Job Description

Job Title: Social Work Case Manager (Family Health Center)
Job ID: 62089875
Status: Full-Time
Regular/Temporary: Regular
Hours: See Below
Shift: Variable
Department: 55033 ZCMS1 Shadyside FHC
Location: 5215 Centre Avenue, Pittsburgh PA 15232



The Social Work Case Manager will provide family health center patients with support and assistance in accessing resources and programs.  Assist in improving the overall physical and mental health of patients by coordinating care.  Collaborating with behavioral health and medical providers to identify complex cases.


Coordinate and facilitate patient-centered care to patients with Substance Use Disorders that are receiving Medication Assisted Treatment (MAT) in a primary care setting.  Provide social work services, including conducting bio-psycho-social assessments, crisis interventions, and short or long term treatment.  The social worker will work one-on-one with patients to address their mental health needs and be an integral member of a care team that includes a primary care physician, psychiatrist, nurses, pharmacists and community partners.  The social worker will collaborate to develop a care plan for each patient that will address their unique needs. The social work will also participate in MAT case conferences, and other team meetings as assigned, as well as assist with managing MAT patient registries to promote patient care adherence.    


This position will work Monday - Wednesday and Friday from 8:30 - 5:00 and Thursdays from 11:00 a.m. - 7:00 p.m. 


  • Assist patients in completing application for free medication programs.
  • Assisting patients with connections to community resources in the life domains:  (1) housing (2) legal (3) food (4) utilities or (5) health care services.
  • Case management of health center patients to ensure that connection with the correct provider and follow up.
  • Complete social work consults with health center patients.
  • Evaluate and initiate appropriate referrals for assistance through County, State, and Federal programs.
  • Provide information and education about health insurance, medical assistance, Medicare, and UPMC financial assistance.
  • Working with patients to complete necessary forms.
  • Collaborate effectively with the healthcare team, patients and families and relevant community resources to develop and implement and individualized plan of care.
  • Complete a psychosocial assessment that includes social, economic, cultural, age-related and behavioral factors, history of child, elder or domestic abuse, prior psychiatric or substance abuse treatment, family and social support systems and all other available resources as appropriate to the clinical situation.
  • Continue to monitor and evaluate the plan of care, options and available services to effectively meet the patient and family's needs.  Reassess the plan of care as status changes.
  • Demonstrate appropriate professional practice, maintaining respect for confidentiality and freedom of choice as outlined by the Code of Ethics by the National Association of Social Workers as well as the State Board of Social Workers, Marriage and Family Therapists and Professional Counselors.
  • Demonstrate the ability to identify, assess, counsel and effectively intervene with medically and psychosocially complex patients.
  • Demonstrates expertise in accessing social systems by providing resource-specific information to patients and families, initiating contact with appropriate resources and facilitating the patient / family's ability to accept referrals.
  • Maintain extensive knowledge of federal, state and local assistance programs and community resources that affect patient needs.
  • Provides accurate, timely and appropriate documentation of all social work interventions in the medical record per regulatory policies and procedures.


  • Master's degree in Social Work
  • One (1) year experience working or volunteering in the human services sector
  • Experience working with patients diagnosed with substance use disorders preferred.
  • Knowledge of or interest in addiction medicine and substance abuse treatment preferred.

Licensure, Certifications, and Clearances:

  • LSW or LCSW preferred
  • Act 34

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities


Salary Range: $20.67 to $33.86 / hour

Union Position: No

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