Clinic Social Worker - WI GUIDE Program

Advocate Health and Hospitals Corporation•Milwaukee, WI

9h•Onsite

About The Position

This full-time position will be in-person at the Center for Senior Health and Longevity at the Aurora Sinai Outpatient Center, Monday-Friday during typical clinic hours. The role involves performing culturally responsive psychosocial screening and assessment, developing goals, providing social work and therapeutic interventions, educating patients and families on Advance Care Planning, facilitating transitions, and serving as an integral member of the health care team. The position requires adherence to evidence-based practices, ethical principles, and departmental protocols for documentation. It emphasizes strength-based, social work services using a cultural humility framework and trauma-informed care principles, with a need to demonstrate age-appropriate care knowledge and skills.

Requirements

Social Worker license issued by the state of Wisconsin.
Master's Degree in Social Work.
Typically requires 1 year of experience in providing social work services within a complex care system.
Demonstrated knowledge of social work principles and methods, and the ability to apply these in a health care setting.
Demonstrated decision-making, team building, time management, customer service, and conflict resolution skills.
Excellent oral and written communication skills.
Intermediate computer skills including word processing, presentation applications and electronic mail.
Demonstrated organization and time management skills.
Ability to work with a multidisciplinary team.
Must sit, stand, speak, read/write, and walk throughout the workday.
Position may require travel; therefore may be exposed to road and weather hazards.
Must be able to lift up to 20 lbs. and use repetitive activities of the fingers, hands and wrists.
Must have functional sight and hearing.

Responsibilities

Performs culturally responsive psychosocial screening and assessment to identify social, psychological, behavioral, economic, and environmental needs of outpatients and their families.
Develops goals related to the social, psychological, behavioral, economic, and environmental needs of the patient and family, and in alignment with the patient’s overall health goals.
Identifies potential risks and barriers to positive health outcomes.
Identifies other necessary resources and services both within the health care system and the community which may include safety planning.
Provides appropriate social work and therapeutic interventions to facilitate the execution of the social care plan.
Includes psychosocial and supportive counseling, health behavior coaching, motivational interviewing, psychoeducation and health literacy, case management, and crisis intervention services.
Provides education to patients and families regarding Advance Care Planning for health care decision-making and assists with the execution of those documents as necessary.
Facilitates safe and effective transitions to home and community.
Facilitates smooth handoffs to other professional and community support providers.
Assists with problem-solving and resolution of barriers to access to care.
Incorporates systemic and solution-focused approach to case management and care coordination.
Serves as integral member of health care team supporting team-based approach to care management.
Provides effective communication and collaboration with team members.
Provides patient navigation and advocacy services.
Participates in outpatient care management initiatives as well as strategies aimed at enhancing the patient experience and improving clinic and department quality.
Participates in research activities.
Adheres to evidence-based and industry best practices for professional social work.
Adheres to the social work professional code of ethics and demonstrates decision-making based on ethical principles.
Documents social work activities in accordance with department protocols and standards and in keeping with all relevant federal and state regulations.
Provides strength-based, social work services to diverse patient populations using a cultural humility framework and grounded in principles of trauma-informed care.
Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served.
Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures.