JobsAdvocate Health

Social Worker Ambulatory Care Management

Advocate Health · Oak Brook, IL

Posted Sep 15, 2026 · We last checked this listing on Sep 20, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

Behavioral

Tell me about a time you had to coordinate a discharge or care plan with multiple people on the health care team who did not agree on the best approach.

ability to lead interdisciplinary coordination and manage conflict without authority over other team members

Describe a situation where you had to step in for crisis intervention. What did you do first and how did you know the person was stabilized enough to move forward?

real experience handling acute psychosocial crises safely and calmly

Tell me about a disagreement you had with a colleague over the direction of a patient's care plan. How did you resolve it while staying within your professional Code of Ethics?

conflict resolution skill and grounding in professional ethical standards

Have you trained or oriented a new social worker or student? What did you focus on teaching them first?

willingness and ability to mentor and pass along institutional knowledge

Tell me about a time you advocated for a patient's wishes when the care team or family wanted to go a different direction.

commitment to patient-centered advocacy even under interpersonal pressure

Technical

Walk me through how you'd approach a psychosocial assessment for a patient in an ambulatory setting who has complex continuity of care needs but only a short visit window.

whether the candidate can apply structured social work assessment methods within the time constraints typical of outpatient care

How do you explain Advance Directives to a patient who has never heard of them and seems uncomfortable talking about end-of-life planning?

comfort and skill delivering sensitive education while respecting patient autonomy

What's your process for documenting your work so it holds up to department standards and can be understood by the next clinician who reads the chart?

discipline around documentation practices required for compliance and continuity of care

How do you decide when a patient's needs go beyond what concrete resources can fix and require a more therapeutic intervention?

clinical judgment in distinguishing between practical case management and deeper psychosocial intervention

What does supporting utilization management mean to you in an ambulatory setting, and how have you balanced hospital resource concerns with what a patient actually needs?

understanding of the dual role social workers play between patient advocacy and resource stewardship

Situational

A patient tells you they don't have stable housing and are also skipping medications because of cost. How do you prioritize and who do you bring in to help?

skill in triaging overlapping social determinants of health and knowledge of community resource referral

Tell me about a time a community agency wasn't cooperating or was slow to respond, and it was holding up a patient's care plan. What did you do?

persistence and relationship management with external partners outside the hospital's control

How would you handle a case involving an older adult and a young child in the same family, where the needs are very different in terms of age-specific care?

understanding of lifespan development principles and their application to varied patient populations

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The full job description

As published by Advocate Health.

Department: 10170 Advocate Aurora Health Corporate - WI Health Coaches Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Monday through Friday, 8AM-5PM Pay Range: $30.70 - $46.05 Major Responsibilities: • Provides social work services to individuals or groups including: screening, psychosocial assessment, discharge planning, determination of social work goals, appropriate concrete and/or therapeutic interventions and follow-up. Exercises a substantial degree of professional judgment, recognizing deviations from the usual patient/family functioning, anticipating problems and taking measures to maximize coping capabilities. • Documents activity according to department and program protocols or standards. • Implements interventions substantiated by assessment as appropriate to the needs of the patient/client system and consistent with available resources. Advocates for patient involvement in the plan of care. Initiates and coordinates interventions with the activities of other members of the health care team. Collaborates with community agencies and institutions to plan continued care and to coordinate interventions related to finances, housing, childcare, family discord and other psychosocial problems. Provides crisis intervention services. • Assists with managing utilization of hospital resources especially as related to patients with complex continuity of care needs. Supports and participates in the case management planning process to achieve desired outcomes. • Provides education to patients/families regarding Advance Directives for health care decision-making. Assists with execution of these documents as appropriate. • Communicates effectively with patients, family, other members of the health care team and community agencies and facilitates resolution of issues which could impact on continuity of care (e.g., prior-approvals, application requirements, transfer paperwork). • Establishes and maintains effective professional relationships, positively representing the social work profession throughout the organization and in the community. Promotes constructive approach to problem solving. Adheres to the professions Code of Ethics; consistently practices within a framework guided by ethical principles. • Participates in the orientation of new staff and/or education of social work students. • Participates in unit-based educational programs to enhance the understanding of psychosocial aspects of health care delivery. Works cooperatively with other professional and non-professional staff to identify and resolve problems in the service delivery systems and to improve quality of patient care. Participates in the quality improvement process as it relates to supported area. • Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards. Licensure, Registration, and/or Certification Required: • Social Worker license issued by the state in which teammate practices. Education Required: • Master's Degree in Social Work. Experience Required: • Typically requires 1 year of experience in providing social work services in a complex health care system. Knowledge, Skills & Abilities Required: • Demonstrated knowledge of social work principles and methods, and the ability to apply these in a health care setting. • Demonstrated decision making, team building, time management, customer service, and conflict resolution skills. • Excellent communication and human relation skills. • Intermediate computer skills including word processing, presentation applications and electronic mail. • Certification Addendum • Team members will maintain annual educational requirements for hospital based certifications (e.g.DNV, CARF or others). Physical Requirements and Working Conditions: • Generally exposed to a patient care environment. • May be exposed to mechanical, electrical, chemical, and radiation hazards as well as blood and body fluids; therefore, personal protective equipment must be worn as necessary. • Must sit, stand, speak, read/write, and walk throughout the workday. • Position may require travel; therefore may be exposed to road and weather hazards. • Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training • Premium pay such as shift, on call, and more based on a teammate's job • Incentive pay for select positions • Opportunity for annual increases based on performance Benefits and more • Paid Time Off programs • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability • Flexible Spending Accounts for eligible health care and dependent care expenses • Family benefits such as adoption assistance and paid parental leave • Defined contribution retirement plans with employer match and other financial wellness programs • Educational Assistance Program Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview. About Advocate Health  Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

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