Population Health Social Worker - FT - Day Shift
: Job Details :

Hourly range: $32.44 - $43.86DISTINGUISHING FEATURES OF THE CLASS: The work involves assisting in the planning and coordination of the case management component and patient services for patients at the Erie County Medical Center Corporation (ECMCC). The incumbent is responsible for coordinating and supervising daily activities of the case management component and for coordinating activities with other ECMCC departments and external agencies. Work is performed under the general supervision of higher-ranking professional staff with leeway for the exercise of independent judgment. Supervision is exercised over lower-level professional and non-professional staff. Does related work as requiredTYPICAL WORK ACTIVITIES:Coordinates and assists in the evaluation of the case management of patients and activities of Population Health Services which include all patients at ECMCC;Provides counseling and supportive social work services, addresses social determinants of health and health equity, and collaborates with healthcare providers to improve patient outcomes and reduce health disparities;Conducts assessments of patients' social, economic and cultural needs and any barriers to care to ensure patients have access to necessary medications, transportation, and follow-up appointments;Assesses psycho-social needs of patients upon admission and during continued stay in the facility by participation in inter-disciplinary health care team formulation of patient care plans that promote health equity;Ensures continuity of care;Assists in the development and implementation of population health programs and initiatives that promote and address social determinants of health;Acts as liaison with other hospital departments, inter-hospital departments, and community agencies to ensure seamless transitions from inpatient to outpatient care by communicating patient needs and care plans to outpatient providers and community resources;Provides ongoing case management services to patients and their families, including resource referral, advocacy, and follow-up support; monitors and tracks patient progress, adjusting care plans as needed to ensure optimal outcomes;Assists patients in accessing community services such as, but not limited to housing, food assistance, transportation, and financial assistance;Collects and analyzes data related to social determinants of health, health equity, patient outcomes, and service utilization;Prepares a variety of records and reports related to work;Participates in and may organize meetings, conferences, trainings, in-services, etc.FULL PERFORMANCE KNOWLEDGES, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS: Good knowledge of social work principles, procedures and techniques used in providing care to patients; good knowledge of population health services; good knowledge of health equity; good knowledge of available hospital and outpatient social and community services; good knowledge of applicable laws, rules, regulations and accreditation standards as they relate to social work in a healthcare setting; ability to assess psycho-social needs of patients; ability to establish patient treatment goals for improving medically-related social and emotional problems; ability to counsel patients and their families; ability to function as a member of an inter-disciplinary health care team; ability to prepare records and reports related to social services activities; ability to coordinate case management activities with allied disciplines; ability to work with others on the case management team to agree on and arrange for care based on need; ability to supervise lower-level staff; ability to work independently; ability to communicate effectively, both orally and in writing; ability to establish and maintain effective working relationships with a diverse constituency; ability to utilize a variety of electronic software applications; sound professional judgment; capable of performing the essential functions of the position with or without reasonable accommodation.MINIMUM QUALIFICATIONS:Possession of a Master's Degree* in Social Work and two (2) years of licensed social work experience in a healthcare setting, of which one (1) year includes population health or health equity experience.SPECIAL REQUIREMENTS:Possession of a license and current registration as a Licensed Clinical Social Worker (LCSW) or a Licensed Master Social Worker (LMSW) as issued by the New York State Department of Education at time of appointment and maintenance throughout duration of appointment; andSection 424-A of the Social Services Law requires that local social services district to inquire whether the applicant is the subject of an indicated child abuse or maltreatment report on file with the State Central Register of Child Abuse and Maltreatment. All potential employees for this position will be requested to sign the necessary clearance form prior to being advised that they will be hired. Refusal to sign will be cause for automatic non-selection.NOTE*: Your degree must have been awarded by a college or university accredited by a regional, national, or specialized agency recognized as an accrediting agency by the U.S. Department of Education/U.S. Secretary of Education. If your degree was awarded by an educational institution outside the United States and its territories, you must provide independent verification of equivalency. A list of acceptable companies who provide this service can be found on the Internet at You must pay the required evaluation fee.NOTE 2: Population Health is defined, for qualifying purposes, as an approach to health that aims to improve the health outcomes of a group of individuals, often within a specific geographic area, by addressing a broad range of factors that influence health. These factors can include medical care, public health interventions, genetics, individual behavior, social and environmental factors, and economic policies.Examples include vaccination/immunization programs, health education campaigns, mental health and substance use initiatives, maternal and child health initiatives, classroom oral health education, disease screening and management including but not limited to breast cancer, asthma, arthritis, cholesterol, etc.NOTE 3: Health Equity is defined, for qualifying purposes, as a fair and just opportunity to attain their optimal health regardless of race, ethnicity, disability, sexual orientation, gender identity, socioeconomic status, geography, preferred language, etc.Examples include Public Health Educator, Health Equity Specialist/Coordinator, Public Health Data Analyst, Disability Inclusion & Accessibility Manager.NOTE 4: Verifiable part-time and/or volunteer experience will be pro-rated toward meeting full-time experience requirements.