Medical Social Worker

Title: Medical Social Worker

Company: Oak Street Health

Role Description

The Medical Social Worker is a key member of Oak Street Health Centers, contributing a unique and valuable perspective to care teams to support the psychosocial needs of our patients. In collaboration with the interdisciplinary care team, they will provide assessments, advocacy, and comprehensive care coordination services to our highest‑risk patients and their caregivers to help them improve their health status and avoid hospitalizations.

Core Responsibilities

• Proactively support our highest‑need patients by providing comprehensive assessments, telephonic check‑ins, and in‑person visits.
• Partner with the patient and their support persons (if necessary) to identify goals, increase engagement in their healthcare, address barriers, and drive the execution of their care plan.
• Maintain extensive knowledge of community resources...