Licensed Clinical Social Worker

Wellbe Lcsw - Social WorkerCome reimagine care with us! We're on a mission to change the way medical care is delivered around the country. By supplying home-based medical care to patients who need it most, WellBe is changing lives by providing care wherever our patients call home. WellBe's primary care services are delivered by a team of licensed clinicians in the comfort of the patient's home. By combining the strength of physicians, nurse practitioners, social workers, paramedics, and other healthcare professionals, WellBe delivers an extra level of support to the patients we serve in their communities.This high-risk population is typically underserved and challenged with access to care which we provide. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. WellBe's clinician-led geriatric care teams provide concierge-level medical care and social support in the home as well as delivering and coordinating across the entire care continuum – from chronic care and urgent care in the home to hospital to skilled nursing facility to assisted living to palliative care, to end-of-life care.Joining WellBe means joining a growing, purpose-driven organization to deliver the highest quality care to our senior communities and to make an impact on lives every day.What to Expect:Practices the WellBe mission: To help our patients lead healthier, meaningful lives by delivering the most Complete Care.Performs psychosocial assessments and provides therapeutic services to patients and their families.Work closely with Behavioral Health Medical Director to manage complex patient cases and transitions of careA resource for the WellBe communities in managing complex Behavioral Health cases.Manages complex behavioral and psychosocial needs that result in improved clinical and financial outcomesMaintains constant communication with patients when addressing their concerns and goals and helping them keep positive attitudesBuilds rapport with patients and their families and relay all concerns to WellBe provider/IDTAssists members to effectively utilize available resources to meet their personal health goals and help them develop their own capabilities.Monitors patient progress and adjusts patient treatment plan as neededCoordinates with other healthcare providers, agencies and community resources in order to create a thorough treatment plan addressing social, cultural, and financial needsCollaborates with the interdisciplinary team and participate in regularly scheduled team meetingsEnsures compliance with regulatory agencies and WellBe clinical guidelinesFollowing a thorough assessment completed by an Advanced Practice Clinician (APC), the WellBe social worker partnersPartner with community team to refer patients to appropriate no or low-cost community services that support health and independence such as Meals On Wheels (MOW), local Area Agencies on Aging (AAA), Senior & Assistance Programs, and transportation resources.Involves the patients' families and primary caregiver(s) as needed to achieve the best care decisions and outcomes.Effectively collaborates with all those involved in the members' care, including health services contractors (i.e., Home Health, Hospice, Community Agencies), to meet the patients' care goals.Consults with and advises the Clinical Team regarding the relationship of social, emotional, and cultural factors to health and medical care, and to the availability of social services in the community.Complies with safety policies and procedures, identifying and immediately reporting any potential or actual unsafe acts or conditions to their supervisor/team. Takes necessary measures to ensure a safe environment for oneself, co-workers, contractors, participants, visitors and others.Consistently meets or exceeds WellBe targets for productivity, customer service, quality assessment, and performance targets.Understands the importance of community involvement and participates as appropriate in activities that link WellBe to its communities.Maintains current written progress notes and other documentation on the member Medical Record including signed and dated documentation for all service performed the day the service is provided.Participates in program and policy development of the WellBe Social Work program.Other tasks needed to accomplish team's objectives/goalsJob Requirements:Must Haves:Master's Degree in Social Work5+ years clinical social work experience with the geriatric populationTwo years social work experience, preferably in health care, and minimum one-year experience working with a frail/elderly population.Required Skills and Abilities:Current unrestricted LCSW license in applicable state(s) required.Age specific competency in working with the elderly and knowledge of community services for the elderly and their families.Ability to make psychosocial assessments and develop and implement viable care plansMust be familiar with EHR medical documentationStrong computer skills, including Word, Excel, and PowerpointStrong verbal, written, presentation, and interpersonal communication skillsBilingual in English/Spanish preferred.Ability to work effectively in a team environment.Knowledge of social work principles and practices, including case management and counseling techniques.Ability to empathize with clientsAbility to provide after-hours services as neededAbility to leverage internal and external resources as part of a patient's treatment planExperience writing assessments and reports to monitor client progressValid driver's license, have access to a car and willingness to drive to patient homes/patient location as well as an active auto insurance policySupervisory Responsibility: Not applicable for this role.Travel requirements: Travel may be required up to 80% locally.Work Conditions: Ability to lift up to 20lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 100lbs. Ability to stand for extended periods.Ability to drive to patient locations (ie. home, hospital, SNF, etc). Fine motor skills/Visual acuityWellBe does not offer employment-based visa sponsorship for this position. Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future. Drug Screening Requirement As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company's Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion drug testing. The company reserves the right to test for substances that may impair an employee's ability to safely and effectively perform their job duties. Background Check Statement Employment is contingent upon successful completion of a background check, as permitted by law. As a healthcare organization, WellBe conducts monthly FACIS (Fraud and Abuse Control Information System) checks on all employees. Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws and regulations. Equal Employment Opportunity (EEO) Statement WellBe is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected status. Americans with Disabilities Act WellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application, interview or employment process, please advise Human Resources during the application process. At-Will Employment Statement Employment with WellBe is at-will unless otherwise specified by contract. This job description does not constitute an employment contract.