Social Worker - Clinton Township

PACE Southeast Michigan•Clinton Township, MI

About The Position

The Master’s Social Worker (MSW) works independently to assess the needs of participants and their families or caregivers, coordinate and deliver social services, and participate as a member of the Interdisciplinary Team (IDT). The role involves assessing, intervening in, managing, and reviewing social service needs through modalities such as biopsychosocial assessment, cognitive behavioral techniques, psychoeducation, consultation, and care planning or case management. The MSW completes comprehensive biopsychosocial assessments at enrollment and every 180 days thereafter, as well as acute assessments when needed to address specific referral questions. The MSW uses measurement-based care; develops and implements individual treatment plans for participants and caregivers; provides counseling, education, service coordination, risk assessment, and crisis intervention; and directs case management. The role also includes discharge planning, advocacy, participant and caregiver education, care-plan development and review with the IDT, and timely, accurate documentation in the electronic health record.

Requirements

Master’s degree in social work from an accredited school of social work.
Licensed to practice in Michigan; a Limited License may be considered depending on experience and supervised hours.
One year of experience working as a clinical social worker.
Knowledge of case management skills, short-term interventions, and principles of human behavior.
Demonstrated knowledge and skill in evaluating, planning, implementing, and monitoring patient-centered approaches to care.
Knowledge of and compliance with applicable local, state, and federal laws and regulations.
Cultural competence and ability to care for a diverse population.
Ability to learn and use an electronic health record system.
Proficiency in Microsoft Word, Excel, Outlook, and PowerPoint.
Positive, flexible, solution-focused attitude and ability to collaborate effectively in a team setting.

Nice To Haves

Clinical social work experience in geriatrics is preferred.

Responsibilities

Complete comprehensive biopsychosocial assessments at enrollment and at 180-day intervals, and conduct acute assessments as needed.
Use measurement-based care.
Develop and implement individual treatment plans for participants and caregivers, including counseling using Motivational Interviewing and CBT techniques, education, care-team service coordination, risk assessment, and crisis intervention.
Direct case management addressing housing, financial, safety, psychiatric, and caregiver-burden issues.
Identify when a participant needs transfer to a higher level of care and assist with discharge planning and coordination.
Educate and counsel participants and caregivers about care needs, options, and related problems.
Advocate on behalf of participants and take accountability for resolving their concerns or issues.
Collaborate with the IDT, participants, and caregivers to develop and communicate impressions, plans of care, changes in care, and progress in a timely manner.
Help develop and implement the plan of care with the IDT, participant, and/or caregiver.
Complete timely and accurate documentation in the electronic health record.
Communicate participant changes to the IDT and family members.
Evaluate participant outcomes and progress toward care-plan objectives and goals, and share this information with IDT members.
Perform other related duties as assigned by leaders.