Social Worker LMSW Gun Lake Hastings Middleville
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About The Position
The Corewell Health West Ambulatory Care Management Department is made up of Social Workers, RN Care Managers, Community Health Workers and Medical Assistants. We have a large team of Social Workers and RN Care Managers who are embedded in Primary Care offices across the system. Care Management work is focused on identifying and connecting with patients who have behavioral health concerns or chronic medical conditions on an outpatient basis and assisting these patients with developing healthy behaviors and coping skills that will improve overall health outcomes. Our Ambulatory Care Managers play an active role on the patient's care team and partner with primary care providers in developing an appropriate treatment approach for patients experiencing chronic disease and/or behavioral health concerns to promote self-management and symptom improvement. The Ambulatory Care Management team also provides comprehensive transitions of care support to patients who have been admitted to the hospital in an effort to keep patients well in the community, prevent readmissions and reduce overall cost of care. Resources and support for barriers related to Social Determinants of Health (SDoH) is also provided to primary care patients by our remote team of Community Health Workers. The Ambulatory Care Management Department has consistently demonstrated successful outcomes through the interventions provided to patients.
