Remote Social Work Coordinator | SDOH & Care Coordination

CVAUSA; Orlando (FL); Remote; USD 55,000 - 75,000; Full time

Job summary

Novocardia, a division of CVAUSA, seeks a Social Work Coordinator to support a remote multidisciplinary care team across the United States. You will assess psychosocial needs, address SDOH, and integrate non-clinical barriers into care plans, coordinating with RNs and MAs from a base in Orlando, FL.

You will develop personalized care plans, manage referrals to community resources, document interventions in the EHR, and ensure quality and compliance with accreditation standards in a fast-growing,

Qualifications

• Bachelor's degree in Social Work (BSW) is required.
• Active social work license required.
• 2-5 years of experience in healthcare, care management, care coordination, or community-based social work.
• Experience addressing SDOH in chronic care, value-based care, or population health settings preferred.

Responsibilities

• Assess patients' needs using motivational interviewing and SDOH assessments to identify resources.
• Meet with patients to discuss social, emotional, environmental, financial, and behavioral health needs.
• Develop and implement personalized care plans; coordinate with other resources as needed.
• Educate clients and families about available resources and services.
• Evaluate effectiveness of service plans and adjust as needed.
• Conduct follow-up visits and reassessments.

Skills

Assessment

Counseling

Communication

Collaboration

Organization

EHR proficiency

Microsoft Office

Education

BSW degree

Active social work license

Tools

EHR systems

Care management platforms

Microsoft Office

Job description

Novocardia, a division of CVAUSA, seeks a Social Work Coordinator to support a remote multidisciplinary care team across the United States. You will assess psychosocial needs, address SDOH, and integrate non-clinical barriers into care plans, coordinating with RNs and MAs from a base in Orlando, FL.

You will develop personalized care plans, manage referrals to community resources, document interventions in the EHR, and ensure quality and compliance with accreditation standards in a fast-growing,