Demo

Social Work Coordinator

Neighborhood Family Practice
Cleveland, OH Full Time
POSTED ON 3/30/2026
AVAILABLE BEFORE 4/28/2026
Description

Position Overview: Describes the overall purpose of the position or why the position exists

The Social Work Coordinator provides oversight, training, workflow development, and support for Social Workers to ensure patients and their families gain access to community resources, including services for substance use, psychiatric, medical, social, perinatal resources, residential, financial, educational, and other services appropriate for the patient. The Social Work Coordinator shares responsibility for the operational integrity of Social Work services to ensure timely, high quality integrated care.

Essential Duties and Responsibilities: The following description is a general representation of the essential duties and responsibilities of the position.

  • Provide oversight of Social Workers, including training, evaluating, onboarding, and guiding on best practices.
  • Develop, monitor, and maintain efficient Social Work workflows with EMR in collaboration with Behavioral Health Leadership.
  • Assess patient needs and provide care coordination for linkage to appropriate services to enhance patient health and well-being, improve patient satisfaction, and reduce overall health care cost. Coordinate with internal sources and external community partners to ensure care coordination for appropriate services as needed.
  • Track referrals for patient compliance and assist in reducing any barriers patient may face in receiving needed services as needed.
  • Monitor adherence to care plans, evaluate effectiveness, monitor patient progress to identify successes and areas for improvement.
  • Maintain accurate and thorough documentation on patience services, in accordance with organizational standards and requirements.
  • Support with identifying, develop[ping, and maintaining new and existing community partnerships, formal and informal support systems, and community building opportunities to help patients access additional support systems.
  • Partner with Community Health Worker/HUB Coordinator, Referral Coordinator, Medical, Behavioral Health, and other internal providers to ensure continuity of patient access and referrals for resource needs. Provide consultation as requested.
  • Identify opportunities for quality improvement and provide recommendations with supporting data to Behavioral Health Leadership.
  • Support NFP’s Mission, Vision, and Values in the strategic direction of social work services, facilitate change, motivate staff, and improve processes through effective problem-solving. Maintain a working knowledge of applicable policies and procedures to ensure compliance and safeguard the delivery of quality social work services.
  • Support with managing crisis calls that come into NFP of a Behavioral Health clinical nature as needed.
  • Other duties as assigned.

Qualifications

Education, Licensure, Experience:

  • Master’s Degree in Social Work required
  • Current, Active, and Unsretricted Social Work License (LSW) in the State of Ohio required. Independent licensure (LISW, LISW-S) preferred.
  • Current BLS/CPR certification
  • 3-5 years work experience in Social Work, Care Coordination, Case Management, or similar professional role required.

Knowledge And Skills

  • Knowledgeable of community resources and social services landscape in the Greater Cleveland area. Experience coordinating with external community partners to meet patient needs.
  • Computer proficiency in Microsoft Office Suite, EPIC EMR/EHR, database management systems.
  • Able to communicate effectively with the appropriate level of cultural sensitivity.
  • Able to effectively manage a patient population with diverse needs and acuity.
  • Ability to speak a relevant language other than English fluently preferred.

Essential Physical Demands And Working Environment

  • Able to communicate effectively, in writing and orally, including through the use of electronic communication devices.
  • Primarily office work environment, but able to be flexible with changing patient and work environment needs.
  • Able to sit, stand, walk, and stoop for extended periods of time.
  • Occasional lifting of up to 25 lbs.
  • Willingness to travel locally and between sites. Active Driver’s License and Automobile Insurance preferred.

The physical demands and work environment described above represent those that an employee must meet to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.

Salary.com Estimation for Social Work Coordinator in Cleveland, OH
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