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Corewell Health West is inviting a licensed social worker to join a care coordination team in Grand Rapids, MI. The role focuses on clinical judgment to plan and monitor care for patients with complex needs, integrating behavioral health strategies to improve outcomes.
You will collaborate with patients, families, and a multidisciplinary team to facilitate understanding of diagnoses, support lifestyle changes, and coordinate across care settings across the continuum.
Offering you the choice of 5 8-hour shifts or 4 10-hour shifts.
Utilizes clinical judgment and expertise to coordinate care management/behavioral health interventions. Develops strategies to ensure cost effective, quality care outcomes to patients with complex care needs. Identifies options for levels of care for individuals and populations of patients, focusing on strategies that will promote optimal health. Assesses, plans, monitors, and provides therapeutic interventions as appropriate. Collaborates with patient and family to facilitate understanding of diagnosis and to provide therapeutic interventions to support necessary lifestyle and behavior changes. Partner with patients, families, and other health care providers to ensure understanding the impact the disease or illness has on the patient's mental and emotional health. Respond to crisis situations and engage with patients and families to access the appropriate level of care across the continuum. Emphasis of duties may vary depending upon area of assignment. From Ludington, to Baldwin, to Nunica and south through Kent County, Ottawa County and as far south as Gun Lake, our Corewell Health West Team goes the distance to provide outstanding support.
Works in close collaboration and communication with physicians and other members of the health care team in order to minimize duplication of effort, promote teamwork, and ensure seamless coordination of services within and between teams and across campuses.
Assists with patient evaluation and treatment to further their understanding of significant social and emotional factors underlying a patient's health problem(s). Actively participates in care conferences as appropriate.
Mobilizes patient/significant others' to utilize their own strength to make necessary lifestyle and behavior changes. Acts as a patient advocate to ensure their desires are recognized and followed to the greatest extent possible. Identifies and responds to any situations representing risk to the patient, their family, the organization and/or the community.
Partners with community agencies to coordinate care across the continuum to offer options, tools, and resources to allow patients the opportunity to achieve his or her desired goals.
SITE - Continuing Care - 1239 E Beltline Ave NE - Grand Rapids
Specialized - Home Care West
Full time
Day (United States of America)
40
8 a.m. to 5 p.m.
Monday to Friday
N/A
We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.