Social Worker – Care Coordination, Population Health

Easyservice Italia

Social Worker providing clinical care management services to patients at Bon Secours. Collaborating with teams to improve health outcomes and reduce care costs while working remotely.

Posted 7/18/2026full-timeRemote • Virginia • 🇺🇸 United StatesJuniorMid-Level💰 $27 - $42 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical care management, including the development and implementation of patient-centered care plans, while effectively collaborating with interdisciplinary teams to address social determinants of care and improve health outcomes.

Highest-signal resume keywords

Clinical Care ManagementCase Management CertificationInterdisciplinary Team CollaborationSocial Work LicensurePatient Advocacy

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Needs AssessmentCare Plan DevelopmentData ManagementHealthcare KnowledgeElectronic Medical Record Documentation

Soft Skills

Interpersonal CommunicationNegotiation SkillsTeamworkFlexibility

Certifications & Qualifications

Case Management CertificationLSWLCSW

Industry Keywords

Acute CareHome HealthCommunity ResourcesPatient-Centered CareSocial Determinants of Care

About the role

Key responsibilities & impact

Provide clinical care management services to identified eligible patients
Coordinate care to obtain desired health outcomes, improve self-care abilities, and decrease unnecessary cost of care
Collaborate with Interdisciplinary Team (IDT) along with Ambulatory Care Manager (ACM) and Care Coordinator
Perform standardized comprehensive needs assessment, identifying and addressing barriers to care
Develop and implement care plans to maximize wellbeing with periodic review and update
Collaborate with ACM, PCPs, Specialists, and Hospitalists to implement a patient-centered care plan
Perform situational and family assessment of social determinants of care
Act as patient advocate to address primary physical and socioeconomic needs
Document all communications with patient and/or care team in electronic medical record

Requirements

What you’ll need

Bachelor’s Degree (required)
Bachelor’s or Master’s Degree in Social Work (preferred)
Master’s Degree or Licensure as required by state of practice (required)
Case Management certification, LSW or LCSW (preferred)
2-3 years acute care, home health or case management experience
Excellent interpersonal communication and negotiation skills
Strong analytical, data management and computer skills
Demonstrate basic knowledge of healthcare and health education across the lifespan in a practice health setting
Ability to work with individuals, groups and families
Familiarity and knowledge of Community Resources
Flexibility to work non-traditional hours
Works well in a Team Setting

Benefits

Comp & perks

Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
Tuition assistance, professional development and continuing education support