SDOH Lead- LMSW preferred

Company Overview: At Essen Health Care, we care for that! 

As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women’s health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program. 

Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today!

Position Title: SOHD Lead/ Licensed Master Social Worker preferred

Reporting to: House Calls Division (Social Determinants of Health Dept)

Job Summary: The SOHD Lead will provide in-home social work services to individuals who are managing chronic illness, recovering from surgery, or dealing with other life-limiting conditions. This role will involve collaborating with medical teams, supporting patient and family needs, and advocating for resources to improve patient outcomes and quality of life. 

This person will be responsible to perform daily social work operations in office and on the field for House Calls. Driver will be provided 

• Develop and lead an SDOH program for House Calls 

• Train and oversee Community Health Workers  

• Collaborate with physicians, nurses, and other health professionals to create a holistic care plan. 

• Connect clients with community resources such as housing assistance, healthcare services, and food programs. 

• Provide individual and family counseling to patients dealing with chronic illness, mental health issues, or the challenges of aging. 

• Offer emotional support to patients and families, addressing mental health needs and adjustment to medical conditions or lifestyle changes. 

• Provide education to clients and their caregivers on managing health conditions and navigating available support systems. 

• Participate in multidisciplinary team meetings to discuss patient progress, concerns, and adjustments to the care plan. 

• Offer insights regarding the psychosocial aspects of the patient's care, contributing to a holistic treatment approach. 

• Maintain accurate and timely documentation of patient assessments, care plans, and progress notes in compliance with organizational policies and healthcare regulations. 

• Ensure all documentation is aligned with privacy regulations (HIPAA) and other relevant guidelines. 

• Education: Master's Degree in Social Work from an accredited institution. 

• Licensure: Active Licensed Master Social Worker (LMSW) license in New York State. 

• Experience: Experience in behavioral health, social work, or related fields is often preferred.  

• 2-5 years experience managing a team 

• Skills: Strong communication and interpersonal skills, ability to work independently, and proficiency in electronic health records. 

• Transportation: Driver will be provided  

• Bilingual Abilities: Proficiency in additional languages, such as Spanish, may be preferred. 

ESSEN HEALTH CARE IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER

Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.