Social Worker Clinical
Company: Oak Street Health
Posted on: May 3, 2021
Company: Oak Street Health
Title: Medical Social Worker
Oak Street Health is a rapidly growing, innovative company of
community-based healthcare centers delivering higher quality health
and wellness care that improves outcomes, manages medical costs and
provides an unmatched experience for adults on Medicare in
medically underserved communities. By providing holistic,
comprehensive and integrated care right in our patients
communities, we can help keep them healthy and reinvest cost
savings in further care for those same communities and others.
Since 2013, Oak Street Health has brought its singular approach to
tens of thousands of people across the nation. With an ambitious
growth trajectory, Oak Street Health is attracting and cultivating
team members who embody Oak Street values and are passionate about
our mission to rebuild healthcare as it should be.
For more information, visit www.oakstreethealth.com.
The Medical Social Worker is a key member of a clinic,
contributing to multiple care teams to support the social service
needs of our patients. In partnership with the care team, they will
serve as a prevention specialist, providing assessment, advocacy,
and case management services to individual patients and their
caregivers, in an effort to help patients maintain or improve their
health status and avoid hospitalizations.
Proactively support our highest need patients through telephonic
check-ins, clinic visits, and home visits (with and without a
Partner with patients to identify their goals, increase
engagement in care and reduce barriers to achieving healthcare
goals and execution of their care plan
Facilitate patient referrals to community agencies and
resources, under direction of the provider and in line with Oak
Street Health medical management efforts
Navigate Managed Care plans and resources to ensure mindful
Provide community case management to increase patient ability to
independently manage health conditions and reduce reliance on
Increase patient understanding of end-of-life options and
prepare patients and their caregivers for potential challenges in
Lead patient and caregiver support groups focused on specific
topics such as living with chronic illness, disease-specific
education, aging with dignity, caregiver coaching, etc.
Participate in care team meetings, leading discussion around
patients in his/her caseload
Complete case and progress documentation in a timely manner to
allow for visibility into case status and productivity
What are we looking for?
Motivated social workers with a problem-solving orientation and
a flexible and positive attitude
Prior independent care management or case coordination
Experience conducting home visits and providing telephonic
Enthusiasm for working with adults with disabilities, older
adults, and adults with severe and persistent mental illness
Experience working on a multidisciplinary team preferred
US work authorization
Someone who embodies being Oaky
What does being Oaky look like?
Radiating positive energy
Assuming good intentions
Creating an unmatched patient experience
Driving clinical excellence
Taking ownership and delivering results
Why Oak Street?
Oak Street Health offers our coworkers the opportunity to be at
the forefront of a revolution in healthcare, as well as:
Collaborative and energetic culture
Fast-paced and innovative environment
Competitive benefits including paid vacation and sick time,
generous 401K match with immediate vesting, and health benefits
Oak Street Health is an equal opportunity employer. We embrace
diversity and encourage all interested readers to apply to
Keywords: Oak Street Health, Berwyn , Social Worker Clinical, Other , berwyn, Illinois
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