Social Worker - Ambulatory Outpatient Services

Join Cleveland Clinic’s Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world class and caregivers are family. Here, you will work alongside a passionate and dedicated team, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.

As a Social Worker, you will help patients, families, and groups achieve better health outcomes by identifying and removing barriers that limit their ability to access and use healthcare resources effectively. In this role, you will plan and implement interventions grounded in care coordination, population health principles, and patient-centered medical home philosophies, ensuring that each individual receives comprehensive, compassionate support tailored to their unique needs. 

A caregiver in this position works Mon-Fri, 8:00am—4:30pm. Hybrid role: currently 3 days onsite /2 days remote. No holiday, weekend or on-call requirements. 

A caregiver who excels in this role will:  

• Assist patients, families and groups in achieving improved health outcomes by reducing or removing obstacles that interfere with ability to use health resources effectively.  

• Plan interventions based on care coordination, population health and patient-centered medical home philosophies. 

• Assess psychosocial risk factors of patient, family, community or population related to level of functioning, appropriate and adequate support systems, ability to cope with adversity and reaction to illness. 

• Develop plans of care for patients or populations based on current situation and assess needs of the patient, caregiver and community or the population to be served. 

• Participate in care coordination and transition management as patients and populations move across the healthcare continuum. 

• Collaborate with post-acute providers to meet the needs of complex patients between ambulatory care visits.  

• Obtain social work or case management certification within one year of eligibility. 

• Other duties as assigned. 

Minimum qualifications for the ideal future caregiver include:  

• Master’s Degree in Social Work (MSW)  

• Current state licensure as a Social Worker 

• *Eligible licensure includes LSW, LISW, LISW-S or PC. Social Work or Case Management certification (CCM) within one year of eligibility 

• Basic Life Support (BLS) certification through American Heart Association (AHA) or American Red Cross 

• Experience in ambulatory care, hospital patient care or related field 

• Knowledge of community resources and ability to coordinate care across transition points in the healthcare continuum 

• Excellent communication skills-verbal and written-to work collaboratively with multidisciplinary teams and post-acute providers for optimal patient or population outcomes 

• May require periods of standing, sitting and the ability to walk to various locations throughout the campus and enterprise as well as community settings for care planning and to attend meetings.
• Requires good visual and hearing acuity through normal corrected means.
• Requires manual dexterity to document in EHR and work with office equipment and other technology as required.

• None required

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/

Please review the Equal Employment Opportunity poster. 

Cleveland Clinic is pleased to be an equal employment opportunity employer.