Posting Note: Lead Social Services Care Coordinator – Phoenix Children's Care Network (PCCN)

Join our team as a Lead Social Services Care Coordinator!

Are you an experienced pediatric social worker looking for an opportunity to make a meaningful impact in a leadership role—without providing traditional face-to-face patient care? Phoenix Children's Care Network (PCCN) is seeking a collaborative, resourceful leader to support patients, families, and care teams through comprehensive care coordination and community resource navigation.

This fully remote position combines advanced care coordination with leadership responsibilities. As the Lead Social Services Care Coordinator, you will manage a reduced caseload of complex, high-risk cases while serving as the clinical resource and subject matter expert for the Integrated Care Coordination (ICC) social services team.

What You'll Do

In this role, you will:

Coordinate care for pediatric patients with complex social, behavioral, and community resource needs.
Identify and address gaps in care related to mental health, social determinants of health, community resources, and school systems.
Connect patients and families with community, state, and educational resources, including DDD, ALTCS, AzEIP, child welfare, and school-based services.
Lead care coordination for specialized and high-risk cases while serving as a strong advocate for patients and families.
Provide education, guidance, and consultation to Social Services Care Coordinators and the Integrated Care Coordination team.
Build collaborative relationships with physicians, providers, community agencies, state programs, and external partners.
Participate in Child & Family Team (CFT) meetings, Joint Operations Committee (JOC) meetings, network meetings, and quality initiatives.
Complete quality audits, maintain role-specific job aids, support annual team reviews, and partner with leadership on program initiatives and quality improvement efforts.
Stay current on pediatric care management best practices and evolving community resources.

Please Note: This is not a traditional hospital-based social work position. Care coordination is conducted primarily through virtual and telephonic communication rather than routine face-to-face patient interactions. Candidates who enjoy care coordination, systems navigation, collaboration, leadership, and helping families access resources will thrive in this role.

Schedule

Full-time
Fully Remote
Monday–Friday, 8:00 a.m.–5:00 p.m. (Arizona Time)

Required Qualifications

Certifications
Current Arizona Licensed Master Social Worker (LMSW) issued by the Arizona Board of Behavioral Health Examiners, or ability to obtain licensure by start date.

Education
Master's Degree in Social Work from an accredited institution.

Experience
Minimum of 4 years of experience with PCCN or 5 years of pediatric social work experience.

Experience working with:
Division of Developmental Disabilities (DDD)
Arizona Long Term Care System (ALTCS)
Arizona Early Intervention Program (AzEIP)
IEP and 504 educational planning
Child Welfare services

Preferred Skills

Strong time management and organizational skills.
Experience communicating with patients, providers, and payers by telephone.
Knowledge of mental and behavioral health terminology and care coordination practices.
Advanced knowledge of state and community program eligibility requirements and application processes.
Strong critical thinking, collaboration, and relationship-building skills.
Ability to serve as a clinical resource and mentor within a multidisciplinary care coordination team.

If you're passionate about improving outcomes for pediatric patients and families through collaboration, advocacy, and innovative care coordination, we encourage you to apply and become part of the Phoenix Children's Care Network team.

Care coordination is the deliberate organization of patient care activities to facilitate the appropriate delivery of health care services. The lead position excels in promptly recognizing deficiencies in care across the spectrum of mental health, community resources, social determinants of health, and school systems. Subsequently, they offer education, assistance, and direction to all involved parties to address these gaps in care. The lead role establishes strong patient and family engagement within specific populations by employing effective outreach strategies. . They serve as a strong patient advocate, to include resolving patient and family concerns, complaints, or disputes. This position takes lead on identified cases that are complex, specialized, or high-risk. The lead works closely with internal leadership on program initiatives, quality measures, and other programmatic decisions. This role frequently partners with external providers, community agencies, state programs, and community resources to build positive, symbiotic relationships. The lead acts as a clinical resource for the Integrated Care Coordination (ICC) team and completes quality audits for the social service team. This role manages role specific job aids and participates in annual reviews for the social service team. This role represents ICC at JOC’s, network, and quality meetings, and stays abreast of the latest developments in pediatric care management

• Care Management Activities
  
  a) Achieves a consistent and high level of successful patient/family engagement.
  b) Has the ability to quickly identify family’s needs related to social services.
  c) Is a strong patient advocate and has the ability to resolve or escalate patient/family concerns appropriately.
  d) Takes lead on identified high risk, complex, or sensitive cases.
  e) Identify and creatively problem-solves barriers that impede timely and effective access to services.
  f) Completes discharge follow-up from behavioral health ED/Hospitals for high-risk patients, ensuring all needs are met once back in the community.
  g) Facilitates referrals, orders, and scheduling based on needs.
  h) Completes prompt and effective follow-up to all stakeholders.
  i) Provide families with appropriate guidance, education, and resources. This may include, but is not limited to, community resources/programs, parent/patient education, condition education, supports, safety, coping skills, developmental milestones, school resources.
  j) Demonstrates regular unprompted initiative to improve quality of care
  k) Understands key contract measures and how ICC plays a role in success
  l) Stay abreast of latest developments in pediatric care mgmt., incorporating strategies into practices and sharing with the team and leadership
• Collaboration
  
  a) Proactively facilitate and participate in complex interdisciplinary teams such as in IEP, 504, and CFT meetings
  b) Provide professional and effective collaboration with outpatient providers, hospital staff, PCCN physicians/providers, payers, referral coordinators, community services, and other key stakeholders.
  c) Act as a key liaison to manager
  d) Effectively and efficiently coordinate internally with the SSCC’s, RN’s, CC’s
  e) Serves as SME/Role Model to Social Service and ICC teams; directing patient care coordination as needed
  f) Provides leadership to the Social Service team; including guidance, coaching, and mentorship
  g) Participates in organizational and departmental operational initiatives to improve care delivery methods.
  h) Organizes and facilitate team training, workshops, guest speakers. Participate in developing new hire training
  i) Participate with leadership in performance evaluations of social service staff
  j) Successfully coordinates and regularly meets with other Leads
• Administrative
  
  a) Able to multi-task using multiple monitors and applications such as, email, IM, text, Vocera, PCC, etc.
  b) Regularly facilitates, schedules, and attends meetings with other Social service staff, and manager.
  c) Complete Quality assurance audits for Social Service team, providing education and feedback
  d) Actively contributes to accreditation process and/or other regulatory responsibilities
  e) Meticulously maintain/Create Job Aids, manuals, reference materials to support the team
  f) Represents ICC program at JOC’s, Network presentations, and other stakeholder meetings
  g) Utilizes data analysis to generate insight into performance, outcomes, and resource utilization
• Education
  
  a) Maintains professional competency by regularly participating in a variety of educational programs and in-services. (CEU`s)
  b) Reviews relevant professional publications, participates in community-based committees related to service line responsibilities, and/or participates in professional societies to ensure ongoing awareness of current methodologies, practices and philosophies as applied to the pediatric patient population.
  c) Remains current with available community programs and networks, sharing pertinent information with the team.
• Customer Service
  
  a) Provides excellent customer service in interactions with all customers, i.e., coworkers, patients, families, health plans, physicians, etc.
  b) Provides clear and effective written and verbal communication
  c) Responds to email, text, and voicemail within 24 hours or one business day
  d) Demonstrates an appropriate sense of urgency when working to identify and meet the needs of patients and families
• Performs miscellaneous job related duties as requested.
  

To advance hope, healing and the best healthcare for children and their families

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable