Landmark Health

  • Social Worker

    Job Locations US-NY-Buffalo
    Posted Date 5 days ago(1/17/2019 6:05 PM)
    Clinical Delivery Field
    Regular Full-Time
    Job ID
  • Overview

    Do you want to make a difference in healthcare?

    Landmark Health was created to transform how healthcare is delivered to the most medically vulnerable members in our community.  Our medical group provides home-based medical care to chronically ill patients, many of whom are frail, elderly and ill-equipped to navigate our overwhelming healthcare system.

    Because many of our patients are frail and elderly, we deliver care primarily in the comfort of their home. Our Program is also offered to eligible patients at no incremental financial cost to them. We are not a fee-for-service practice; we benefit economically only if we deliver high-quality patient outcomes and satisfaction. As a result, our clinical teams can spend quality-time caring for a smaller number of patients, giving all patients the space, respect, compassion and care they deserve.

    Our model is finding success throughout the country; we are now the nation’s largest risk-based, in-home medical group, with operations in six markets and four states across the country.

    At Landmark, our interdisciplinary teams collaboratively manage our complex patient panels. These teams are led by Physicians, Nurse Practitioners, and Physician Assistants, with supporting care provided by RN Nurse Care Managers, Social Workers, Pharmacists, Behavioral Health and other employed team members.


    The primary role of the Social Worker (SW) is to assist members & families/caregivers with coping with the social/emotional issues & practical arrangements related to the member’s current medical and functional status. The SW delivers functional, health status and age-appropriate care to the members, families and caregivers in accordance with policy & procedures & State/Federal regulations. The SW is a member of the Interdisciplinary Care Team providing assessments, coordination, information & referral to community resources & other social work services.


    • Completes psychosocial assessments and collaborates with members, families and caregivers to identify needs and implements plan
    • Provide psychodynamic interventions, crisis intervention, grief/bereavement counseling, problem solving, stress reduction and developing health coping strategies.
    • Identifies, facilitates and coordinates community, health care delivery system, governmental organization and other providers of services in support of member care needs
    • Provides counseling on disease acceptance and understanding
    • Responsible for contributing to the development & implementation of the member specific Plan of Care which assist members, families and caregivers in coping and/or restoring social, emotional, financial & environmental factors which have been affected by
    • Functions as part of the patient care team, attending the Interdisciplinary Care Team (ICT) meetings
    • Takes, reviews, evaluates & prioritizes written/oral referrals & maintains documentation.
    • Collaborates with internal and external resources
    • Discusses options of care proactively
    • Assist members in advocating for self
    • Position will require travelling to Latham approximately 1x per week for IDT meetings
    • Field based position - home care visits 


    • 3 years of social work experience (M.S.W. field work not included)
    • At least 2 years social work experience in a healthcare setting
    • Master’s Degree (MSW) in Social Work accredited by the Council of Social Work Education
    • Meet all state certification and licensing requirements
    • LCSW or LMFT is preferred

    Recruiter : Email


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