Social Worker

• Assess assigned patients’ conditions using medical diagnoses, chart reviews, personal interviews, and care-team data
• Perform psychosocial assessments and communicate findings to clinical staff
• Provide or supervise care-plan interventions, including referrals, crisis intervention, prevention, education, advocacy, bereavement, therapy, and support
• Partner with healthcare teams and involve patients and families in care-plan development and implementation
• Educate patients and families about diseases, treatments, social or financial situations, emotional stress, and other problems
• Monitor care progress toward goals and implement interventions as needed
• Conduct high-risk screening and provide crisis counseling, education, and resources regarding abuse or neglect
• Document counseling and education sessions
• Act as liaison between patients or families, clinical staff, and other agencies
• Advocate for patient concerns and escalate ethical dilemmas through appropriate channels
• Complete reports based on mandated reporting requirements
• Precept newly hired Social Worker Level I employees and BSW/MSW students when eligible
• Perform other duties as assigned

Care Management Social Worker – Part Time

• Manage care for high-risk members with chronic behavioral and health conditions
• Collaborate with members, caregivers, physicians, and the healthcare team
• Ensure timely access to necessary care, continuity across settings, shared decision-making, and connections to supportive services and community resources
• Assess assigned patients using medical diagnoses, chart reviews, personal interviews, and care-team data
• Provide social services to patients and families for an assigned medical service
• Provide or supervise plan-of-care interventions, including resource and referral assistance, crisis intervention, prevention, education, patient advocacy, bereavement, therapy, and counseling
• Involve patients and families in developing and implementing care plans
• Educate patients and families about diseases, treatments, social or financial situations, emotional stress, and other problems
• Monitor care progress toward goals and implement interventions as needed
• Conduct high-risk screening and provide crisis counseling, education, and resources regarding abuse or neglect
• Document counseling and screening sessions
• Liaise between patients/families, clinical staff, and other agencies
• Advocate for patient concerns and escalate ethical dilemmas through appropriate channels
• Complete reports based on mandated reporting requirements
• Precept newly hired staff and provide field instructor services for social work interns
• Drive performance improvement initiatives, including data collection, research, development, and continuing education programs
• Lead Care Management team meetings and interdisciplinary rounds
• Assist with assigned projects and complete the Leadership Academy as assigned
• Perform other duties as assigned