• Social Worker

    Job ID
    Employment Type
    Full Time
    Social Work Services
    Hours / Pay Period
    Dignity Health Management Services Organization
    Standard Hours
    Monday - Friday (8:00 AM -5:00 PM)
    Work Schedule
    8 Hour
  • Overview

    The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

    What We Offer


    Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.


    • This position will report to the:  Clinical Manager
    • Percentage Travel Required/Frequency: 10%
    • FLSA Status: Non-Exempt
    • Remote Worker: Non-eligible


    What You’ll be Responsible For in this Role – Your Contribution & Career Journey


    Arizona Care Network (ACN) is a clinically integrated physician network and is a Dignity Health and Abrazo Health (Tenet) physician collaboration. The Social Worker is an employee ofDignity Health Managed Services Organization, a physician support organization owned by Dignity Health. 

    The Social Worker will work at the height of their professional licensure to participate in the implementation of integrated health services and behavioral health-based care coordination services. The Social Worker is a key liaison between the primary care team and behavioral health team, and will work very closely with the medical providers, behavioral health counselors, care coordinators, and patients to meet the patient’s multiple clinical and non-clinical health needs through a strength-based model.  The Social Worker will be working in the community, medical offices, skilled nursing facilities, hospitals and the ACN Command Center.


    What We’re Looking For

    • Maintains a thorough knowledge of social work principles and practices, including case management, , and treatment modalities for mental illness.
    • Performs intake, mental health screening, assessments for clients and creates strength-based patient care coordination plans with multi-disciplinary team members.
    • Documents in the clinical record, comprehensive assessment of patient needs including barriers to timely treatment, clinical interventions, support and appropriate community resources.
    • Provides clinical oversight to ensure provision of all covered services identified on the service plan; referrals to community resources as appropriate; and continuity of care between inpatient and outpatient settings; services and supports, as applicable;
    • Initiates individual plans of care which assist patients and families to cope and/or restore social, emotional, financial and environmental factors which affect and/or are affected by illness.
    • Assists patients to receive mental health services, health education and direct
    • counseling services.
    • Refers participants and their families to appropriate community agencies or
    • facilities; acts as liaison with such organizations and advocates for patients
    • and/or their families.
    • Performs ongoing case management, which may include interacting with police, psychiatric services, and other community agencies and staff.
    • Identifies medical aspects of anticipated care needs, determining when and if a Registered Nurse, Pharmacist, Diabetic Educator or Primary Care Physician is needed.
    • Ensures the development and implementation of transition, discharge and aftercare plans prior to discontinuation of behavioral health services.
    • Prepares complete and concise written materials, reports, and documentation.
    • Assists patients in achieving compliance and improving adherence to plan of care, notifying primary care physician of issues.
    • Actively participates in internal quality improvement teams and work with members
    • proactively to drive quality improvement initiatives in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards, when assigned.
    • Notifies supervisor of crisis situations, unusual incidents, and/or on-going problems within appropriate timelines, including reports to outside agencies, as appropriate.
    • At all times demonstrates cooperative behavior with supervisors, subordinates, colleagues, clients and the community.
    • Perform other duties as assigned by Supervisor.


    Minimum Qualifications:

    • Masters Degree in Social Work

    • Minimum 3 years experience performing social work; preferably in ambulatory setting/ bilingual a plus 
    • LMSW or LCSW from the AZ Board of Behavioral Health
    • Clinical training in a medical or clinical environment. Chronic disease management training. Knowledge of evidence-based clinical practice guidelines.
    • Proficient in electronic clinical documentation.



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