planning to promote safe returns home and reduce readmissions.
• Facilitate advance care planning and goals-of-care discussions.
• Provide crisis intervention, elder abuse and neglect screening, and mandated reporting as required.
• Build and maintain relationships with community organizations and ensure follow-through on referrals.

Skills

LCSW or LISW

Medical social work

Care management

Driver's license

Job description

Optum in Phoenix, AZ invites a compassionate Social Worker to join our interdisciplinary team. You will assess social determinants of health, coordinate resources, and help members navigate complex health and social systems to improve outcomes.

The role emphasizes Medicaid/Medicare support, care transitions, and goals-of-care discussions. A valid license and 2+ years in medical or community social work are required, with bilingual English/Spanish a plus. Competitive benefits offered.