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Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.

  • Job Objective: A brief overview of the position.
    • The Social Worker is responsible for the delivery of behavioral and healthcare management services in the Ambulatory Care setting to a variety of patient populations across the lifespan; coordinates the complex needs of patients and their families as well as psychosocial assessment for patients with complex psychiatric, social, medical and financial needs. 

  • Reports to
    • Director-Ambulatory Care Coordination

  • Supervises
    • N/A

  • Ages of Patients
    • Pediatric
    • Adolescent
    • Adult
    • Geriatric
  • Blood Borne Pathogens
    • Minimal / No Potential

  • Qualifications
    • Education
      • Required: Master’s degree in Social Work

    • Licensure/Certification
      • N/A

    • Experience
      • Required: Two (2) years clinical social work experience; may include internship

      • Preferred: Managed care experience, recent medical and mental health experience

  • Essential Responsibilities
    • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
    • Conducts comprehensive biopsychosocial assessments to understand patient’s life story, needs, goals and preferences, including understanding cultural and linguistic factors, in the areas of behavioral health, substance use, abuse/neglect, financial, medical and other needs.
    • Facilitates behavioral change necessary for meeting diagnosis and treatment goals, including promoting patient motivation to participate in care and reach treatment goals.
    • Facilitates and provides tailored social and emotional support for the patient related to coping with problem(s) being addressed.
    • Helps the patient contextualize health education provided by the patient’s treatment team and educates the patient and/or caregiver on how to best participate in medical decision-making.
    • Performs periodic administration of SDOH survey tools and monitoring of related SDOH.
    • Conducts screenings to evaluate the needs of patients for behavioral health and support services.
    • Provides SDOH management services for behavioral health conditions, including psychoeducational counseling and crisis intervention as necessary.
    • Sets personalized goals and creates action plans and conducts follow-up/on-going interventions as appropriate.
    • Builds patient self-advocacy skills in ways that are more likely to promote personalized and effective treatment of their problem(s) identified.
    • Coordinates with clinical, health education, community health and other team members in the provision of services to patients and care transitions.
    • Helps the patient arrange access to medical care, including securing medical or community-based appointments, identifying appropriate providers for care needs, identifying appropriate community-based resources for SDOH related to problem(s) identified during the initiating visit, and for accessing all clinical care services necessary.
    • Performs coordination of receipt of needed services from practitioners, providers and facilities, home and community based services, and caregiver if applicable.
    • Conducts coordination of care transitions between and among health care practitioners and settings, including referrals to other clinicians.
    • Conducts communication to and from practitioners, home and community-based services regarding the patient’s psychosocial needs, functional deficits, goals, and preferences.
    • Serves as a resource to interdisciplinary team concerning social issues.
    • Serves as a field instructor for social work students as well as a mentor to social work team.
    • Collaborates with interdisciplinary team to promote continuous process improvement, which results in efficiency, cost effectiveness, and the highest level of clinical excellence.
    • Calls in and writes APS, CPS and suspicious injury reports in collaboration with the interdisciplinary team when warranted.
    • Documents following documentation standards and demonstrates intervention that supports services provided.
    • Performs other duties as assigned.

Eisenhower Health offers a generous benefits package and a matched retirement plan.

Employees are eligible to participate in a benefits program designed to make a difference for you and your family.

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