HarmonyCares
Location
San Antonio, Texas
The Clinical Social Worker manages a caseload of high-risk patients, conducting psychosocial assessments and designing interventions to address social determinants of health. They collaborate with a multidisciplinary care team and community agencies to coordinate services and support patients aging at home.
Candidates must hold a Master's degree in social work and a valid LCSW or LISW license. A valid driver's license and strong clinical judgment are required, with a preference for experience in community-based care management.
The Clinical Social Worker is an integral member of the care team and contributes to the care coordination for patients with multiple social stressors and/or behavioral health concerns. The Clinical Social Worker utilizes screening criteria for the coordination of quality health care services, reduction of service fragmentation, enhancement of quality of life, and the appropriate use of healthcare and community resources. Essential
Manage a caseload of high-risk socially complex patients Conduct face to face and telephonic psychosocial assessments with the patient and/or the caregiver Investigate psychological and social determinant barriers and design appropriate interventions to assist in closing gaps in care and needs Provide short-term counseling services as needed Coordinate services to ensure the patient/family understands a treatment plan Work as part of a collaborative care team to achieve optimal quality and patient experience outcomes, including being an active member in High-Risk Huddles Provide outreach to community-based services to support the patient’s ability to age at home Develop and implement shared goals of care with the patient and family Work with Community based agencies to develop relationships and provide appropriate resources to assist in maintaining patient independence In this role you may work with. . . Providers Support staff Care Team Patients Patient Families Caregivers Facilities 3rd party entities External Providers Community Resources
Required Knowledge, Skills and Experience Master’s degree in social work Must be licensed as an LCSW or LISW (depending upon state) Must maintain a valid driver’s license and good driving record The ability to use sound clinical judgment and communicate clearly in both written and verbal formats Above average computer skills Ability to be self-directed and able to communicate effectively with professional staff across many disciplines and programs Must have the ability to plan time effectively, balance multiple tasks, work within stringent time frames, resolve problems, identify patient service trends, determine system improvements, and implement change Ability to share expertise with others and demonstrates an understanding of the need to foster performance improvement while achieving patient satisfaction and efficiency Preferred Knowledge, Skills and Experience Experience in Care Management in community-based setting or equivalent Experience working with the chronic, complex and/or behavioral health population
Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.
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