Social Worker (Livingston County - Pediatric Practice)

Rochester, NY


General Purpose:

Under the supervision of the AHP Licensed Clinical Social Work supervisor but with reasonable independence and AHP’s Clinical Manager of Child and Family Care Management, the AHP LMSW provides consultation and social work services to AHP primary care office patients and their families. Responsibilities include: Intake and clinical assessment, psychosocial assessments, referral to community resources, outreach, care coordination, brief behavioral health intervention as needed, psycho-educational support, and care management services to patients and families served by AHP community primary care practices. The LMSW collaborates with AHP practice teams, most commonly the referring physician as well as nursing staff, to assist patients who have identified social work needs. The LMSW also provides consultation to the health care providers regarding patients' care needs and/or community resources.


Clinical Assessment:

  • Performs psychosocial assessments of patients and families referred by practice providers. These patients include, but are not limited to; persons in need of complex care management in the areas of: physical health, intellectual and developmental disabilities, behavioral health, and socioeconomic and environmental risk.

Clinical Intervention:

  • Provides social work services, intervention and/or consultation for patients with problems identified through psychosocial assessments. Services may include: crisis intervention; brief behavioral health counseling; problem-solving; information and referral, care coordination, community linkage, advocacy, and supporting transitions of care.

  • Services can be provided within the pediatric practice, by phone, telehealth, or in the community at a patient’s home. Clinical intervention is provided in collaboration with a patient’s family and/or legal guardian/care provider.

  • Coordinates referrals to and acts as liaison to community agencies regarding services to individual patients and their family and does so in collaboration with additional interprofessional care team members as needed.

  • Provides internal and external systems advocacy as indicated for children and families of AHP Primary Care practices.

  • Maintains current knowledge of community resources relevant to the AHP patient population.

  • Provides appropriate risk assessment, mandated reporting in cases of suspected child maltreatment, intervention, and referral for children and adults suspected of being victims of abuse, neglect. and/or domestic violence in collaboration with the practice provider.

Compliance and Training:

  • Documents all social work activities in the patients' medical record and appropriate health information management system in accordance with the relevant Social Work Division and AHP practice policies and procedures.

  • Participates in social work supervision/consultation about his/her work in accordance with plan development with supervisor, in collaboration with pediatric practice providers, and the AHP Clinical Manager of Child and Family CM.

  • Participates in Social Work Division and AHP meetings as requested.

  • Meets with AHP administrative and care management teams as required. May support internal/family medicine or pediatric practices in meeting quality measures as defined by the shared savings contracts.

  • Participates in required activities of the URMC Social Work Division and AHP including, but not limited to, timely completion of statistical reports/forms, time reporting and other AHP or Division forms; training programs and University Health Service reviews.

  • Participates in relevant training and educational opportunities designed to enhance knowledge and skills.

  • Maintains NYS Social Work Licensure in compliance with the NYS Office of the Professions.


  • Provides social work and behavioral health consultation to other care team members regarding patient care management needs and community services.

  • Provides orientation and ongoing training to AHP care managers and providers regarding social work services and selected psychosocial problems and/or resources.

  • May provide field work instruction to BSW/MSW social work students after one year of employment and with approval from AHP and SW supervisor.

Professional Accountability, Supervision and Evaluation:


  • The social worker's professional performance is supervised by the AHP Associate Director of Child and Family Care Management or designee and the Director of AHP Care Management.


  • The LMSW is accountable administratively and clinically to his/her AHP social work supervisor and through him/her to the Director of Social Work and Patient & Family Services for the provision of social work services and adherence to Social Work and AHP policies, procedures and standards of professional conduct. The LMSW’s job performance must conform to the expectations set forth in the position description.

  • In addition, the LMSW is accountable to the AHP Director of Care Management, AHP leadership and practice site Medical Directors for providing social work services in accordance with policies and standards established by AHP.

  • The LMSW is expected to demonstrate the Strong Commitment – “I Care” values.


  • Social Work evaluations are conducted by the supervisor at the end of the first six months and first year of employment and annually thereafter. Significant feedback is provided by the Director of AHP CM, AHP leadership and providers. Salary and promotional recommendations are made by the supervisor in accordance with guidelines established by the Social Work Division, AHP and the University of Rochester.

Other Duties as Assigned


  • The social worker must have an MSW from a CSWE accredited social work program. The Social worker must obtain New York State License (LMSW) within eighteen months of employment. Candidate may have LMSW or LCSW required.

  • Valid NYS driver’s license including access to reliable transportation that enables fulfillment of position’s travel requirements required. NYS licensure within eighteen months of hire required.

  • 5 years’ experience in a clinical setting; (some ambulatory care experience preferred)


  • Excellent communication and team skills including ability to form strong collaborative interdisciplinary partnerships across care settings.

  • Sound computer knowledge and skills including an aptitude for using health information technology to guide care management activities and functions.

  • Ability to work independently and meet deadlines.

  • Creativity and strong organizational skills.

  • Knowledge of working with persons with intellectual and developmental disabilities.

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

Location: Strong Memorial Hospital
Full/Part Time: Full-Time
Opening: Full Time 40 hours Grade 053 Social Work-Peds/OB/Outreach