You will work with physicians, peers, community colleagues, and others to orchestrate care across the health care continuum, to identify opportunities to continually improve patient care and services, to improve population health, and to achieve collaborative practices that exemplify Main Line Health System's commitment to patient centered care and community engagement. As the Care Coordinator, Social Worker (CC-MSW) you will be responsible for exemplary cross continuum care coordination, inclusive of psychosocial assessments and interventions.