MJMG Blue Ridge Internal Medicine is seeking a Licensed Clinical Social Worker to join their collaborative outpatient care team in Charlottesville, VA. This role involves participating as an integral part of a multidisciplinary team to establish comprehensive and integrated plans for each patient. The position includes both clinical service delivery and referrals to appropriate community resources and other professionals, assisting patients and their families in meeting psychosocial needs that may predispose illness or interfere with achieving an optimal level of care. The social worker will assess social, psychological, cultural, environmental, and financial situations, as well as disposition needs, for assigned patients. They will provide individualized care addressing physical, psychological, socio-cultural, spiritual, and cognitive needs, and perform patient assessments through systematic data collection and review. Education and evaluation of patient/family learning needs are also key components, with consistent inclusion of the patient/family in care planning and outcome evaluation. The role requires effective use of the social work process, planning and revising care based on assessment and patient progress, and identifying and responding to ethical issues in patient care in a non-judgmental manner that respects diversity and patient rights. Integration of age-specific care principles and provision of clinical intervention and consultation are essential. Crisis intervention, facilitation of referrals, and individual, family, and group counseling are also part of the responsibilities. Regular participation in multidisciplinary team meetings, including rounds, is expected, along with developing and implementing patient care plans, monitoring progress, and modifying plans as needed. The role also includes providing bereavement counseling for patients, families, and staff, and consulting with other team members on identified problems or issues. Identifying high-risk patients for non-compliance and developing plans to address this is also a responsibility.
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Job Type
Full-time
Career Level
Mid Level