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Job Description

Company: Oak Street Health

Title: Lead Social Worker

Company Description

Oak Street Health is a rapidly growing company of primary care centers for adults on Medicare in medically-underserved communities where there is little to no quality healthcare. Oak Street’s care is based on an entirely new model that is based on value for its patients, not on volume of services. The company is accountable for its patients’ health, spending more than twice as long with its patients and taking on the risks and costs of their care. For more infor mation, visit http://www.oakstreethealth.com .

Role Description

Oak Street Health takes a team-based approach to providing outstanding patient care. Our Care Teams, consisting of a Physician, Nurse Practitioner, Nurse, Medical Assistants, Medical Social Workers, and Community Health Workers build individual relationships across a panel of 500-800 patients. The Care Team is responsible for delivering excellent, high-touch, primary care, and coordinating the care of our patients throughout the healthcare delivery system.

Regional Lead Social Workers are an important part of our Care Teams, supporting other clinic Medical Social Workers and Community Health Workers throughout the region. Due to the level of responsibility of the Lead Social Worker, high levels of flexibility, energy, attention to detail, being an advocate for the social work profession, and problem solving are required to be successful. Specific responsibilities include:

Social Work Leadership

• Building and cultivating relationships with our patients and community partners

• Leading social work and community health worker interviewing and hiring initiatives for the region

• Assisting regional leadership team with expanding social work and community health worker services in expansion markets/centers

• Providing training and orientation to new social workers and community health workers

• Clinical case consultation support to care management staff

• Conducting soft audits of care plans and chart documentation

• Administrative support on care management driven modules and technology

• Administrative support on adopted care management model

• Providing LCSW (or state equivalent licensure) supervision to staff (where applicable)

• Working as a liaison between organizational initiatives and regional care management staff to ensure execution of assignments and responsibilities are adequately completed

• Assisting regional care management staff in aligning and carrying out organizational goals and metrics

• Partners with other leaders to discuss care management initiatives, concerns, needs, and updates

• Expert in local advance directive options and documentation requirements, with the ability to coach social workers on utilization and competency

• Coordinating and overseeing practicum/internship programs/placements (where applicable)

• Coordinates in-services for regional care management staff on established cadence

A Lead Social Worker may intermittently provide patient care by:

• Performing proactive outreach to patients based on their care needs

• Conducting bio-psychosocial assessments through our AIMS care management model

• Co-managing interdisciplinary care plans with care team partners

• Sending referrals to external resources (home health, transportation services, mental health agencies, local, state, and federal aid agencies, etc.)

• Providing patient education/advocacy

• Providing Brief Crisis Intervention/Therapy (when applicable)

• Assessing patients for referral to Oak Street Health Behavioral Health Services, and external community based mental health services

• Leading case plan discussions

What we’re looking for

We’re looking for motivated, experienced Medical Social Workers with:

• Minimum of 2 years of case coordination/care management experience, which may include conducting home visits and providing telephonic support

• LCSW/LMSW (or state equivalent licensure) required

• Demonstrates supportive and welcoming attitude toward our patient population of older and disabled adults

• An eagerness to build relationships with patients, their families, and the communities we serve

• A problem-solving orientation with a flexible and positive attitude

• Bilingual fluency preferred-depending on community served

• Proficient PC skills

• 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

• Being scrappy

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 oakstreethealth.com/careers.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.