Social Worker – Community Care Team

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🔥 0 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟢 Junior

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Lehigh Valley Health Network

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Lehigh Valley Health Network is a comprehensive healthcare system that is now part of Jefferson Health, one of the top 15 not-for-profit health systems in the United States. It offers a wide range of medical services, including primary care, urgent care, and specialized institutes like the Lehigh Valley Topper Cancer Institute and the Lehigh Valley Heart and Vascular Institute. LVHN provides extensive care solutions, including video visits, second opinions, and a network of doctors and clinicians in numerous locations. It emphasizes education through residencies and fellowships and prioritizes patient-centric services such as lab testing and women's health care. The network also focuses on innovation, offering clinical trials and advanced therapies like CAR-T Cell Therapy.

📋 Description

• Functions as a member of the multi-disciplinary team and coordinates input from the Integrated Care Coordination team and provider practices to provide continuity of care across the care continuum for a defined population • Assesses social determinants of health, identifies needs and barriers, facilitates care plan goal setting, and linkage to resources • Performs psychosocial assessments and evaluations to identify and remove barriers to receiving care • Assists patients and families to resources that facilitate care • Coordinates referrals between providers to assist patients to meet their goals and improve functioning • Identifies outreach opportunities, wellness, and education planning needs of the designated groups • Assists to develop coordinated care plans for patients with complex medical and/or behavioral health needs • Utilizes shared decision-making models, collaboration, motivational interviewing, and other evidence-based patient engagement interventions to encourage positive behavior change • Fosters a team approach by working collaboratively with all practice and community based team members • Documents all interventions succinctly and in a timely fashion in the medical record • Promotes patient self-management and empowers patients/families to achieve maximum levels of wellness and independence

🎯 Requirements

• Master’s Degree Social Work • 1 year Experience in a medical or clinical setting • Ability to recognize the role of cultural, social, economic, and behavioral factors in the accessibility, availability, and delivery of public health services • Ability to adjust course of action and plans in relation to others' actions • Knowledge of community resources and self help organizations • Strong assessment and documentation skills

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible work hours • Paid time off • Remote work options