Clinical Social Worker

Essential Duties and Responsibilities

• 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. . .

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