Medical Social Worker Population Health- NBMC

Medical Social Worker Population Health- NBMC Full Time Job Description

At North Bay Health, our vision is to be the trusted healthcare partner of choice for the communities we serve. We are dedicated to improving the well‑being of our community by providing accessible, high‑quality care to all who need it. Every member of our team plays a vital role in delivering compassionate and effective healthcare solutions. We invite you to join us in our mission to ensure that every patient and family member feels valued, respected, and cared for throughout their healthcare journey.

The Population Health Medical Social Worker (PHMSW) is responsible for providing social services to “high‑risk” capitated populations utilizing a Population Health approach. Duties include communication and coordination with members of the inpatient/outpatient healthcare team, payers and outside agencies to assist with linking patients to appropriate services. Facilitates integration with community‑based resources and collaborates with community partners to optimize patient health. The PHMSW will be responsible for assisting patients in navigating and accessing community resources.

Documents assessment and interventions in patient’s electronic health record. The PHMSW must be able to demonstrate adherence to the system policies, procedures, quality assurance, guidelines and goals of the organization.

• Strong clinical psychosocial assessment skills.
• Excellent interpersonal and communication skills: verbal, written and listening. Ability to convey instructions, directions and information appropriately and accurately. Ability to work diplomatically with a wide variety of people.
• Able to work independently and collaboratively.
• Strong critical thinking skills- must be capable of independent judgment, and have strong clinical decision‑making skills.
• Ability to initiate and maintain positive working relationships with members of the healthcare team, and community partners.
• Ability to work effectively with diverse populations, including those with respect to age, culture, ethnicity, and gender. Understand the population/community served - community connectedness.
• Ability and willingness to provide emotional support, encouragement and motivation to patients/families.
• Ability to conceptualize clinical situations and demonstrate application of theory in case management and psychotherapeutic responsibilities.
• Excellent follow‑through skills.

• Master of Social Work degree from a school of Social Work accredited by the Council of Social Work Education.

• MSW.

Valid California driver’s license, access to an operating automobile, with automobile insurance meeting agency guidelines.

• Minimum of two years of experience in a health‑related/community‑based setting and familiar with community resources.

• Demonstrates the True North values. The True North values are a set of value‑based behaviors that are to be consistently demonstrated and role modeled by all employees that work at North Bay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence.

• $49.73 -$57.38 per hour. Based on Years of experience.

• Job Identification 3717
• Job Category Clinical Professional
• Posting Date 08/19/2025, 09:02 PM
• Job Schedule Full time
• Job Shift Day
• Locations 1245 Kensington Drive, Fairfield, CA, 94533, US