Medical Social Worker — Care Coordination & Community Impact

Oak Street Health; Portsmouth (VA); On-site; USD 52,000 - 76,000; Full time

Job summary

Oak Street Health seeks a Medical Social Worker to join its patient-centered, team-based primary care network. You will complete psychosocial assessments, address social determinants of health, and connect patients with community resources to support vulnerable individuals.

You’ll provide brief counseling, crisis intervention, and participate in care planning while collaborating closely with clinicians to improve outcomes and overall community health.

Qualifications

• Experience in psychosocial assessments and crisis intervention.
• Ability to connect patients with community resources and services.
• Strong teamwork and collaboration with clinical staff.

Responsibilities

• Perform psychosocial assessments and identify patient needs.
• Address social determinants of health and coordinate resources.
• Provide brief counseling and crisis intervention as needed.
• Contribute to care planning in collaboration with clinicians.

Skills

Psychosocial assessments

Crisis intervention

Care planning

Community resources coordination

Team-based care

Collaboration with clinicians

Job description

Oak Street Health seeks a Medical Social Worker to join its patient-centered, team-based primary care network. You will complete psychosocial assessments, address social determinants of health, and connect patients with community resources to support vulnerable individuals.

You’ll provide brief counseling, crisis intervention, and participate in care planning while collaborating closely with clinicians to improve outcomes and overall community health.