Care Coordination Licensed Clinical Social Worker
About The Position
As a Social Worker, you will advocate for and support individuals and families facing complex challenges. The role includes conducting psychosocial assessments, developing care plans, providing counseling and crisis intervention, connecting clients with resources, and collaborating with multidisciplinary teams to promote holistic well-being. The position provides developmentally appropriate care across populations and supports safe discharge and continuity of care. It encompasses advocacy and education, psychosocial management, patient and family care conferences, continuity and transition management, and community resource coordination. The social worker supports patients and families with issues such as mental health, substance use, abuse or neglect, grief, social determinants of health, and post-acute care planning.
Requirements
- Master's degree from a school of social work accredited by the Council on Social Work Education, required upon hire.
- At least 2 years of post-MSW experience.
- Licensed Clinical Social Worker credential for Washington (LICSW:WA/LCSW).
Nice To Haves
- Minimum 5 years of post-MSW healthcare experience.
Responsibilities
- Provide developmentally appropriate care for all populations served, planning for safe discharge and continuity of care and recognizing the needs of patients of all ages, including those who are physically disabled, mentally ill, chronically ill, terminally ill, or otherwise vulnerable.
- Provide advocacy and education related to patient and family self-care and health management, bioethics, case and care management, and risk management identification and referral.
- Conduct psychosocial assessments and provide crisis intervention, counseling support, and referrals.
- Identify, assess, and refer cases involving abuse, neglect, or trafficking, including partner, child, and elder situations.
- Support patients and families with family issues affecting care, coping and emotional adjustment, grief and bereavement, adoption, surrogacy, and safe surrender.
- Promote health and wellness and provide screening, management, and resources related to substance abuse and psychiatric needs.
- Assess and address social determinants of health, including housing and food insecurity and transportation needs.
- Participate in interdisciplinary patient and family care conferences to coordinate communication, continuity, and transitions of care.
- Facilitate patient decisions and communications regarding post-acute care as part of the Care Management/Coordination team.
- Maintain knowledge of community resources within the clinical social work scope, keep resource lists current, and educate patients and families about available resources.
- Coordinate mental health services and provide support, referrals, and management for patients and families dealing with grave disability, palliative care, end-of-life care, and hospice.
- Coordinate transition planning for psychosocially complex cases.
- Coordinate community resources and life-care planning, consult on healthcare resource management, and educate teams and patients about health-related insurance and support programs such as CCS, Medicare, Medicaid, and SSI.
- Build and maintain community relationships to address the needs of patients experiencing homelessness and other social determinants of health.
- Provide staff support and physician, staff, and community education.
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What This Job Offers
Job Type
Full-time
