Social Work Coordinator
Cardiovascular Associates of AmericaOrlando, FL
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Overview
Schedule
Full-time
Education
Social Work (LSW, LMSW, LICSW)
Career level
Senior-level
Remote
Remote
Job Description
ABOUT:Novocardia, a division of CVAUSA, is on a mission to revolutionize cardiovascular care and empower clinicians across the United States to consistently deliver high-quality, prevention-focused, value-based, patient-centered care. Chronic disease is the dominant cause of avoidable healthcare spending and death in the United States and worldwide. Fortunately, much of this disease burden and associated spending is potentially avoidable through delivery of more proactive, prevention-focused care. We are deeply passionate about improving care quality, and providing more Americans with access to great, evidence-based chronic disease care.Wearelookingforhighintegrity,mission-orientedpeoplewhoarepassionateaboutimprovingthequalityand value of chronic disease in America, excited to join a dynamic, rapidly growing, and diverse team.
Position Summary
The Social Work Coordinator plays a critical role in supporting Novocardia’s remote, multidisciplinary care team by addressing patients’ psychosocial needs and social determinants of health (SDOH) that require intervention. This role partners closely with Registered Nurses and Medical Assistants to ensure non-clinical barriers to care are identified, addressed, and integrated into the patient’s overall care plan.The Social Work Coordinator is responsible for responsible for overseeing and coordinating social services for individuals in need. This role involves assessing client needs, developing service plans, and connecting clients with appropriate resources and support systems. This role ensures timely documentation, closed-loop referrals, and alignment with program workflows, quality standards, and accreditation requirements.
Job Responsibilities
SDOH Assessment & Patient Support
- Assess the needs of patients through motivational interviewing and SDOH assessments to determine the appropriate resources to impact care outcomes.
- Meet withpatients todiscussidentified social,emotional, environmental, financial,and behavioral health needs.
- Develop andimplement personalized care plans for clients, coordinating with other professional resources and agencies as needed.
- Educate clients and their families about available resources and services
- Evaluate the effectiveness of service plans and adjust as needed
- Conduct follow-up visits and reassessments to ensure client needs are being met
Care Coordination & Resource Referral
- Coordinate referrals to internal and external community resources, including behavioral health services, financial assistance, transportation, housing support, food access, and social services.
- Maintainaworkingknowledgeoflocal,regional,andnationalresourcesavailabletopatients.
- Ensureclosed-loopreferralprocesses,confirmingpatientsareconnectedtoappropriateservices.
- Collaboratewith clinicalteam members tointegrate socialinterventionsintothe patient’s care plan.
Advance Care Planning & Patient Education
- Facilitate conversations related to advance care planning, including advanced directives, healthcare proxies, and goals of care.
- Ensure documentation of advance care planning discussions aligns with clinical workflows and organizational standards.
Documentation, Quality & Compliance
- Maintain accurate, timely documentation of assessments,interventions, referrals,and patient interactions in the EHR and care management platforms.
- Ensure documentation andworkflows align with organizationalpolicies,quality standards, and accreditation requirements.
- Supportaudits,reporting,andcontinuousqualityimprovementinitiativesrelatedtocarecoordination and SDOH interventions.
Qualifications
- Bachelor’s degree in Social Work (BSW) required
- Active social work license
- Minimumof2–5yearsofexperienceinhealthcare,caremanagement,carecoordination,or community-based social work.
- Experience addressing SDOH in chronic care, value-based care, or population health settings preferred.
Skills & Competencies
- Strong assessment, counseling, and communication skills.
- Comfort conducting advance directive and goals-of-care discussions with patients and families.
- Knowledge of community resources, benefits, and social service systems.
- Abilitytoworkcollaborativelywithinaremote,multidisciplinarycareteam.
- Strongorganizationalskillswiththeabilitytomanagemultiplepatientneedsandfollow-upactivities.
- Proficiency with EHRs, care management platforms, and Microsoft Office tools.
- Abilitytomaintainprofessionalism,confidentiality,andempathyinsensitivesituations.
This is Full-time Remote PositionBased in Orlando, Florida
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FAQs About Social Work Coordinator Jobs at Cardiovascular Associates of America
What is the work location for this position at Cardiovascular Associates of America?
This job at Cardiovascular Associates of America is located in Orlando, FL, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Cardiovascular Associates of America?
Employer has not shared pay details for this role.
What employment applies to this position at Cardiovascular Associates of America?
Cardiovascular Associates of America lists this role as a Full-time position.
What experience level is required for this role at Cardiovascular Associates of America?
Cardiovascular Associates of America is looking for a candidate with "Senior-level" experience level.
Does Cardiovascular Associates of America allow remote work for this role?
Yes, this position at Cardiovascular Associates of America supports remote work, giving candidates the flexibility to work outside the primary office location.
What education level is required for this job?
The education requirement for this position is Social Work (LSW, LMSW, LICSW). Candidates with relevant qualifications or equivalent experience may also be considered.
What is the process to apply for this position at Cardiovascular Associates of America?
You can apply for this role at Cardiovascular Associates of America either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.