Msw-Social Worker Jobs

Our MSWs are part of a team that provides compassionate care to the frailest elderly who have chronic and acute illnesses or injuries living in their homes. Our MSW delivers primary, urgent and acute care and counseling to a wide variety of patients with social and behavioral problems. The MSW will be accountable for caring for patients, connecting patients and their families to support services, maintaining accurate and current patient records and scheduling and administering initial, urgent, and follow-up appointments to patients as required. The successful candidate will work as a team with our physicians, advanced practice clinicians, and care team coordinator will assist in delivering quality care to every patient. We offer a positive, upbeat work environment where all medical personnel work together for the good of the patient.

• Practices the WellBe mission To help our patients lead healthier, meaningful lives by delivering the most Complete Care.
• Consistently meets or exceeds WellBe targets for productivity, customer service, quality assessment, and performance targets.
• Provide community resource coordination for patient requests and psychosocial problems.
• Participates in program and policy development of the WellBe Social Work program.
• Document assessment and patient encounters following WellBe standards and best practices.
• Builds rapport with patients and their families and relay all concerns to WellBe provider/IDT
• Utilize internally approved computer systems to identify internal and external resources.
• Telephonic outreach to patients and providers requesting assistance with community resources and social determinant of health needs.
• Develop and organize WellBe community resource directory.
• Coordinates with other healthcare providers, agencies and community resources in order to create a thorough treatment plan addressing social, cultural, and financial needs
• Develop plan of care responding to patient requests and assessment outcomes.
• Complies with safety policies and procedures, identifying and immediately reporting any potential or actual unsafe acts or conditions to their supervisor/team. Takes necessary measures to ensure a safe environment for oneself, co-workers, contractors, participants, visitors and others.
• Maintains current written progress notes and other documentation on the member Medical Record including signed and dated documentation for all service performed the day the service is provided.
• Partner with community team to refer patients to appropriate no or low-cost community services that support health and independence such as Meals On Wheels (MOW), local Area Agencies on Aging (AAA), Senior & Assistance Programs, and transportation resources.
• Involves the patients’ families and primary caregiver(s) as needed to achieve the best care decisions and outcomes.
• Collaborates with the interdisciplinary team and participate in regularly scheduled team meetings
• Other tasks needed to accomplish team’s objectives/goals
• Ensures compliance with regulatory agencies and WellBe clinical guidelines
• Effectively collaborates with all those involved in the members’ care, including health services contractors (i.e., Home Health, Hospice, Community Agencies), to meet the patients’ care goals.
• Understands the importance of community involvement and participates as appropriate in activities that link WellBe to its communities.
• Collaborate efforts with multidisciplinary team to identify and respond to patient psychosocial needs.

Educational/ Experience Requirements

• Master’s Degree in Social Work
• Two years social work experience, preferably in health care, and minimum one-year experience working with a frail/elderly population.

License, Certification, Registration

• MSW required

Required Skills and Abilities

• Ability to leverage internal and external resources as part of a patient’s treatment plan
• Strong computer skills, including Word, Excel, and Powerpoint
• Ability to work effectively in a team environment.
• Bilingual in English/Spanish preferred.
• Experience writing assessments and reports to monitor client progress
• Ability to provide after-hours services as needed
• Ability to make psychosocial assessments and develop and implement viable care plans
• Ability to empathize with clients
• Age specific competency in working with the elderly and knowledge of community services for the elderly and their families.
• Must be familiar with EHR medical documentation
• Strong verbal, written, presentation, and interpersonal communication skills
• Valid driver’s license, have access to a car and willingness to drive to patient homes/patient location as well as an active auto insurance policy
• Knowledge of social work principles and practices, including case management and counseling techniques.

Supervisory Responsibility This position will have supervisory responsibility.

Travel requirements Travel may be required up to 80% locally.

Work Conditions Ability to lift up to 20lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 100lbs. Ability to stand for extended periods.

