ACO Medical Social Worker

Saint Francis Hospital is seeking an experienced Full-time ACO Medical Social Worker to join our team!

The ACO Medical Social Worker serves in a collaborative role on the Care Management team, working with the attributed patient population identified as high and/or rising risk via stratification and referral. The MSW role encompasses assessment of the social determinates of health, and planning, facilitation, coordination, evaluation and advocacy for options and services to meet the comprehensive health needs of an individual or family through communication and available resources to promote quality, cost effective outcomes.

Minimum Qualifications:

• Masters in Social Work (MSW) required, LCSW preferred

• One year of medical social work experience with Medicare population required

• Community-based or home care social work experience preferred

• Knowledge of discharge and transition of care planning preferred

• Working knowledge of community resources required

• Must have basic computer literacy, working knowledge of Microsoft Office and clinical database software

• Strong leadership ability and excellent interpersonal, oral and written communication skills

• Ability to work independently and remotely and as part of inter-professional team

• Valid driver's license and ability to travel to patient homes and/or provider sites in New Castle, Kent and/or Sussexcounties as needed

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.