Medical Social Worker: Care Coordination for High-Need Patients

Oak Street Health, part of CVS Health; Roseville (MI); On-site; USD 61,000 - 101,000; Full time

Job summary

Oak Street Health seeks a Medical Social Worker to join our care teams, providing psychosocial assessments, advocacy, and comprehensive care coordination for high-risk patients and their caregivers. You will help improve health outcomes by connecting patients with resources and collaborating with the interdisciplinary team.

The role emphasizes empowering patients to manage their health and navigate complex care needs, with emphasis on improving quality of life and reducing hospitalizations.

Qualifications

• MSW degree from a CSWE-accredited school.
• Licensed in the state where Oak Street Health Center is located.
• Fluency in Spanish, Polish, Russian or other community languages.
• Proficient computer skills including Microsoft Office and EMR.
• U.S. work authorization.

Responsibilities

• Provide assessments and care coordination for high-need patients.
• Collaborate with interdisciplinary care teams to support psychosocial needs.
• Advocate for patients and connect them to appropriate community resources.
• Navigate insurance benefits and support complex care planning.
• Document interventions clearly for all care team members.
• Educate patients and families on care options and goals of care.

Skills

Spanish language

Polish language

Russian language

US work authorization

Proficient computer skills

Education

Master of Social Work (CSWE-accredited)

Tools

Microsoft Office

Electronic Medical Records (EMR)

Job description

Oak Street Health seeks a Medical Social Worker to join our care teams, providing psychosocial assessments, advocacy, and comprehensive care coordination for high-risk patients and their caregivers. You will help improve health outcomes by connecting patients with resources and collaborating with the interdisciplinary team.

The role emphasizes empowering patients to manage their health and navigate complex care needs, with emphasis on improving quality of life and reducing hospitalizations.