Social Worker Care Coordinator – Population Health

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🌽 Illinois, Kentucky, +1 more states – Remote

🌽 Illinois – Remote 🐎 Kentucky – Remote 🏈 Ohio – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

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Bon Secours

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🤝 Non-profit

Healthcare • Non-profit

Bon Secours is a mission-driven, not-for-profit health care organization that emphasizes compassionate, community-focused clinical care and support services. The organization recruits and trains staff for bedside care, patient support, community service, and administration, and highlights workforce development, flexible benefits, and a culture centered on dignity, unity, and service. Bon Secours presents itself as a faith-based/ministry-oriented health system focused on serving patients and communities with an emphasis on employee growth and total rewards.

📋 Description

• Provide clinical care management services to eligible patients to coordinate care, improve health outcomes and self-care abilities, and reduce unnecessary costs • Work with the Ambulatory Care Manager and Care Coordinator as part of the Interdisciplinary Team • Perform comprehensive needs, situational, and family assessments, identifying social determinants and barriers to care • Identify, enroll, and manage patients in Complex Case Management programs • Develop, implement, periodically review, and update patient-centered care plans • Collaborate with ACMs, PCPs, specialists, and hospitalists • Conduct patient outreach and document communications in the electronic medical record • Identify, execute, and track referrals to healthcare and community resources • Provide resource management to improve care, patient experience, and utilization • Assist patients with advanced care planning and Advanced Directives • Coordinate services for disabled status and facilitate post-acute rehabilitation or long-term care placement • Advocate for patients’ physical and socioeconomic needs and connect them with appropriate community resources • Maintain a patient caseload according to department policies

🎯 Requirements

• Bachelor’s Degree required • Master’s Degree or licensure as required by state of practice • 2–3 years of acute care, home health, or case management experience • Excellent interpersonal communication and negotiation skills • Strong analytical, data management, and computer skills • Basic knowledge of healthcare and health education across the lifespan in a practice health setting • Ability to work with individuals, groups, and families • Familiarity with community resources • Flexibility to work non-traditional hours • Ability to work in a team setting • Personal computer skills • Experience with database entry and EMR documentation • Basic Excel skills • Highly organized and detail oriented • Ability to accept responsibility and follow through on projects and activities

🏖️ Benefits

• Competitive pay • Incentives • Referral bonuses • 403(b) with employer contributions (when eligible) • Medical, dental, vision, and prescription coverage • HSA/FSA options • Life insurance • 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 • Continuing education support