Job Description

Department: 11212 Wake Forest University Health Sciences - Infectious Diseases
Status: Full time
Benefits Eligible: Yes
Hours Per Week: 40
Schedule Details/Additional Information:
M-F 8a-5p
Pay Range $30.70 - $46.05
The Social Worker II plays a vital role in delivering compassionate, patient?centered care within the Ryan White HIV Care Program. This position provides comprehensive social work services, medical case management, and care coordination to individuals living with HIV and their families. Working closely with a multidisciplinary healthcare team, the Social Worker II helps patients navigate complex medical and social systems, reduce barriers to care, and achieve improved health outcomes across the continuum of care.
Essential Functions

• Identify patients who would benefit from medical case management services through initial screening and ongoing assessment.
• Conduct comprehensive biopsychosocial assessments by interviewing patients and families and evaluating clinical and social determinants of health.
• Develop, implement, and regularly reassess individualized care plans and acuity scores in accordance with Ryan White program policies and requirements.
• Provide continuous monitoring of patient progress toward treatment goals and adjust care plans as needed.
• Initiate and coordinate appropriate internal and external referrals to address medical, psychosocial, financial, and community support needs.
• Facilitate access to healthcare coverage and medications by collaborating with Patient Navigators and assisting with enrollment in the Healthcare Marketplace, HMAP, co?payment assistance, patient assistance, and 340B programs.
• Collaborate with Patient Navigators, Triage Nurses, and Disease Intervention Specialist Bridge Counselors to support patients who are lost to care and promote re?engagement using evidence?based treatment and prevention strategies.
• Advocate on behalf of patients to address unmet needs and reduce barriers to effective care.
• Participate actively in weekly multidisciplinary team meetings, clinical conferences, staff meetings, and assigned committees or task forces.
• Collaborate with the care team to develop and implement discharge plans that support patient progression through the continuum of care.
• Maintain current knowledge of federal, state, and local regulations, payer requirements, and reimbursement practices that impact patient care.
• Coordinate patient and family care conferences as needed.
• Identify barriers to efficient and effective care delivery and proactively seek strategies to resolve them.
• Complete all required HIV certification and medical case management training as mandated by the NC HIV Care Program.
• Document all assessments, interventions, and care coordination activities accurately and timely in the electronic medical record in accordance with departmental standards.
• Demonstrate professionalism, adaptability, and the ability to work effectively in a fast?paced healthcare environment with frequent interruptions.

Education and Experience

• Master's degree in Social Work (MSW) from a Council on Social Work Education (CSWE)-accredited program preferred.
• Consideration will be given to candidates with a master's degree in a health services-related field or a bachelor's degree in social work with relevant experience.
• Social work and/or medical case management experience in a healthcare setting is desirable.
• Demonstrated ability to provide age? and developmentally appropriate care and to work collaboratively within an interdisciplinary team.

Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

About Advocate Health
is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names in Illinois; in the Carolinas, Georgia and Alabama; and in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Skills Required