Community Social Worker

GuideWell Source

Community Social Worker coordinating resources and assessing members' healthcare needs. Working with Care Team to provide support and referrals in a remote capacity.

Posted 7/2/2026full-timeRemote • Florida • 🇺🇸 United StatesMid-LevelSenior💰 $65,400 - $106,200 per yearWebsite

About the role

Key responsibilities & impact

The Community Social Worker (CSW) will work in coordination with the Care Team and other stakeholders by utilizing targeted member outreach to identify and address member's social determinates of health and need for community resources.
Engage/consult members and complete appropriated social work assessment(s) to determine the nature of a member's situation by conducting telephonic/virtual interviews to assess and determine member's medical, psychological, emotional, financial, and social status.
Responsible for identifying barriers to the members care plan.
Assist members with exploring community resources and referring members to appropriate community resources.
Operate as a member advocate utilizing skills that respect issues of cultural considerations for every patient and family.
The CSW will maintain and manage their own member caseload for members received from a daily worklist and serve as a consultant for referrals sent from numerous sources on cases managed by other Care Team members.
Determine member's discharge status and identify and coordinate any additional needs and services that require ongoing Care Coordination services and resources.
Use a standardized, evidence based social need/SDoH assessment tool to evaluate and identify member needs.
Identify and screen high risk members that would benefit from coordination of community health related services, behavioral change counseling and refer members to appropriate care programs and other members of the care team.
Assess member’s end of life planning and provide appropriate resources and referrals.
Coordinate care for members as appropriate based on care/treatment plan and benefit limitations.
Educate members and assist with formulating strategies/goals to help prevent disease, disability and or pre-mature death.
Provide consultation to RN care managers, dieticians, pharmacists and LCSWs (behavioral health).
Collaborate and provide consultation support to external stakeholders.

Requirements

What you’ll need

3+ years related work experience in Healthcare Industry and Managed Care, assisting with discharge planning, linking to community resources, navigation of financial assistance programs, chronic illness resources, etc.
Related bachelor's degree required Minimum bachelor's degree in social work, sociology or psychology or addition related equivalent work experience.
Extensive knowledge of community resources (local, statewide, national, and international)
Experience with the Healthcare industry and Managed Care
Demonstrated knowledge in Social Work care management
Non-traditional working hours to meet the member's availability and business objectives
Intermediate to Advanced PC skills, experience and/or knowledge of digital engagement tools a plus

Benefits

Comp & perks

Medical, dental, vision, life and global travel health insurance;
Income protection benefits: life insurance, short- and long-term disability programs;
Leave programs to support personal circumstances;
Retirement Savings Plan including employer match;
Paid time off, volunteer time off, 10 holidays and 2 well-being days;
Additional voluntary benefits available;
A comprehensive wellness program

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Social Work AssessmentCare CoordinationCultural CompetenceBehavioral Change CounselingEnd of Life Planning

Soft Skills

Member AdvocacyCollaborationConsultation

Certifications

Bachelor's Degree in Social WorkSociology or Psychology