This job was posted by https://illinoisjoblink.illinois.gov : For more
information, please see:
https://illinoisjoblink.illinois.gov/jobs/11883788 Department
BSD MED - Hospital Medicine - CCP Social Work
About the Department
The Comprehensive Care Program (CCP) is located in the Section of
Hospital Medicine, Department of Medicine at the University of Chicago.
The program, originating as a study from the Center for Medicare and
Medicaid Innovation to test whether physicians can provide better care
at lower costs than the current system, allows hospital physicians to
see their patients in the clinic as well as in the hospital, believing
that patients will get better care, have better care at lower health
care costs and be happier with their care if the same doctor is seeing
them in both settings. CCP comprises physicians, study investigators and
research team, and a clinical staff that includes nurses and social
workers serving approximately 1,000 patients, and includes a provision
for Home Care (CCP-HC) in which a physician and social worker team treat
patients in their homes who cannot travel to clinic. While still under
evaluation, CCP is viewed as a novel model of health care delivery and
under consideration for replication in other healthcare systems.
Job Summary
The CCP Social Worker is a member of the Comprehensive Care Program\'s
(CCP) clinical team, specifically focused on providing direct care to
patients enrolled in the Comprehensive Care Program. This role will also
support research initiatives and will be responsible for collaboration
with and facilitation of content in a community-based cultural and arts
program.
Responsibilities
- Completes comprehensive psychosocial assessments, provides support
and interventions for a panel of chronically ill patients with
complex social needs.
- Meets directly with patients and their family members in order to
address unmet social needs such as but not limited to housing, food
insecurity, social engagement, public benefits, and insurance
navigation.
- Knowledgeable on community resources that can provide appropriate
interventions and/or support services to meet patient needs.
- Initiates and maintains professional working relationships with
community partners to advocate for appropriate and timely referrals.
- Facilitates individual, family, and group meetings and/or therapy
sessions.
- Acts as a collaborative partner with members of the inpatient
healthcare team to facilitate appropriate transitional care plans
and care coordination/transitions efforts. Continues to provide
clinical case management to patients once they return to the
community.
- Collaborates closely with inter-professional team, attends daily
multidisciplinary rounds and actively participates in daily case
planning with a community health worker to coordinate care and
address unmet social needs.
- Continuously assesses patient readiness and motivation in
patient-identified goals and provides behavioral case management.
- Assesses for depression, anxiety, suicide ideation and substance
abuse using validated screening tools.
- Provides brief crisis intervention to patients experiencing
intimate-partner violence, sexual assault, and abuse or neglect.
- Understands and abides by mandated reporting policies and
facilitates the involvement of Illinois Department of Children and
Family Services or Illinois Department of Aging when there is
concern for suspected abuse or neglect.
- Participates in program process improvement, community/wellness
events, and research activities.
- Documents patient encounters in electronic medical record in a
timely manner.
- Plans own resources to combat social problems, prevent substance
abuse, or improve community health and counseling services.
- Analyzes potent al problems in home or work environments of clients.
- Performs other related work as needed.
Minimum Qualifications
Education:
Minimum requirements include a college or university degree in related
field.
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Work Experience:
Minimum requirements include knowledge and skills developed through 2-5
years of work experience in a related job discipline.
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Certifications:
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Preferred Qualifications
Experience:
- Post-graduate clinical experience in a medical setting, with a solid
understanding of the medical system, medical terminology, and levels
of care.
- Familiarity and experience with motivational interviewing,
dialectical behavioral therapy, acceptance and commitment therapy
and other evidence based practices.
Licenses and Certifications:
- LSW strongly preferred within 3 months of start date.
Technical Skills or Knowledge:
- Knowledge of federal and state laws, rules, regulations, NASW Code
of Ethics, policies, and procedures as related to social work.
Preferred Competencies
Comfortable establishing an active role on an inter-professional team.