Social Worker, LCSW – Job Description

Employment Type: Full Time, Exempt
Level: Associate
Location: Remote, USA (Minnesota Preferred)
Compensation: Starting at $55,000

Who we are:

At Herself Health, were on a mission to help women get more life out of life, together. We are building a new model of primary care for women 65+ to solve long-standing problems: rushed appointments, long wait times, and care thats generalized rather than specialized towards women’s needs later in life such as post-menopausal care, bone density, weight management, and mental, social and emotional well-being.

Our patient-centric Primary Care clinics are dispersed across Minneapolis/St. Paul, MN. We are thrilled to serve the Twin Cities metro in our clinics located in Highland Park (St. Paul), Crystal, and South Minneapolis with new clinics launching soon in both Rosedale and Eagan. Our team of 100+ colleagues is on a mission to innovate the primary care landscape for women 65+. We’re seeking like-minded individuals who share in this passion to join us!

About you:

As we grow our early team, we are seeking strategic thought leaders who have a passion for building and innovating. We foster a culture of collaboration, excellence and the willingness to roll up our sleeves and learn as we grow. We have a customer first mindset, and we are looking for team members who share that. Our ideal candidates have strategic prowess and the ability to use data to build best practices and implement great ideas in collaboration with our team and our community.

About the Social Worker Role:

Reporting to the Company’s Manager of Value Based Care, the Social Worker role will be a key part in creating a continued care plan for our patients. Partnering with Providers, the Social Worker will help support Social Determinants of Health, be able to provide basic counseling services, and address medication adherence barriers for the patients while documenting patient visits and calls in the Company’s electronic medical record system, or EMR. This role is expected to be a high-touch and visible role for our new and existing patients. This position is primarily remote, but could require in-person visits in our clinics in the future.

Key Responsibilities:

Engages with patients and their families to provide telephonic support as a member of the interdisciplinary team
Patient Advocacy and Support: Advocating for patients needs and ensuring they receive appropriate and timely care. This includes helping patients navigate the healthcare system and accessing necessary resources.
Care Coordination: Collaborating with healthcare providers, patients, and families to coordinate care plans that address medical, social, and emotional needs.
Assessment and Evaluation: Conducting comprehensive assessments to identify patients social, emotional, and environmental needs. This includes evaluating the impact of social determinants of health on patients well-being.
Resource Connection: Connecting patients with community resources such as housing assistance, financial support, food programs, and mental health services.
Counseling and Psychosocial Support: Providing counseling and support to patients and their families to help them cope with illness, treatment, and life changes. This can include crisis intervention, grief counseling, and stress management.
Health Education and Promotion: Educating patients about their health conditions, treatment options, and healthy lifestyle choices. This can involve group education sessions or one-on-one counseling.
Cultural Competence: Ensuring that care is culturally sensitive and appropriate. Social workers must understand and respect the diverse backgrounds and experiences of their patients.
Outcome Monitoring and Reporting: Monitoring patient outcomes to ensure that care plans are effective and making adjustments as needed. This includes documenting and reporting on patient progress and outcomes.
Policy Advocacy: Advocating for policies that improve access to care and address social determinants of health. This can involve working with community organizations, healthcare providers, and policymakers.
Ethical Practice: Adhering to ethical standards and principles in all interactions and interventions, ensuring confidentiality, informed consent, and respect for patient autonomy.
Works closely with patients to reinforce the Primary Care Provider’s plan of care for the patient
Works closely with patients to support patients in achieving their health goals
Provides support to patients related to self-management of chronic conditions
Addresses barriers to medication adherence with patient
Provides support and addresses needs related to Social Determinants of Health (SDOH)
Reinforces importance of regular follow-up visits with the PCP
Coordinates care with other providers involved in the patient’s care
Identifies relevant Herself Health and community resources and facilitates program, network, and community referrals
Documents patient encounters in the electronic medical record system

Qualifications and Skills:

2+ years of experience supporting patients in a chronic condition management program
Experience engaging with patients telephonically
LCSW Certification required, or similar certification
Must be able to obtain a Social Worker license in the state of Minnesota
Knowledge of available community resources and programs
Excellent verbal and written communication skills
Proficient in the use of web-based technology and Microsoft Office applications such as Word, Excel, and PowerPoint 
Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable
Requires reliable internet and a home office set up conducive to discussions of sensitive health information

Preferred Qualifications and Skills:

CCM - Certified Case Manager 
Prior experience in a value-based care organization
Prior experience in a start-up environment

We support Equal Employment Opportunities (EEO). We are committed to an inclusive workplace. We do not discriminate on the basis of race, religion, color, national origin, gender identity or expression, age, marital status, veteran status, disability status, parental status, political affiliation, or any other status protected by federal, state, or local laws.

All employees of Herself Health are expected to fully understand abide by the practices compliance policies and procedures. Employees are provided training upon hire and annually and regularly notified of changes as needed. It is an expectation that all employees will report any suspected violations of any federal or state laws to their direct supervisor, Human Resources, or the Compliance Officer.