Licensed Clinical Social Worker(LCSW)
The LCSW provides support to patients with complexhealth needs and is an integral part of our coordinated care team which includes physicians, nurse practitioners, nurses, care coordinators, Social Workers, dietitians, educators and pharmacists. The Strive LCSW must be able to work successfully both in person and remotely via telephone or videoconferencing technologies. The Strive Social Worker is responsible for addressing non-clinical barriers to care and screening for social determinants of health.
Essential Functions
- Uses theories of human behavior and environment to conduct comprehensive psychosocial assessments and provide supportive counseling tailored to individual patient need.
- Establishes themselves as an authority on the social determinants of health and psychosocial aspects of kidney care by coaching interdisciplinary market team to identify the interacting physical, social, and psychological concomitants of chronic kidney disease for patients and their families.
- Locates and maintains resources for a wide range of community services, including providers of health care, mental health, substance abuse treatment; income maintenance programs; transportation services; support groups; local, state and federal agencies; etc. Drives engagement by assisting patients/families above and beyond making a referral.
- Provides education on biopsychosocial factors to prevent disease exacerbation and progression to patients, families and market team.
- Uses motivational interviewing, patient activation measures, and behavior change techniques to drive the dynamic and interactive process of developing patient centered goals, creating care plans to achieve goals, and increase overall health literacy and patient engagement.
- Collaborates with Strive team members and external multidisciplinary treatment teams including patients' primary care, nephrology, dialysis, and transplant providers to effectively bridge, communicate, and navigate across the healthcare ecosystem.
- Educates and supports patient and family through adjustment to chronic illness and treatment as related to quality of life (Physical, sexual, and emotional relationship problems; Educational, vocational, and activity of daily living problems; Conflict resolution; Advance Care Planning and End of Life Planning) through direct patient care and virtual patient education.
- Meetin personwith internaland/orexternal stakeholders to facilitateteam and businesspriorities/opportunities.
Minimum Qualifications
- Master's degree in social work
- State specific social work licensure to practice clinically (LCSW, etc.)
- 3+ years' experience working in chronic disease management (e.g. internal medicine, renal, cardiac, pulmonary, or oncology care) or critical care setting
- Proof of passing ASWB Exam
- Business travel
- Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms
Preferred Qualifications
- Willingness to visit patients in home environment.
- Ability to develop and maintain relationships with team and partners.
- Demonstrates strong organizational skills, excellent communication, and ability to teach others.
- Practices with a value-based mindset to improve patient outcomes.
- Ability to function independently.
Annual Salary Range: $72,800.00-$88,300.00
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