Travel Care Coordination MSW Social Worker - $2,376 per week

Company: Atlantic Health System Hospital - 97 West Parkway
Location: Pompton Plains
Posted on: April 23, 2025

Job Description:

• Job Details
• Job Summary and Essential Function: The Care Coordination MSW Social Worker works in collaboration with a multidisciplinary team of clinicians as part of the Care Coordination program to provide high quality, outcome-based, patient-centered care and address the social determinants of health to support safe transitions of care across the continuum for patients and families throughout Atlantic Health System.
• Job Responsibilities: 60% - Patient assessment, referrals, intervention; 20% - Documentation; 10% - Meetings, program development; 10% - Collaboration with inside/outside agencies.
• Support high-cost/high-risk patients to address barriers to care and navigation challenges across the care continuum by prioritizing health and SDOH needs.
• Provide psychosocial assessment, sustainable care transitions, and structured support to help address social and economic barriers to positive health outcomes.
• Maintain best practices, process systems, and key performance metrics to provide effective outcome-based, patient-centered care.
• Conduct psychosocial assessment, social determinants of health screening and referral, and develop a plan of care in alignment with individual needs, values, and goals of the patient.
  • Job Requirements
  • 3-5 years in health-related field, hospital experience preferred.
  • Strong knowledge of community resources and social service, financial, insurance, and advocacy systems.
  • Familiarity with Epic preferred.
  • Exceptional organizational and time management skills with the ability to multi-task, problem-solve, and balance and deliver results in a program with multiple projects, programs, and priorities.
  • Strong clinical, interpersonal, and analytical skills with clear verbal, telephonic and written communication.
  • Ability to function within an interdisciplinary team and develop and enhance collaborations with local community agencies and organizations.
  • Ability to navigate EMR and databases with demonstrated ability, including EMR documentation standards, Microsoft Office suite and metrics/outcome reporting.
  • Strong interpersonal and communication skills, problem solving, ability to work with diverse populations, compassionate service delivery. Bilingual a plus.

Keywords: Atlantic Health System Hospital - 97 West Parkway, Lakewood , Travel Care Coordination MSW Social Worker - $2,376 per week, Healthcare , Pompton Plains, New Jersey