Clinical Social Worker - Westlake, OH
Posted on Apr 16, 2019 by Premier Physicians Centers
Premier Physicians is looking for a full time Clinical Social Worker.
The Clinical Social Worker collaborates with health care providers to meet identified complex and episodic medical and social needs of the patient and to promote the efficient and cost-effective delivery of health services. The Clinical Social Worker is responsible for providing developmentally appropriate clinical counseling and mental health services to patients within an integrated healthcare and wellness model.
- Initiates or accepts referrals from staff for patient needs assessment, determines eligibility for resource assistance, and makes resource referrals.
- Responsible for professional, timely, and an accurate delivery of social work services to individual patients and their families, including social assessment and referral to community resources; assures services are delivered in a courteous and professional manner.
- Provides follow up with individual patients, their families, and referral resources to insure contact has occurred and patient needs have been met within limits.
- Establishes/maintains positive, ongoing working relationships with other community agencies, physician offices.
- Establishes and maintains effective network of community resources for cross-referral of patients. Develops and maintains a current resource directory for a wide range of support services to complement and support the primary care and psychiatric care of patients.
- Make transition calls to discharged patients within the designated time frames and documenting and tracking findings. Contacts patients for transition of care or follow up care, assessing their needs, identifying gaps in care, implementing care plans, notifying physician of findings.
- Works closely with physicians, nurses and other medical staff to communicate a patient's needs and concerns. Communicates with the patients and hospital discharge staff to assure a clear understanding of any treatment, care or equipment they will be utilizing upon release.
- Provide regularly scheduled collaborative care team meetings.
- Provides individual, group, family and crisis counseling.
- Recommend any treatment adjustments through the case review process.
- Resolves any clinical, organizational or financial barriers possible to ensure the best quality care for the patient. Assures patient's services are covered by their insurance or other means of payment.
- Reviews patient charts and medication lists and educating patients about their treatments and addresses any concerns or frustrations a patient may have about their return home. Follow up regularly with patients to assure their needs are still being met after they are discharged.
- Advise on treatment for patients who may need more intensive or more specialized mental health care.
- Be available to provide consultation to medical providers for very complex patients or challenging patient situations.
- Development and delivery of in-service training for primary care-based providers and staff regarding recognition and treatment of behavioral health conditions in primary care.
- Provides referrals, education and advice to patients upon their release and in an outpatient setting.
- Monitor inpatient activity for outcomes related to readmission, utilization, and quality of care.
- Consult with patient and physician about treatment options and preferences; coordinates initiation of plan of care and patient services.
- Use clinical judgment, critical thinking and problem solving techniques when assessing patients in order to promote optimum patient outcomes and decrease potentially preventable ED visits or hospital readmissions.
- Work with interdisciplinary team to formulate and implement care of patient using self-management support techniques as appropriate.
- Identify patients that may need chronic care case management services.
- Provides case management services for a diverse population of persons with chronic illness or disabilities of all types; provides social assessment, evaluates and develops plans of care based on the patient needs, with systematic proactive review and follow-up.
- Educates patients on disease processes, health maintenance, and medication management.
- Connects patients and caregivers with self-management support programs that helps them maintain wellness at home self-management and encourages patients to make health lifestyle changes.
- Provide self-management support and treatment monitoring for patients with mental health conditions.
- Utilize a positive proactive approach to function as a health advocate to engage patients.
- Identify gaps or barriers in treatment plans.
- Face to face meeting with patients if needed.
- Interact with the care team on challenging cases.
- Travel required to multiple office locations to meet with care team and patients.
- Assist as needed to ensure smooth functioning of the department.
- Master's degree in Clinical Social Work with independent license LISW or LISW-S or LCSW in the state of Ohio.
- Maintain compliance with all laws and regulations governing the practice of counseling.
- At least two years of professional experience (post-licensure) working with individuals with behavioral health, physical and behavioral disabilities, medically ill; prior behavioral health environment experience is required.
- Knowledge of DSM diagnostic criteria and treatment planning, self-management support techniques.
- Current psychotherapeutic techniques, theories, and practices sufficient to evaluate, diagnose and counsel patients.
- Utilizes specialized clinical knowledge and advance clinical skills in the areas of psychotherapy, clinical counseling, diagnostic interviews, assessments and treatment plans for patients.
- Apply knowledge of psychiatric medications and ability to evaluate responses.
- Ability to concisely document clinical findings and patient needs in an electronic medical record while navigating a multi-specialized behavioral health environment and the ability to communicate across different electronic platforms.
- Ability to work independently under general instructions, self-directed and motivated.
- Excellent verbal and written interviewing and assessment skills.
- Basic knowledge of major chronic disabling illnesses for persons of all ages, disease processes.
- Ability to effectively communicate with the disabled and elderly populations and general public, both in person and by phone.
- Ability to communicate in a collaborative, effective manner with others and to maintain good working relationships; able to establish rapport quickly with a wide range of people.
- Ability to analyze, evaluate, and implement a reasonable course of action, plan of care, based on available information.
- Demonstrate ability to work within and coordinate a care team comprised of internal team members and community-based members.
- Demonstrate the ability to handle stressful situations appropriately. Strong organizational skills and able to multitask while remaining professional, focused, composed and positive.
- Experience with Microsoft Office, proficient typing skills with the ability to navigate a Windows environment
- A personal vehicle, valid State of Ohio motor vehicle operator's license and conformity with insurance coverage limits are required.
- Positive, flexible, and solution-focused attitude
- Ability to quickly synthesize medical and psychiatric data and formulate effective and evidence based clinical recommendations
- Experience with mental health assessments, group and individual therapy and diagnosis
Please submit resume and salary requirements.
Premier Physicians is an Equal Opportunity Employer
Premier Physicians Centers