Social Work Coordinator

ArchWell Health; Phoenix (AZ); On-site; USD 48,000 - 62,000; Full time

Job summary

ArchWell Health is seeking a Social Work Coordinator in Phoenix to support members’ social, emotional, and practical needs. The role partners with LMSW/LCSW teams to connect seniors with resources, assist with forms, and address Social Determinants of Health.

The candidate should be empathetic, organized, and community-oriented. Daily duties include outreach, resource navigation, care coordination support, and collaboration with care teams.

Qualifications

• Must have knowledge of community resources and Social Determinants of Health (SDOH).
• Excellent verbal and written communication with diverse populations.
• Empathetic, patient-centered with ability to build trust with seniors and families.
• Experience in care coordination and interdisciplinary team collaboration preferred.

Responsibilities

• Conduct outreach calls to assess needs related to SDOH and support services.
• Connect members with community resources including housing, transportation, and food assistance.
• Assist Social Workers with discharge planning and care coordination activities.
• Help members navigate benefits and community programs.

Skills

Community resources

Active listening

Empathy

Trust-building

Organizational skills

Interdisciplinary teamwork

Problem-solving

Communication

EMR systems

Spanish language

Education

Bachelor's or Master's in Social Work

High School Diploma or GED

Tools

Microsoft Office

EMR systems

Job description

Social Work Coordinator

Company: Archwell Health

Location: Phoenix Market

ArchWell Health is a national company devoted to improving the lives of older adults by providing an advanced level of value-based care. ArchWell Health delivers best-in-class care at comfortable, accessible neighborhood centers where seniors can feel at home and become part of a vibrant, wellness-focused community.

ArchWell Health members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities.

Job Summary

The Social Work Coordinator supports the social, emotional, and practical needs of ArchWell Health members by connecting them with community resources, assisting with social service needs, and helping reduce barriers that impact health and well-being.

Working closely with Social Workers (LMSW/LCSW), providers, and interdisciplinary care teams, this role assists members with navigating community resources, accessing benefits and support services, completing necessary forms and applications, and addressing Social Determinants of Health (SDOH). The Social Work Coordinator serves as a compassionate resource for members while helping facilitate care transitions, outreach efforts, and member education initiatives.

The ideal candidate is highly empathetic, organized, resourceful, and passionate about helping seniors maintain independence and improve quality of life.

Duties/Responsibilities

• Conduct outreach calls to members to assess needs and provide support related to Social Determinants of Health (SDOH).
• Connect members with community-based resources and services including food assistance, housing support, transportation, utility assistance, caregiver resources, and other social services.
• Assist Social Workers (LMSW/LCSW) with care coordination activities, discharge planning, and higher levels of care placement support.
• Help members navigate managed care plans, available benefits, and community support programs.
• Serve as a resource guide for members and families seeking assistance with social, financial, or environmental challenges.
• Facilitate referrals to community organizations, healthcare providers, government agencies, and social service programs.
• Assist members with completing forms and documentation such as handicap parking placards, housing-related provider letters, emotional support animal requests, and similar applications.
• Support members in accessing services that promote independence, safety, and overall well-being.
• Collaborate with providers, social workers, care teams, and community partners to address member needs.
• Assist with workshops and educational programs focused on Social Determinants of Health, Advanced Care Planning, and other member support topics.
• Maintain accurate and timely documentation in the electronic medical record (EMR) system.
• Adhere to HIPAA guidelines and maintain confidentiality of protected health information (PHI).
• Participate in interdisciplinary team meetings and contribute to member care planning discussions.

Required Skills/Abilities

• Knowledge of community resources, social services programs, and Social Determinants of Health.
• Strong interpersonal communication skills with exceptional active listening abilities.
• Highly empathetic, compassionate, non-judgmental, and member-focused.
• Ability to build trust and rapport with seniors, caregivers, and community partners.
• Strong organizational and follow-up skills with attention to detail.
• Ability to navigate multiple priorities while maintaining excellent customer service.
• Experience working collaboratively within an interdisciplinary team environment.
• Strong problem-solving skills and ability to identify practical solutions for member needs.
• Ability to communicate effectively with members, families, providers, community organizations, and internal teams.
• Proficient computer skills including Microsoft Office and electronic medical record systems.
• Understanding of healthcare, insurance benefits, and managed care programs preferred.
• Fluency in Spanish or other languages spoken within the communities served is preferred, when applicable.

Minimal Qualifications

• High School Diploma or GED required.
• Bachelors or Masters degree in Social Work or related field preferred.
• Minimum of 1 year of experience in clinical administrative support, social services, care coordination support, community outreach, healthcare administration, or a related role.
• Experience supporting patients or individuals with social service needs preferred.
• Experience working with senior populations preferred.
• Experience with electronic medical records (EMR) systems preferred.

About ArchWell Health:

At ArchWell Health, we're creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We believe seniors should be heard, listened to, and given ample time by their physicians to live well later in life.

Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community. We're passionate about caring for older adults and united by the belief that caring has the power to change everything for our members.

ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.