Licensed Clinical Social Worker
Company: Upward Health
Location: Phoenix
Posted on: February 1, 2025
Job Description:
LICENSED CLINICAL SOCIAL WORKER (LCSW)Upward Health is a home-based
medical group specializing in primary medical and behavioral care
for individuals with complex needs. We serve patients throughout
their communities, and we diagnose, treat, and prescribe anywhere
our patients call home. We reduce barriers to care such as lengthy
delays due to scheduling. We see patients when they need us, for as
much time as they need, bringing care to them. Beyond medical
supports, we also assist our patients with challenges that may
affect their health, such as food insecurity, social isolation,
housing needs, transportation and more. It is no wonder 98% of
patients report being fully satisfied with Upward Health!Upward
Health provides technology-enabled, integrated, and coordinated
care delivery services that improve outcomes and reduce costs for
patients with severe behavioral health diagnoses and co-morbid,
chronic physical conditions. We are not your typical medical
practice. At Upward Health, we see every day as an opportunity to
make a difference in our patients' lives. We could tell you about
our outcomes and patient satisfaction ratings. We could tell you
about our commitment to our mission. Or you could join us and
experience it all for yourself.Why Is This Role Critical?The
primary role of the Licensed Clinical Social Worker (LCSW) is to
assess the psychosocial needs of patients and provide focused care
delivery to address barriers that impact a patients physical and
emotional well-being. The LCSW is an active member of the
Interdisciplinary Care Team (IDT). KEY RESPONSIBILITIES:
- Experience with behavioral interventions techniques such as:
non-judgmental listening, Motivational Interviewing (MI),
trauma-based care, and person first thinking.
- Assess patients' psychosocial concerns and the impact on their
current medical status.
- Develop collaborative care plan goals with the patient, IDT
members, Care Team Pod, and their family/caregiver.
- Assess and document current advance care directive status and
ongoing efforts to reconcile patient/caregiver misaligned goals
with current clinical status.
- Connect patient and/or their family/caregiver to appropriate
community resources and supports.
- Collaborate on and support plan of care as determined by the
physician and Care Team Pod
- Perform initial assessment and periodic re-evaluation of the
patient and adjustments in the patient's treatment plan.
- Provide treatment to patients per protocols, policies, and
clinical practice guidelines.
- Facilitate transitions of care for assigned patients per Upward
Health policy, coordinate care across the continuum of care.
- Identify innovative actions to meet the needs of the patient
from both the health care and psychosocial /socioeconomic
dimensions of care as well as acting for provision of services to
meet those needs.
- Make care recommendations of the multidisciplinary care team,
the patient, family, and caregiver.
- Initiate and maintain ongoing communications with clinicians
involved in member care, especially the PCP and Psychiatrist.
- Provide short-term, risk-focused care management.
- Utilize motivational interviewing and other evidenced based
techniques to elicit behavior change.
- Promote patient self-management and right to
self-determination.
- Intervene in crisis situations when needed.
- Assess Social Determinants of Health and collaborate with team
for appropriate referral.
- Enhance and support connectivity between patients and members
of the interdisciplinary team.
- Navigate community resources and develop partnerships to
improve access to care and ease of systems navigation.
- Identify and report any quality-of-care issues or
concerns.
- Ensure strict compliance with federal and state regulations and
company policies, procedures, and processes.
- Attend departmental meetings.
- Perform other duties as assigned.
- Ability to go deep in the community with knowledge of local and
state resources to support patient's needs.
- Excellent written, computer, and oral communication skills -
will proactively and thoroughly communicate with other members of
the team.
- MINIMUM QUALIFICATIONS:
- Meet all state certification and licensing requirements.
- Three (3) years of social work experience (internship not
included), with 2 years of social work experience in a healthcare
setting (physician's office, PCMH, hospital, clinic, home care or
nursing home setting)
- Working knowledge of Medicaid and Medicare, and managed care
organizations
- Excellent communication skills and knowledge of navigating
community resources.
- Licensed Clinical Social Worker license
- Possession of a valid state driver's license and access to an
automobile
- Experience in delivering home care or field case management is
preferred.Upward Health is proud to be an equal
opportunity/affirmative action employer. We are committed to
attracting, retaining, and maximizing the performance of a diverse
and inclusive workforce. This job description is a general outline
of duties performed and is not to be misconstrued as encompassing
all duties performed within the position. All individuals
(including current employees) selected for a position will undergo
a background check appropriate for the position's
responsibilities.
PI4530ec565ba0-37248-36594167
Keywords: Upward Health, Phoenix , Licensed Clinical Social Worker, Healthcare , Phoenix, Arizona
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