The CO Sr. Clinical Social Worker is the primary interface for patients to access services such as peer/family counseling and support, screening, assessment, brief treatment, consultative services, education and engagement, linkages, outreach and advocacy. Responsible for the delivery of patient centered mental health, substance abuse, and health behavior care to assigned JHM patients in designated primary care or acute care sites working under the oversight of a psychiatrist, and in the context of a team. Additionally, this position will work with physicians, mid-levels, primary care providers, or inpatient medical teams to promote qualitative and efficient use of health care services through changing the patient's behavior and modifying the care delivery system
DUTIES AND RESPONSIBILITIES:
Responds to all requests for new patient evaluations in a timely manner Evaluates all new patients using established clinical evaluations developed. Establishes initial and on-going therapeutic relationship with OBHI/JMAP/Regional Partnership patients.
Communicates results of assessment to staff involved in patients' care. Participates in development of an initial plan of care to address prioritized needs of patient. Provides ongoing services as prescribed on plan of care. Makes referrals for additional services as needed. Assists patients in securing resources.
Engages with community resources to ensure patient is receiving necessary services. Provides mental health, substance abuse, and health behavior services using established HBS protocols. Coordinates care with other OBHI/JMAP/Regional Partnership team members. Re-evaluates plan of care with patient and other OBHI/JMAP/Regional Partnership treatment providers.Provides outreach to patients if he/she disengages from treatment. Provides crisis intervention as needed.Performs other clinical duties as assigned.
Completes initial evaluations using established procedures according to Health Behavioral Specialist policy time lines.Completes plan of care using established procedures according to Health Behavioral Specialist policy time lines.Delivers ongoing care as defined in the plan of care using established procedures according to Health Behavioral Specialist policy time lines.Writes progress notes according to established procedures according to Health Behavioral Specialist policy time lines.Updates plan of care using established procedures according to Health Behavioral Specialist policy time lines.Submits reports, data, and statistics as required.Assists OBHI/JMAP/Regional Partnership project in meeting expected performance goals.