As a compassionate and experienced Social Worker you will support high-risk members by addressing social determinants of health (SDOH), behavioral health needs, and barriers to care. As a key member of the interdisciplinary care team, you will conduct comprehensive psychosocial assessments, develop resource plans, coordinate community services, and help members navigate complex healthcare and social service systems to improve outcomes and reduce avoidable utilization.
Location: Phoenix Metro (West Valley)
Primary Responsibilities:- Conduct psychosocial, SDOH, caregiver, and behavioral health assessments
- Identify barriers to care and connect members to community resources and support services
- Develop and implement individualized care plans in collaboration with the interdisciplinary team
- Coordinate referrals for housing, food, transportation, utilities, caregiver support, and other community-based services
- Assist members with Medicaid, Medicare Savings Programs, Extra Help/LIS, and D-SNP eligibility and recertification
- Support care transitions and post-discharge planning to promote safe returns home and reduce readmissions
- Facilitate advance care planning and goals-of-care discussions
- Provide crisis intervention, elder abuse and neglect screening, and mandated reporting as required
- Build and maintain relationships with community organizations and ensure follow-through on referrals
You9ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:- Active, unrestricted license LCSW or LISW
- 2+ years of medical, care management, or community social work experience
- Valid driver9s license and reliable transportation
Preferred Qualifications:- Advance Care Planning (ACP) facilitator certification
- Geriatric, hospice, or palliative care experience
- Medicare and Medicaid benefits expertise
- Bilingual English/Spanish
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you9ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
