Social Worker - Rivertown

Friendsofkerhonkson; Detroit (MI); On-site; USD 55,000 - 85,000; Full time

Job summary

Friendsofkerhonkson seeks a Master’s Social Worker (MSW) licensed in Michigan to assess and coordinate social services for participants and families. You will work with the IDT to develop care plans, provide CBT/Motivational Interviewing counseling, and manage case coordination from enrollment through discharge.

The role requires strong knowledge of EHR systems, team collaboration, and adherence to local/state/federal regulations.

Qualifications

• Must hold a Master’s in Social Work and be licensed to practice in Michigan.
• One year of clinical social work experience, preferably in geriatrics.
• Demonstrated knowledge of case management, short-term interventions, and patient-centered care.

Responsibilities

• Conduct comprehensive bio-psychosocial assessments at enrollment and at 180 days.
• Develop and implement individualized care plans for participants and caregivers.
• Provide counseling using CBT and Motivational Interviewing; educate and support families.

Skills

MSW degree

Licensed MI

Geriatrics experience

Case management

EHR proficiency

Microsoft Office

Team collaboration

Education

Master’s in Social Work (MSW)

Tools

EHR system

Microsoft Office Suite

Job description

SUMMARY:The Master’s Social Worker (MSW) works independently to assess the needs of, coordinate, and deliver social services for participants and families/caregivers. The MSW is a member of the Interdisciplinary Team (IDT) and participates in the assessment, intervention, management, and review of social service needs. The MSW provides care through a variety of modalities, including but not limited to bio-psychosocial assessment, interventions that include cognitive behavioral techniques, psychoeducation, consultation, and care planning/case management.SPECIFIC DUTIES AND FUNCTIONS:The MSW is a member of the IDT and performs a comprehensive bio-psychosocial assessments at the time of enrollment (initial) and 180-day intervals thereafter. Acute assessments are completed on an as-needed basis and aim to answer specific referral questions. Utilizes measurement-based care.Develops and implements appropriate, individual treatment plans for both participants and caregivers, including but not limited to:Counseling (utilizing Motivational Interviewing and CBT techniques)EducationCoordination of services in collaboration with the care teamRisk Assessment/Crisis InterventionDirects case management Issues, including but not limited to:Housing Issues, including identifying least restrictive setting in accordance with participant’s level of income affordabilityFinancial IssuesSafety Issues including, but not limited to: symptoms of abuse, neglect or exploitation; ability to live independently; decision-making capacity; any other issues warranting involvement of Adult Protective Services (APS)Psychiatric: changes in mood, behavior, cognition/mental status; suicidal/homicidal ideation; substance use/misuseCaregiver BurdenIdentifies the need to transfer to a higher level of care.Assists in coordinating discharge planning activities and processes.Educates and counsels the participant and/or caregiver regarding care needs, options and other related problems.Advocates to others on behalf of the participant and demonstrates accountability in resolving participant concerns or issues.Works collaboratively to develop and communicate initial impressions, plans of care, changes in care, and progress in a timely fashion.Helps to develop and implement the plan of care with the IDT, participant, and/or caregiver.Completes timely and accurate documentation in the electronic health record (EHR).Communicates changes in participants with IDT and family members.Evaluates participant outcomes and progress toward achieving the objectives and goals of the care plan and communicates this information among other members of the IDT.Performs other related duties, as assigned by leader(s).KNOWLEDGE, SKILLS AND ABILITIES:Master’s Social Worker from an accredited school of social work.Licensed to practice in the State of Michigan. Limited License may be considered depending on experience and number of supervised hours.One year experience working as a clinical social worker, preferably in the field of geriatrics.Overall knowledge of case management skills, short term interventions, and principles of human behavior.Demonstrated knowledge and skill in evaluating, planning, implementing, and monitoring patient-centered approaches to care.Knowledge of and compliance with applicable local, state, and federal laws and regulations. Cultural competence and an ability to care for a diverse population.Ability to learn and use electronic health record system.Proficient in Microsoft Word, Excel, Outlook, PowerPoint.Positive, flexible, and solution-focused attitude with ability to collaborate effectively in a team setting.