Strength Through Diversity
Ground breaking science. Advancing medicine. Healing made personal.
Department of Social Services (MSH) - Req Number: 2437790
Job Title: Social Worker - Health Home
Roles & Responsibilities:
Mount Sinai Health Partners (MSHP) is the management services organization developed to enhance the Health System’s implementation of population health initiatives, that is, programs of care that enhance the patient experience and health status, improve the health of patient populations and reduce utilization and healthcare costs. Population health initiatives particularly focus on preventive care. MSHP provides the infrastructure to support population health initiatives and includes services such as care coordination, information technology, workflow optimization, physician engagement and quality reporting. The Department of Social Work Services takes a leadership role in MSHP Care Management, which is providing in person and telephonic short-term and long-term care management services for a large diverse group of individuals who have a variety of insurances that are part of value based contracts. The goal of MSHP Care Management is to provide standardized care management services to meet patients’ medical and psychosocial needs, increase quality and reduce unnecessary health care costs.
The role of the Social Worker within MSHP is to serve as a member of the interdisciplinary care team and to work closely with this team to provide complex care management services to patients at risk for avoidable hospital and emergency department utilization. These positions will provide longitudinal services. The goal of MSHP is to standardize and consolidate complex care coordination for both short-term and long-term interventions and this position will evolve to provide these services to patients covered by diverse insurances.
The Social Worker will conduct biopsychosocial assessments with patients and family caregivers, identify barriers to seeking medical/behavioral health care and work with the team and patient/family caregivers to develop a care plan to overcome these barriers and improve health outcomes. (S)he will create linkages for patients with community organizations to facilitate adherence to the care plan in the community. The Social Worker is responsible for educating patients/family caregivers on how to navigate the health system. For common patients, the Social Worker communicates with social workers/care coordinators within MSHP and the Health System to ensure collaborative and seamless work.
• New York State LMSW or LCSW.
• Bilingual (English/Spanish) preferred.
• Exceptional skills in engaging patients/families and in assessment and coordination of resources within families and hospital and community networks for effective management of patient care.
• Exceptional organizational, collaborative and psychosocial assessment and intervention skills.
• Interest in being part of an innovative initiative to improve the quality of care by addressing barriers to behavioral health, primary and specialist care, preventable Emergency Department visits and hospital admissions/readmissions.
• Hospital experience and experience with patients with chronic behavioral health and medical conditions preferred.
• Proficiency in MS Office. Ability to learn hospital documentation and scheduling systems and care coordination applications.
Strength Through Diversity
The Mount Sinai Health System believes that diversity is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education and advancement as we revolutionize medicine together.
We work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make an impact on quality patient care.
Explore more about this opportunity and how you can help us write a new chapter in our story!
Who We Are
Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.
The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.