Job description

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Job Description

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

• Conducts timely and appropriate assessment, diagnosis, treatment planning and treatment intervention of patients.
• Including patients who have been readmitted to the hospital within 30 days and/or are at high risk for readmission after discharge from the hospital.
• Identifies and Implement Appropriate Community Resources for the patient.
• Assess the patients for behavioral, psychosocial, financial, family issues, palliative care/end of life issues, home safety, etc. that contributed to the hospitalization and/or could contribute to future hospitalizations.
• Dialogue with general medical providers (PCPs) in order to educate them concerning behavioral health disorders and treatment options available for the patients.
• LCSWs will assist with obtaining community resources and refer patients to the appropriate outside agencies e.g., Medicaid, meals, medications, housing, etc.
• Identifies, manages and coordinates appropriate treatment planning and interventions for patients on the HPP Behavioral Health Registry.
• LCSWs will manage complex behavioral health patient issues by providing casework, utilization management and discharge planning services to promote the highest level of patient functioning as they transition back to a community setting from the hospital.
• Serves as a Behavioral Health linkage between PCPs and patients to improve coordination of services and information flow.
• Provides self-management support and ongoing phone contact with patients.
• Coordinates, reviews and maintains daily logs for reporting purposes and for weekly review.
• Maintains Communication with Other Healthcare Team Members by attending appropriate meetings.
• Provides clinical consultation in an integrated health care environment regarding behavioral health dx and needs family interactions, socio-cultural determinants and community resources.
• Timely and Accurate Documentation.
• Maintains timely, accurate, thorough and appropriate documentation/reports per JenCare policies and procedures. Assure documentation meets billing guidelines.
• Maintains LCSW State Licensure yearly requirements.

Attend behavioral health training seminars to maintain current state LCSW License.

KNOWLEDGE, SKILLS AND ABILITIES:

• Knowledge of counseling theories, therapies and techniques, as used in individual, family and group treatment, as well as principles of social welfare are required.
• Knowledge of evidence based behavioral health methods and techniques used in individual, family and group therapy as related to mental health and/or substance abuse issues in a primary care setting.
• Knowledge of normative changes (e.g., sensory, cognitive, psychosocial) associated with aging and older adulthood.
• Proficiency in assessing for behavioral health challenges in frail, high-risk older adults.
• Knowledge of advance care planning and palliative care, and related skill in addressing advance care planning with patients and/or their family systems.
• Ethical practice behavior consistent with JenCare policies and professional standards.
• Skill in communication with and psychosocial support of patients with cognitive impairment.
• Skill in psychosocial interventions with challenged caregivers/family systems of high-risk patients.
• Appropriate utilization of community-based resources
• Demonstrated ability to effectively and sensitively provide care to people from different cultural groups.
• Proficiency in written communication: documentation is clear, concise, and accurate, provides meaningful communication and is consistent with JenCare policy and regulatory requirements.
• Teamwork skills in care coordination with patients, family systems, JenCare staff and external providers.
• Excellent interpersonal, communication and critical thinking skills are required.

• Additional Job Description

Additional Job Description

EDUCATION AND EXPERIENCE CRITERIA:

• CSW required.
• Bachelor degree required.
• Minimum of two (2) years of experience in working with behavioral health clients providing direct evidence based assessment, diagnosis formulation, treatment planning, treatment intervention and education to patients and/or family members.
• Ability to work autonomously is required.
• Registration in State may be required if applicable.

Job Type: Full-time

Pay: $57,000.00 - $85,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Medical specialties:

• Geriatrics
• Primary Care

Schedule:

• 8 hour shift
• Monday to Friday

Supplemental pay types:

• Bonus pay

License/Certification:

• Clinical Social Worker (Preferred)

Shift availability:

• Day Shift (Preferred)

Work Location: In person

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