Position Summary:
The Social Worker for Community Health Initiatives provides professional services to clients and their families eligible for the Healthy Beginnings Services in order to meet identified psychosocial, emotional, financial and environmental needs. This SW will also serve patients/families on board the Mobile Health Clinic performing Social Determinants of Health and providing appropriate referrals/resources. The social worker provides psychosocial assessments, supportive counseling, emergent crisis intervention appropriate to setting, financial resource information, environment enhancements, advance directive planning and referrals to community agencies for clients and their caregivers/families in the client's home, mobile health clinic (MHC), or other settings. Using an interdisciplinary team approach, the social worker ensures clear communication and helps to facilitate care transitions. The social worker identifies and implements interventions at the individual and systemic levels and provides expertise to high risk clients across the continuum. The social worker works collaboratively with the multi-disciplinary team to support the RN performing at the highest level of their license in addition to maximizing the social worker's specialized training to address complex cases. Social Services are provided as part of a collaboration with interdisciplinary teams in adherence to the NFP model, and to policies, procedures, guidelines, and standards of NFP and of the Carle Health System.
Qualifications:
EDUCATIONAL REQUIREMENTS Master's Degree in Social Work CERTIFICATION & LICENSURE REQUIREMENTS Licensed Clinical Social Worker (LCSW) Illinois upon hire or Licensed Social Worker (LSW) Illinois upon hire and Driver's License Illinois upon hire and Proof of Auto Insurance upon hire and Certified Social Worker (NASW) or other National Certification within 4 years. EXPERIENCE REQUIREMENTS One (1) year of experience - Public/community health, home health, case management, mental/behavioral, pediatric services, family medicine, women's health; other experience will be considered. Psychiatry background, therapy experience, or experience with diverse populations preferred ADDITIONAL REQUIREMENTS
- Home visiting model training
SKILLS AND KNOWLEDGE
Ability to coordinate multiple referrals concurrently and establish priorities. Possess strong planning, teaching, and organizational skills. Self-motivated, culturally competent, responsive, and dependable. Ability to work effectively with diverse individuals and groups. Ability to function at a high level of independence while remaining an active part of the interdisciplinary home visiting team and mobile health clinic team. Requires flexibility in hours and job duties. Possess strong knowledge of prenatal, early childhood, and disadvantaged populations. Possess strong written and verbal communication skills. Ability to uphold the Carle Behavior Standards in encounters. Provides productivity reports as deemed necessary. Supports the growth of Health Beginnings meet health system and community needs.Supports policies, procedures, guidelines, and standards of NFP and of Carle Health System.Attends and participates in bi-weekly case conferences and team meetings, in accordance with the Healthy Beginnings structure.Creates a culture of caring, trust, as well as support and growth with families, community members, and team members.Engages in continuous, organizational learning. As new knowledge is acquired through evaluation, study, experience, and innovative approaches, processes and initiatives are refined.Develops and maintains knowledge base of current and applicable federal and state laws, regulations, and accreditation standards.Demonstrates a deep understanding and respect for the community. Understands, supports, represents, and coaches others in the NFP vision, mission, and model in actions and verbally to both internal and external customers and colleagues.
Essential Functions:
- Involves client/patient/family in case planning decisions.
- Provides social work intervention to clients and their families eligible for the Healthy Beginnings and/or Mobile Health Clinic services.
- Helps to facilitate care transitions, referrals to scoial services, and other specialits when needed.
- Keeps the director/manager informed of problematic cases, especially those involving legal or risk management issues.
- Provides assistance and advocacy to clients in obtaining financial resources and government entitlements.
- Develops and maintains tracking system of social services referrals /outcomes.
- Provides information and counseling for advance directives and health care power of attorney.
- Provides social work intervention to patient/families eligible for the NFP Program.
- Responds to referrals from healthcare team members to identify available services for case specific needs.
- Collaborates with nurse home visitors / supervisors / mobile health clinic staff to meet the needs of high risk populations.
- Details (direct or incidental) possible to enhance service/care is communicated across service lines and among disciplines.
- Documents all client interactions, significant observations, interventions, and actions taken in the client's medical record in an appropriate and timely manner.
- Formulates, develops, and implements a plan utilizing appropriate social work interventions. Provides education and counseling to clients and families around issues related to adaptation to the client's illness and/or life situation. May utilize crisis intervention, brief and long-term individual, group, and family therapies.
- Assists clients and their families in establishing goals and outcomes through therapeutic relationships by providing education, support, and referral resources.
- Assesses physical, emotional, social, spiritual, and environmental needs of clients and their families as they relate to the NFP domains.
- As requested/required, participates in community coalitions and other community organizations in support of NFP as well as promotes public awareness of Healthy Beginnings Services and the Mobile Health Clinic.
- Facilitates education/training modules to assist RN staff managing basic social work needs.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.
Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.
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