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 includes conducting home visits with GUIDE aligned patients and their caregivers. The Clinic Social Worker performs culturally responsive psychosocial screening and assessment to identify social, psychological, behavioral, economic, and environmental needs of outpatients and their families. They develop goals related to these needs, identify potential risks and barriers to positive health outcomes, and identify other necessary resources and services. The role provides social work and therapeutic interventions, including psychosocial and supportive counseling, health behavior coaching, motivational interviewing, psychoeducation and health literacy, case management, and crisis intervention services. They also provide education on Advance Care Planning, facilitate safe transitions to home and community, and assist with problem-solving barriers to care access. The Social Worker serves as an integral member of the health care team, participating in patient navigation, advocacy, outpatient care management initiatives, and research activities. They adhere to evidence-based practices, professional codes of ethics, and document activities in accordance with department protocols and regulations. Services are provided using a strength-based, cultural humility framework and principles of trauma-informed care, with an understanding of age-specific needs.
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Job Type
Full-time
Career Level
Mid Level