The Social Complex Care Manager, SW, is a Community Social Worker that works closely with the PCP, Medical Specialists and other members of the Complex Care team such as Post Hospital Care Coordinators, Post Hospital Care Manager, Hospital Care Managers, and Intensive Community Case Managers. The incumbent in this role is responsible for providing psychosocial assessment, social case work and linkage to community resources for complex patients who have chronic, life threatening or altering diseases and disorders and may be at high risk for hospitalization.