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Licensed Clinical Social Worker

Hampton Roads Community Health Center

Job Description

Job Description

Position Overview

Under general supervision, this exempt position is responsible for identifying, triaging, and managing patients with medical and behavioral health problems within the primary care setting in addition to performing a variety of assessments, treatment planning, counseling, education, and service coordination. Reports to the Director of Behavioral Health.

Key Responsibilities

  • Conducts the initial face-to-face assessment, documents the face-to-face clinical supervision and review in the patients record; reviews medical, educational, and psychological information to form behavioral and cognitive interventions; develops an intervention plan and implements this plan with the provider, patient, and family/caregivers; and communicates directly with psychiatrist and PCP regarding patient’s progress towards goals.
  • Maintains updated and accurate caseload based upon the volume of patients; verifies patient’s statements, completes evaluations and review sheets, sets up records and files; establishes plans for patients in self-sufficiency goals for the Providers on-going consultation on cases in real time; providing supportive services and establishing solutions for participation barriers; and possesses knowledge of basic human behavior with a working knowledge of practices of public service organizations.
  • Identifies, enrolls, and tracks patients enrolled in the substance use collaborative care program, per department protocols and policies; identifies patients with a diagnosis of major depressive disorder who have not demonstrated improvement in their PHQ-9 scores and works to enroll them in the Collaborative Care program; provides assessments in real time, while the patient is in the office, seeing the primary care provider or psychiatrist as appropriate; and screens for substance use disorders and refers to appropriate agencies as appropriate.
  • Provides short term intervention and treatment using evidence-based practices; provides verbal and written consultation to referring physicians/providers and other clinical staff on behalf of their patients; promotes early identification and intervention, and improve motivation for disease management (i.e. obesity, diabetes, hypertension); and works with physician and support staff to develop a common treatment plan for the patient.
  • Develops and recommends either internal or external Behavioral Health options; plans, organizes, implements, and evaluates organizational risk control plans to minimize adverse impacts to the organization’s strategic goals; and develops, supports, and implements improvements to the departmental organizational climate, leadership development, and strategic initiatives.
  • Establishes and maintains effective working relationships with others in a positive and tactful manner under sometimes stressful situations; and exercises sound judgment, discretion, tact and resourcefulness in solving problems and drawing logical conclusions.
  • Performs administrative support work such as word processing, creating spreadsheets, data entry and retrieval; orders, monitors and distributes program supplies/resources; and other information to ensure accuracy and conformance to established procedures and policies; and counsels patients regarding patient responsibilities and rights; adheres to patient confidentiality guidelines. 
  • Performs other duties as assigned.

Vacancy posted 3 days ago
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