Job Description
Job Description
Empowering communities through accessible, inclusive, and compassionate care.
At the Jane Pauley Community Health Center (JPCHC), every role is rooted in purpose. As a Federally Qualified Health Center (FQHC), we're committed to providing high-quality, integrated care regardless of income or insurance status. Our mission-driven team supports underserved populations in Indiana, and we're proud to create a welcoming, team-based environment where employees can grow and thrive.
Summary
Under the supervision of the Enabling Services Senior Manager, the Social Services Specialist performs a variety of care management duties designed to support patients' social, emotional, and environmental needs. This role contributes to a high-performance environment that prioritizes positive leadership, patient-centered practices, and professionalism.
Essential Duties and Responsibilities
Essential duties include, but are not limited to, the following :
Connect patients to internal and external resources, including behavioral health, education, social services, transportation, housing, food, financial support, and safety-related services. Conduct follow-up to ensure successful referrals and troubleshoot barriers.
Evaluate patient needs and develop individualized care plans tailored to emotional and social well-being.
Identify and secure available community resources to help resolve medical or social issues.
Collaborate with providers to develop care plans addressing social, emotional, economic, and environmental needs impacting patient health.
Investigate, assess, and plan interventions to support patients coping with psychosocial challenges.
Develop and maintain working relationships with community health, welfare, and social service agencies; seek creative strategies to assist clients.
Communicate frequently with patients, families, healthcare teams, and external agencies regarding referrals, care coordination, and confidential information.
Provide high-quality feedback to the Behavioral Health Team regarding patients identified for social or emotional support.
Serve as a liaison between patients and healthcare providers concerning psychosocial aspects of care.
Expand outreach and referral networks to support the development of a comprehensive service network.
Assist with the food pantry as needed.
Offer insight related to Social Determinants of Health (SDOH) and their impact on patient care.
Represent JPCHC at community meetings and outreach activities.
Participate in continuing education to maintain and enhance professional skills.
Ensure safe, timely delivery of all services.
Maintain strict HIPAA standards and uphold confidentiality of protected health information. Report critical incidents and quality-of-care concerns.
Perform other duties and special projects as assigned by the manager.
Education and / or Experience :
Bachelor's degree in social work, psychology, or a related field.
Relevant experience in the social services field may substitute for formal education.
Community Health Worker (CHW) certification preferred.
What We Offer :
Join a mission-driven organization where your work supports community wellness and expands equitable access to care. Apply now and help us continue making a difference one patient, one referral, one connection at a time.
Service Specialist • Indianapolis, IN, US