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Behavioral Health - Medical Social Worker
at The Polyclinic
Behavioral Health - Medical Social Worker
Hours: Full Time; Monday - Friday; 8:00 - 5:00
Location: The Polyclinic Madison Center
Social work positions are an integral part of the interdisciplinary team and the Clinical Social Worker (MSW) provides age-appropriate assessments, interpretation of data, and delivery of interventions. He/she demonstrates the ability to work with any patient regardless of race, gender, religious affiliation, cultural beliefs, lifestyle, disease process or treatment plan.
Scope of Practice:
Assessment, setting goals, planning care strategies, implementing and managing aspects of care as directed, delegating care to qualified others, supervising, evaluating, teaching, maintaining client safety and collaborating with other health care members.
- Assessment and Analysis: Initiate data collection and analysis that includes pertinent objective and subjective data regarding the health of the patient. The MSW is responsible for the ongoing assessment, including the assimilation of data gathered from other team members.
- Diagnosis and Problem Identification: Use patient data to identify and assess the patient’s problems in order to deliver effective care.
- Planning: Facilitate care which will assist patients and families with maintaining or restoring health and wellness.
- Implementation: Implement the plan of care by initiating agreed upon interventions through giving direct care.
- Evaluation: Evaluate the response of individuals to interventions and assume responsibilities for the analysis and modification of the plan of care consistent with intended outcomes.
- Ensure compliance with established clinical policies and procedures, documenting each patient interaction using standard clinic protocols
- Coordinate medical social work referrals
- Attend weekly clinical consultation with TPC MSW Supervisor for Group Clinical Supervision; Present complex patients and participate in creative care collaboration strategies and resource development
- Provide brief interventions and support including, and not limited to patient/family adjustment to a new diagnosis, change in level of care, grief, psychosocial stressors, chronic illness, adjustment to childhood illness, termination of pregnancy, adoption, end of life, and other biopsychosocial issues that arise in the primary care setting
- Provide crisis intervention, evaluate patient needs and make and coordinate appropriate referrals for psychiatric/psychotherapy services
- Provide drug/alcohol abuse assessments, brief interventions or referrals to treatment; AUD/SUD counseling using brief therapeutic models such as harm reduction model and motivational interviewing
- File and follow up on Adult Protective Services/Child Protective Services reports as needed
- Provide on the fly consultation for MDs at point of referral, and collaborate with care team to assist in creating appropriate care plan
- Communicate patient needs related to advancing medical treatment plan and/or discharge plan to appropriate professionals, and follow up to help close care gaps
- Contact and arrange placements to skilled nursing facilities, rehab, long-term care, specialty care, home health, etc., collaborating with medical and facility staff as appropriate. Coordinate referrals, medication management strategies, identify and close care gaps where possible
- Create and facilitate or co-facilitate a weekly or bi-monthly support group aligned with patient needs (can be specific to clinic needs)
- Attend weekly improvement huddles, advocating for patient needs as appropriate with an eye toward collaboration and prevention
- Will uphold and adhere to Polyclinic’s patient-centered standards of care
Required qualifications for this position include:
- Master's Degree in Social Work from an accredited School of Social Work
- Licensed Social Work Associate - Advanced (LSWAA) or Licensed Social Work Associate - Independent Clinical (LSWAIC)
- Two-year clinical experience providing services to patients in primary care, hospital, or behavioral health setting; Primary care, hospital, or behavioral health practicum/internship setting acceptable to apply with additional year post-grad clinical experience.
- Experience with Brief Interventions such as Problem-Solving Therapy and Motivational Interviewing
Preferred qualifications for this position include:
- Education/experience in geriatric and adult populations
- Education/experience with a disabled population, chronic disease management, crisis intervention/planning
- Education/experience working within an integrated, fast paced, out-patient care team.