Ambulatory Social Work-Bronson Primary Care Partners Three Rivers

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only.

Love Where You Work!

Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community.

If you’re ready for a rewarding new career, join Team Bronson and be part of the experience.

Location

BHG Bronson Healthcare Group

Title

Ambulatory Social Work-Bronson Primary Care Partners Three Rivers

QUALIFICATIONS

The employee must be able to demonstrate the competencies necessary to provide services appropriate to the age of the population served.

NA X All Newborn Pediatric Adolescent Adult Geriatric

EDUCATION AND / OR EXPERIENCE

Masters of Social Work degree with one-yearrecent medical or mental health experience preferred.

LICENSES, REGISTRATIONS, CERTIFICATIONS

Licensed Masters of Social Work (LMSW)or Limited Licensed Masters of Social Work (LLMSW)

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

Identifyappropriate patients to work with.

Assess patient needs, coordinates services, and referrals.

Assess the nature of the crisis and the immediate social / emotional needs and strengths of the patient and family in order to provide appropriate intervention.

Perform appropriate screenings based on patient population and need.

Identify problems surrounding the crisis situation and may act as patient advocate to improve such problems.

Collaborate with other members of the patient care team to understand each situation recommends or provides immediate treatment and solution focused interventions.

Work effectively as part of the interdisciplinary healthcare team, collaborating and communicating regularly with the PCP, patient, health care team and other members across the care continuum and community.

Developa comprehensive individualized plan of care with targeted interventions for patients.

Conduct regular follow-ups with patients to evaluate progress and response to plan of care, promote continuity of care and ensure improved health outcomes.

Evaluate effectiveness of interventions continuously and modify the plan of care as needed.

Provide patient self-management support with a focus on empowering the patient / family to build capacity for self-care.

Provide education to patients of all ages based on knowledge of growth / development across the lifespan.

Promote healthy behaviors in all populations and ensure navigation assistance with community resources.

Link patients to social services programs and make referrals to community agencies and other healthcare specialist to resolve emotional, social, or financial problems impacting health care status.

Ensure the appropriate follow-up treatment and support is available.

Implementclinical interventions and protocols based on risk stratification and evidence-based clinical guidelines.

Thoroughly document each case into the patient's medical record, such as care coordination, care management and behavioral health activities, as appropriate.

Identify and provides for learning needs of patients, families, and healthcare coworkers.

Work with ambulatory care management, managed care, and practice leadership to continuously evaluate processes, identify problems, and propose / develop process improvement strategies to enhance patient care and ensure program & metrics are met.

Mentor and supervise students as needed / able.

Bill appropriate codes based on payor guidelines and direction of leadership.

Shift

First Shift

Time Type

Full time

Scheduled Weekly Hours

Cost Center

1287 Centralized Disease and Care Management (BHG)

Agency Use Policy and Agency Submittal Disclaimer

Please take a moment to watch a brief video highlighting employment with Bronson!