Social Worker Assistant

University of Rochester•City of Rochester, NY

21h•$26 - $35•Onsite

About The Position

The social work assistant functions as a Targeted Case Manager (TCM) and is primarily responsible for case management services across Strong Ties Clinic. As part of a Certified Community Behavioral Health Clinic (CCBHC), TCM services will assist people receiving services in sustaining recovery and gaining access to needed medical, social, legal, educational, housing, vocational, and other services and support. CCBHC TCM provides an intensive level of support and is intended for individuals with complex or serious mental health or substance use conditions, or for those who have a short-term need for support during critical periods, such as an acute episode or care transition. CCBHC TCM includes support for people deemed at high risk due to health-related social needs, suicide or overdose, and particularly during times of transitions such as from residential treatment, hospital emergency department, incarceration, or psychiatric hospitalization. Under general direction and with considerable independence, the TCM performs several care management activities consistent with CCBHC and the Department of Psychiatry Policy. They establish and maintain cooperative working relationships with community providers and resources to obtain needed services and support for enrolled patients. The TCM works as part of an interdisciplinary team to support activities to engage patients in care, connection to care management, and other resources, ensuring necessities are met. They utilize community and family resources to create sustainable support systems for patients and review and discuss plans with the patient and the treatment team, focusing on linking individuals to clinical and social services within the system and community providers.

Requirements

Bachelor's degree in Social Work required, with major course work in a related health/human services/occupational field preferred
Or equivalent combination of education and experience
Clinical or Community Social Work experience in health setting preferred
2-3 years of relevant experience working with the mentally ill preferred
Must possess and maintain a valid New York state License
Have a satisfactory driving record strongly preferred

Responsibilities

Conducts assessment of identified patients for care management services.
Designs appropriate treatment plan goals according to patients identified needs.
Interviews patients/family members to obtain psycho-social history, discuss treatment plans, patient's adjustment and assist coping with home, health system and community problems or dynamics influencing patient's health.
Reviews clinical and psycho-social information for patients/families referred or those receiving care within assigned units with other professional staff.
Collaborate with other staff in developing and carrying out the health care plan for patients and families.
Seeks further clarification of services required.
Completes and maintains professional documentation.
Provide case management needs as indicated to ensure access to healthcare and meet immediate needs of patients.
Coordinates outreach and engagement activities focused on finding, connecting and retaining patients in appropriate community services.
Completes all Health Home Care management referrals, community agency referrals, and self-referrals for CCBHC patients who are not yet connected to Health Home Care Management services.
Maximize community integration and normalization.
Mobilizes family and natural support networks when necessary.
Liaison responsibilities: collaboration with referral sources and other professionals within the CCBHC throughout patient care activities.
Establishes and regularly maintains cooperative working relationships with community and health care agencies and professional and administrative staff of the Medical Center and University.
Attend weekly supervision/clinical meetings.
Participates in departmental and programmatic diversity presentations.
Available to triage case management needs for CCBHC program recipients on an urgent basis, including walk-ins.
Committed to understanding and meeting the unique needs of external and internal customers.
Contributes to the vision and mission of the CCBHC.
Maintains a thorough knowledge of related policies and procedures.
Coordinates with support staff regarding patient scheduling, fees, and insurance issues.
Promote hope and recovery by using strength based, culturally appropriate, and person-centered practices.
Other duties as assigned