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The social worker in this position functions as primary therapist, providing services to patients enrolled in care at UR primary care site team at the Complex Care Center, targeting adults with pediatric onset conditions, including but not limited to intellectual and developmental disabilities, cystic fibrosis, sickle cell disease, spina bifida, metabolic disorders, congenital heart disease, childhood cancers, myotonic dystrophy, and cerebral palsy. The social worker conducts psychosocial assessment, treatment and discharge planning of patients assigned to his/her caseload. The social worker is responsible for screening, psychosocial assessment, psychiatric diagnosis and brief, evidence-based treatment for a primary care practice. In this role, helps to identify high risk patients with behavioral health and medical comorbidities and contributes to a unified person-centered, trauma-informed treatment plan with the goal of improving the patient's overall health and well-being. In addition, facilitates access to specialty psychiatric and substance use care. The position will require formal and informal collaboration with primary care physicians, nurse practitioners, nurses, care managers, and other clinicians.
Job Responsibility:
Serves as primary therapist and member of the care team for patients assigned to their caseload
Performs psychosocial assessments of patients and their families
Provides behavioral health treatment and education to patient and families
Performs diagnostic and functional evaluations and makes recommendations to the primary care provider concerning the patient's treatment plan and goals
Initiates follow up to ascertain how patients are doing and to determine if changes in the treatment approach are indicated
Collaborates with appropriate collateral contacts
Provides linkages to community resources
Assists in tracking patients' engagement and adherence treatment plans, reported outcomes tools, and status after referral to specialty mental health
May be directed to assist with providing mental health support and consultation inpatient, as appropriate
Participate in professional development as directed by specialty programs (e.g. CBT for pain management, coping with chronic diseases, trauma-informed care, EMDR, etc.)
Documents interventions in the patient's chart in compliance with Departmental and Hospital policy
Provides Crisis Intervention during working hours and back up mental health service coverage to other integrated therapists as needed
Supports efforts for behavioral health screening for depression, anxiety and substance use
Recommends and facilitates referrals to specialty clinic, as appropriate
Attends monthly Staff Meetings
Ensures that Department and Hospital policies and procedures are implemented with regard to patient care
Participates in routine committee process of the PHP and complies with Department quality assurance and staff development activities
Participates in activities of the Social Work Division including, but not limited to timely completion of statistical reports/forms, time sheets and other Hospital forms, Hospital mandatory In-service training programs and UHS reviews
Subscribes to the Departmental goal of creating a culturally competent environment by treating patient, families, trainees, and co-workers in a sensitive manner with appropriate attention to cultural differences
Participates in available cultural competency events and training appropriate to job duties
Requirements:
Master's degree from an accredited school of social work (CSWE)
Prior experience in providing individual, family or group therapy in an acute clinical setting
Knowledge about and ability to provide behavioral health assessments/evaluations and evidenced based interventions
Commitment to and routine demonstration of biopsychosocial approach to care of individuals and families
Dedication to delivering a team-based integrated model of care
Demonstrates cultural humility and anti-racism values and works toward ensuring all patients feel welcome
Licensure as a social worker, as defined by the State Board for Social Work, State Education department, Division of Professional Licensing Services is required