Job Description The Care Coordination MSW Social Worker works in collaboration with a multidisciplinary team of clinicians as part of the Care Coordination program to provide high quality, outcome-based, patient-centered care and address the social determinants of health to support safe transitions of care across the continuum for patients and families throughout Atlantic Health. Support high-cost/high-risk patients to address barriers to care and navigation challenges across the care continuum by prioritizing health and SDOH needs, addressing gaps in internal and external resources, and sustainable