Purpose: We are looking for a Master’s-prepared Social Worker to join our ACO (Accountable Care Organization) Department. Our department has been developing a new 360 Care Management model, with an aim of improving patient outcomes and bending the cost curve. This is a new position for our department, and would be joining an existing team of five RN Care Coordinators. Key Responsibilities: 1. Provides complete psychosocial assessments of patients and families. 2. Provides counseling to individuals and families to help solve social and emotional problems. 3. Coordinates community resources to address/meet identified needs. 4. Assists families in adapting to difficult and complicated dispositions involving complex/catastrophic care needs, multiple agencies/providers and linkage to resources outside the community. 5. Provides consultation, assessment, referral and coordination in cases of suspected child or dependent adult abuse or neglect, or other forms of domestic violence. 6. Organizes support groups. 7. Documents objective, concise and pertinent clinical data in the medical record. 8. Perform other duties as assigned. Minimum Qualifications: ü Master’s Degree in Social Work (MSW) required. ü Social work experience in an acute, home care, or ambulatory setting preferred. ü Strong organizational skills, verbal and written communications skills. ü Sound decision making and judgment. ü Time management skills. ü Negotiation skills. ü Proven ability to deal with conflict resolution. ü Comfortable with basic computer skills. Required Licensure/Certification Skills: NoneTracking

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