Company: WellBe Senior Medical
Posted on: July 22, 2021
Practices the WellBe mission: To help our patients lead healthier,
meaningful lives by delivering the most Complete
- 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 care
- A resource for the WellBe communities in managing complex
Behavioral Health cases.
Manages complex behavioral and psychosocial needs that result in
improved clinical and financial outcomes
Maintains constant communication with patients when addressing
their concerns and goals and helping them keep positive
Builds rapport with patients and their families and relay all
concerns to WellBe provider/IDT
Assists members to effectively utilize available resources to meet
their personal health goals and help them develop their own
Monitors patient progress and adjusts patient treatment plan as
Coordinates with other healthcare providers, agencies and community
resources in order to create a thorough treatment plan addressing
social, cultural, and financial needs
Collaborates with the interdisciplinary team and participate in
regularly scheduled team meetings
Ensures compliance with regulatory agencies and WellBe clinical
- Following a thorough assessment
completed by an Advanced Practice Clinician (APC), the WellBe
social worker partners
- Partner 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
- 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
- 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
Master’s Degree in Social Work
5+ years clinical social work experience with the geriatric
Two years social work experience, preferably in health care, and
minimum one-year experience working with a
Required Skills and
Current unrestricted LCSW license in applicable state(s)
Age specific competency in working with the elderly and knowledge
of community services for the elderly and
Ability to make psychosocial assessments and develop and implement
viable care plans
Must be familiar with EHR medical documentation
Strong computer skills, including Word, Excel, and
Strong verbal, written, presentation, and interpersonal
Bilingual 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 clients
Ability to provide after-hours services as needed
Ability to leverage internal and external resources as part of a
patient’s treatment plan
Experience writing assessments and reports to monitor client
Valid driver’s license, have access to a car and willingness to
drive to patient homes/patient location as well as an active auto
position will have supervisory responsibility.
requirements: Travel may be required
up to 80% locally.
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
drive to patient locations (ie. home, hospital, SNF, etc).
Fine motor skills/Visual acuity
functions may not be comprehensive in scope regarding work
performed by an employee assigned to this position
classification. Management reserves the right to add, modify,
change or rescind the work assignments of this position.
Management also reserves the right to make reasonable
accommodations so that a qualified employee(s) can perform the
essential functions of this role
Our LCSWs are part of a team that provides
compassionate care to the frailest elderly who have chronic and
acute illnesses or injuries living in their homes. Our LCSW
delivers primary, urgent and acute care and counseling to a wide
variety of patients with social and behavioral problems. The LCSW
will be accountable for caring for patients, connecting patients
and their families to support services, maintaining accurate and
current patient records and scheduling and administering initial,
urgent, and follow-up appointments to patients as required. The
successful candidate will work as a team with our physicians,
advanced practice clinicians, and care team coordinator will assist
in delivering quality care to every patient. We offer a positive,
upbeat work environment where all medical personnel work together
for the good of the patient.
Keywords: WellBe Senior Medical, Phoenix , Social Worker, Other , Phoenix, Arizona
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