Hybrid Integrated Care Social Worker (Bilingual ENG/SPA)

CenterWell; Orlando (FL); Hybrid; USD 65,000 - 89,000; Full time

Benefits offered by this job

Bonus incentive plan

Benefits package

Job summary

CenterWell Senior Primary Care is seeking a Social Worker to support the HRPM program for the top 5% of patients with complex psychosocial needs. You will perform psychosocial assessments, care coordination, and resource navigation, collaborating with Care Coaches and PCPs to improve engagement and outcomes.

The role is hybrid, requiring onsite clinic presence 2–3 days per week with some days remote. A MSW is required, and bilingual English/Spanish skills are essential for diverse patient care.

Qualifications

• Master’s degree in Social Work (MSW) is required.
• Licensure allowed per state requirements; LCSW welcome but not required.
• Bilingual in English and Spanish with fluent reading/writing/speaking abilities.

Responsibilities

• Serve as the program’s primary resource for complex socioeconomic barriers and psychosocial needs.
• Prioritize patients identified 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 Coach and PCP to address socioeconomic barriers and psychosocial needs.

Skills

Psychosocial assessment

Care coordination

Communication

Bilingual English/Spanish

Education

Master’s degree in Social Work (MSW)

Job description

CenterWell Senior Primary Care is seeking a Social Worker to support the HRPM program for the top 5% of patients with complex psychosocial needs. You will perform psychosocial assessments, care coordination, and resource navigation, collaborating with Care Coaches and PCPs to improve engagement and outcomes.

The role is hybrid, requiring onsite clinic presence 2–3 days per week with some days remote. A MSW is required, and bilingual English/Spanish skills are essential for diverse patient care.