Address
Form of work
SalaryPRIMARY FUNCTION
The Licensed Clinical Social Worker partners with patients and clinic staff to assess and address Social Determinants of Health and barriers to healthcare that impact a patient’s wellbeing with the goal of improving patient health outcomes. The LCSW performs complex assessment of patient needs, including suicidal and homicidal assessments, when needed. Extensive knowledge in and the ability to help patients and families access government programs and community resources is required. The LCSW provides coordination of care and case management services for patients with complex psychosocial needs and facilitates solutions to the resource needs and psychosocial and/or environmental issues of patients and families utilizing critical thinking skills. This incumbent coordinates, negotiates, procures, and facilitates the utilization of resources for patients to achieve high-quality, cost-effective outcomes. The LSCW works collaboratively with multi-disciplinary teams, internal and external to the organization.
ESSENTIAL DUTIES AND RESPONSIBILITIES
This list may not include all of the duties that may be assigned.
- Performs complex psychological and social assessments, which include barriers to coping, mental health history, cognitive development, adverse developmental events, resistance to treatment, mental health symptoms and learning and /or mental health threat, residential stability, health system impediments, social support, and vulnerability.
- Provides appropriate interventions which demonstrate knowledge and sensitivity toward cultural diversity and religion, developmental, health literacy, and educational backgrounds of the population served.
- Assists and participates in multiple facets of care coordination, including eligibility screening for various community, federal, and state programs resources available to patients. Assist patients with processing paperwork and collaborate with Economic Support Services as needed.
- Collaborates with clinical staff to develop and execute patient centered care plans and goals integrating referrals to appropriate community resources into care plan.
- Collaborates with Care Management and Coordination Team to address Social Determinants of Health needs.
- Honoring Choices Advance Care Planning Facilitator to educate and assist patients and families with the completion of documents in both individual and group classes.
- Adheres to work standards and protocols for documenting case information into Healthlink and the CRM database.
- Applies licensure and prior work experience to weekly case consultations, including sharing knowledge leading to case resolution.
- Establishes strong relationships with community behavioral health providers to facilitate referrals and continuity of care.
- Establishes collaborative relationships with clinic and site managers, and other professionals within and outside of the organization.
- Participates in community outreach, providing educational opportunities to the public and propose community outreach contacts that can enhance patient care.
- Plans short term case management of patients with complex psychosocial needs.
- Develops and provides training on patient resource services and other topics.
- Participates in organizational groups as requested.
- Participates in community groups as requested and functions as liaison to county and state programs as needed.
- Uses critical thinking skills and creative/proactive approaches to problems. Use motivational interviewing techniques to support goals and reduce barriers to achieving them.
- Tracks progress using approved data points to achieve desired outcomes within the desired timeframe.
QUALIFICATIONS
EDUCATION:
- Master’s degree in psychology, social work, counseling, human services, or other behavioral science-related degree.
EXPERIENCE:
- 2 years’ experience in health care, social service.
LICENSURE / CERTIFICATION
- Licensed Clinical Social Worker (LCSW)
KNOWLEDGE, SKILLS, AND ABILITIES
- Experience in working with a diverse population base, with complex and challenging situations required.
- Ability to appropriately handle confrontation and conflict.
- Training in organizational behavior, human relations, conflict resolution, and mental health issues
- Understanding of Trauma Informed Care and working knowledge of the impact of ACE’s and Trauma across the lifespan.
- Knowledge of local, state, and federal community resources available to patients
- Administrative experience and organizational skills
- Ability to maintain clear professional boundaries.
- Superior verbal and written communications, interviewing skills/Assessment skills including psychosocial assessment, and the ability to work with a diverse population.
- Excellent customer service skills.
- Ability to work independently and to seek consultation as necessary.
- Ability to follow organization and departmental processes and procedures.
TYPICAL WORKING CONDITIONS
- Patient-facing
- May rotate working in the office and remote/telework.
- U.S. based.
OTHER PHYSICAL REQUIREMENTS
- Vision
- Sense of sound
- Sense of touch
PERFORMANCE REQUIREMENTS
Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI (Protected Health Information) in accordance with organizational policy, Federal, State, and local regulations.
Location: Pediatric Associates · Care Management
Schedule: Full Time, Remote
