Social Work Care Coordinator BSW / MSW - Fortify Children's Health
Job ID: R0029631 | Allied Health Specialist | Full time | Charlottesville, VA
  • Hybrid home- and office-based position with productivity and quality expectations. Work requires access to reliable high-speed internet and a private home-office environment.
  • Work will involve intermittent travel to professional locations to meet with provider teams and/or patients and families.
  • Must reside within 90-minute commute of Fortify Children's Health location for continuing education, operations meetings, technical support.
  • Proficiency with computer skills including Microsoft Office-based programs, database navigation, EHR navigation and documentation required.
  • Work includes extended periods of sedentary activity including talking on the telephone and using the computer.

The Fortify Cares Social Work Care Coordinator utilizes the skills and knowledge base of the Bachelor's-prepared social worker to support the Licensed Care Managers, the practice-level staff, and the patients and families we serve. The Fortify Social Worker will be responsible for community resource identification and referrals to support patient and family wellness. This position requires strong organizational skills in order to multi-task and prioritize referrals, assignments, and requests. The successful candidate has a demonstrated track record of building respectful rapport and trust with patients, families, providers and community partners; completing assessments of physical and psychosocial needs; identifying appropriate healthcare and community resources; collaborating with team members. This position requires confidentiality, discretion, and collaboration.
  • Providing care that is inclusive and respectful of socioeconomic status, race, ethnicity, age, mental or physical disability, religion, gender, sexual orientation, or national origin
  • Building open, trusting, respectful relationships with diverse patients and families both remotely and in person
  • Engaging critical thinking skills to support the development of Individualized Plans of Care
  • Anticipating and responding to patient and family needs
  • Communicating effectively with diverse audiences both orally and in writing
  • Working with interdisciplinary teams to improve patient, family, and community outcomes
  • Electronically documenting care according to industry and institutional standards, including HIPAA-compliant documentation
  • Reading and implementing an Individualized Plan of Care
  • Assisting with assessments and identification of needs
  • Identifying community resources to benefit patients and families
  • Completing and following-up on referrals to community resources to optimize effective and efficient care outcomes in collaboration with other members of the multidisciplinary team
  • Communicating ongoing care needs, referrals and outcomes to interdisciplinary team members to include Fortify Cares team members as well as collaborative medical and community partners
  • Building relationships with schools and other community partners to facilitate seamless referral and care coordination
  • Engaging in continued professional education of others as to the role of social work on the Care Management team
  • In addition to the above job responsibilities, other duties may be assigned.
Position Compensation Range: $47,507.20 - $76,003.20 Annual


Education: Bachelor's prepared social worker, MSW preferred


  • 2+ years professional experience, medical social work experience preferred.
  • Experience working with children, families, community partners

Licensure: None


Job requires sitting for prolonged periods, standing/traveling or use of assistive and climbing (stairs, steps). Proficient communicative, auditory and visual skills; Attention to detail, hear, speak, see, distinguish colors, read, ability to write legibly; Ability to lift/push/pull < 20lbs. May be exposed to chemicals, blood/body fluids and infectious disease.

COVID Vaccination Requirement

Due to the scope of President Biden's Executive Order 14042 issued in early September, all University employees, including remote employees, must receive their final vaccination dose by January 4, 2022, unless they have a University-approved religious or medical exemption. The University has updated policy SEC-045 to reflect these new requirements.

If hired by the Academic Division, excluding School of Medicine, School of Nursing, UVA Physicians Group, and the Health Systems Library, you will be required to provide proof of vaccination or be willing to be vaccinated by January 4, 2022. Academic employees may apply for a University-approved medical or religious exemption.

Note: Some medical and safety-sensitive positions require vaccination and are not eligible for an exemption. For more information on how vaccination requirements will apply to you, please visit the UVA New Hire Vaccination Requirements webpage.

Charlottesville, VA
Charlottesville, VA 22903

Working here.

Magnet Recognition

UVA Health System has one of the nation’s most diverse workforces. We are a close-knit, collaborative team that values the expertise, opinions and contributions of our staff. Our proven patient-first focus drives everything we do and fuels our many accomplishments - from Magnet® designation for our nurses to national recognitions as a top hospital and employer (Magnet is a registered trademark of the American Nurses Credentialing Center).

Quality of Life

Charlottesville, Virginia is one of the nation’s most charming and picturesque places to live and work. Our area boasts many excellent restaurants, wineries and craft breweries; historic sites; Shenandoah National Park and Skyline Drive; and a great selection of homes in welcoming neighborhoods, as well as urban and rural locations. Public transportation is excellent, and you’re just a short drive from the beach or Washington, D.C.