Social Work Coordinator

Social Work Coordinator

Company:
Archwell Health

Location:

Phoenix Market

Arch Well Health™ is a national company devoted to improving the lives of older adults by providing an advanced level of value-based care. Arch Well Health delivers best-in-class care at comfortable, accessible neighborhood centers where seniors can feel at home and become part of a vibrant, wellness-focused community.

Arch Well Health members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities.

The Social Work Coordinator supports the social, emotional, and practical needs of Arch Well Health members by connecting them with community resources, assisting with social service needs, and helping reduce barriers that impact health and well-being.

Working closely with Social Workers (LMSW/LCSW), providers, and interdisciplinary care teams, this role assists members with navigating community resources, accessing benefits and support services, completing necessary forms and applications, and addressing Social Determinants of Health (SDOH). The Social Work Coordinator serves as a compassionate resource for members while helping facilitate care transitions, outreach efforts, and member education initiatives.

The ideal candidate is highly empathetic, organized, resourceful, and passionate about helping seniors maintain independence and improve quality of life.

• Conduct outreach calls to members to assess needs and provide support related to Social Determinants of Health (SDOH).
• Connect members with community-based resources and services including food assistance, housing support, transportation, utility assistance, caregiver resources, and other social services.
• Assist Social Workers (LMSW/LCSW) with care coordination activities, discharge planning, and higher levels of care placement support.
• Help members navigate managed care plans, available benefits, and community support programs.
• Serve as a resource guide for members and families seeking assistance with social, financial, or environmental challenges.
• Facilitate referrals to community organizations, healthcare providers, government agencies, and social service programs.
• Assist members with completing forms and documentation such as handicap parking placards, housing-related provider letters, emotional support animal requests, and similar applications.
• Support members in accessing services that promote independence, safety, and overall well-being.
• Collaborate with providers, social workers, care teams, and community partners to address member needs.
• Assist with workshops and educational programs focused on Social Determinants of Health, Advanced Care Planning, and other member support topics.
• Maintain accurate and timely documentation in the electronic medical record (EMR) system.
• Adhere to HIPAA guidelines and maintain confidentiality of protected health information (PHI).
• Participate in interdisciplinary team meetings and contribute to member care planning discussions.

• Knowledge of community resources, social services programs, and Social Determinants of Health.
• Strong interpersonal communication skills with exceptional active listening abilities.
• Highly empathetic, compassionate, non-judgmental, and member-focused.
• Ability to build trust and rapport with seniors, caregivers, and community partners.
• Strong organizational and follow-up skills with attention to detail.
• Ability to navigate multiple priorities while maintaining excellent customer service.
• Experience working collaboratively within an interdisciplinary team environment.
• Strong problem-solving skills and ability to identify practical solutions for member needs.
• Ability to communicate effectively with members, families, providers, community organizations, and internal teams.
• Proficient computer skills including Microsoft Office and electronic medical record systems.
• Understanding of healthcare, insurance benefits, and managed care programs preferred.
• Fluency in Spanish or other languages spoken within the communities served is preferred, when applicable.

• High School Diploma or GED required.
• Bachelors or Masters degree in Social Work or related field preferred.
• Minimum of 1 year of experience in clinical administrative support, social services, care coordination support, community outreach, healthcare administration, or a related role.
• Experience supporting…