Ability to drive to patient locations (ie. home, hospital, SNF, etc). Fine motor skills/Visual acuity

The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this

Our LCSWs are part of a team that provides compassionate care to the frailest elderly who have chronic and acute illnesses or injuries living in their homes. Our LCSW delivers primary, urgent and acute care and counseling to a wide variety of patients with social and behavioral problems. The LCSW will be accountable for caring for patients, connecting patients and their families to support services, maintaining accurate and current patient records and scheduling and administering initial, urgent, and follow-up appointments to patients as required. The successful candidate will work as a team with our physicians, advanced practice clinicians, and care team coordinator will assist in delivering quality care to every patient. We offer a positive, upbeat work environment where all medical personnel work together for the good of the patient.

Skills & Competencies

• Builds rapport with patients and their families and relay all concerns to WellBe provider/IDT
• Practices the WellBe mission To help our patients lead healthier, meaningful lives by delivering the most Complete Care.
• Participates in program and policy development of the WellBe Social Work program.
• Work closely with Behavioral Health Medical Director to manage complex patient cases and transitions of care
• Performs psychosocial assessments and provides therapeutic services to patients and their families.
• Understands the importance of community involvement and participates as appropriate in activities that link WellBe to its communities.
• Assists members to effectively utilize available resources to meet their personal health goals and help them develop their own capabilities.
• Coordinates with other healthcare providers, agencies and community resources in order to create a thorough treatment plan addressing social, cultural, and financial needs
• Monitors patient progress and adjusts patient treatment plan as needed
• Partner with community team to refer patients to appropriate no or low-cost community services that support health and independence such as Meals On Wheels (MOW), local Area Agencies on Aging (AAA), Senior & Assistance Programs, and transportation resources.
• Manages complex behavioral and psychosocial needs that result in improved clinical and financial outcomes
• Other tasks needed to accomplish team’s objectives/goals
• A resource for the WellBe communities in managing complex Behavioral Health cases.
• Complies with safety policies and procedures, identifying and immediately reporting any potential or actual unsafe acts or conditions to their supervisor/team. Takes necessary measures to ensure a safe environment for oneself, co-workers, contractors, participants, visitors and others.
• Maintains constant communication with patients when addressing their concerns and goals and helping them keep positive attitudes
• Maintains current written progress notes and other documentation on the member Medical Record including signed and dated documentation for all service performed the day the service is provided.
• Following a thorough assessment completed by an Advanced Practice Clinician (APC), the WellBe social worker partners
• Involves the patients’ families and primary caregiver(s) as needed to achieve the best care decisions and outcomes.
• Consistently meets or exceeds WellBe targets for productivity, customer service, quality assessment, and performance targets.
• Consults with and advises the Clinical Team regarding the relationship of social, emotional, and cultural factors to health and medical care, and to the availability of social services in the community.
• Collaborates with the interdisciplinary team and participate in regularly scheduled team meetings
• Effectively collaborates with all those involved in the members’ care, including health services contractors (i.e., Home Health, Hospice, Community Agencies), to meet the patients’ care goals.
• Ensures compliance with regulatory agencies and WellBe clinical guidelines

Qualifications

Educational/ Experience Requirements

• Two years social work experience, preferably in health care, and minimum one-year experience working with a frail/elderly population.
• 5+ years clinical social work experience with the geriatric population
• Master’s Degree in Social Work

License, Certification, Registration

• LCSW Licensure required

Required Skills and Abilities

• Knowledge of social work principles and practices, including case management and counseling techniques.
• Experience writing assessments and reports to monitor client progress
• Ability to leverage internal and external resources as part of a patient’s treatment plan
• Age specific competency in working with the elderly and knowledge of community services for the elderly and their families.
• Strong computer skills, including Word, Excel, and Powerpoint
• Ability to empathize with clients
• Strong verbal, written, presentation, and interpersonal communication skills
• Current unrestricted LCSW license in applicable state(s) required.
• Valid driver’s license, have access to a car and willingness to drive to patient homes/patient location as well as an active auto insurance policy
• Bilingual in English/Spanish preferred.
• Ability to make psychosocial assessments and develop and implement viable care plans
• Ability to work effectively in a team environment.
• Ability to provide after-hours services as needed
• Must be familiar with EHR medical documentation

Supervisory Responsibility This position will have supervisory responsibility.

Travel requirements Travel may be required up to 80% locally.

Work Conditions Ability to lift up to 20lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 100lbs. Ability to stand for extended periods.

Ability to drive to patient locations (ie. home, hospital, SNF, etc). Fine motor skills/Visual acuity

The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role