Medical Social Worker - Population Health (Full Time, Day)

Job Description

Job Description

At Northbay Health, the Population Health Medical Social Worker (PHMSW) is responsible for providing social services to “high-risk” capitated populations utilizing a Population Health approach. Duties include communication and coordination with members of the inpatient/outpatient healthcare team, payers and outside agencies to assist with linking patients to appropriate services. Facilitates integration with community-based resources and collaborates with community partners to optimize patient health. The PHMSW will be responsible for assisting patients in navigating and accessing community resources. Documents assessment and interventions in patient’s electronic health record. The PHMSW must be able to demonstrate adherence to the system policies, procedures, quality assurance, guidelines and goals of the organization.