Social Worker - Part Time
Company: Landmark Health
Location: Palo Alto
Posted on: January 12, 2021
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Job Description:
DO YOU WANT TO MAKE A DIFFERENCE IN HEALTHCARE? Landmark Health
was created to transform how healthcare is delivered to the most
medically vulnerable members in our community. Our medical group
provides home-based medical care to chronically ill patients, many
of whom are frail, elderly and ill-equipped to navigate our
overwhelming healthcare system. Because many of our patients are
frail and elderly, we deliver care primarily in the comfort of
their home. Our Program is also offered to eligible patientsAT NO
INCREMENTAL FINANCIAL COSTTO THEM. We are not a fee-for-service
practice; we benefit economically only if we deliver high-quality
patient outcomes and satisfaction. As a result, our clinical teams
can spend quality-time caring for a smaller number of patients,
giving all patients the space, respect, compassion and care they
deserve. Our model is finding success throughout the country; we
are now the nations largest risk-based, in-home medical group. At
Landmark, our interdisciplinary teams collaboratively manage our
complex patient panels. These teams are led by Physicians, Nurse
Practitioners, and Physician Assistants, with supporting care
provided by RN Nurse Care Managers, Social Workers, Pharmacists,
Behavioral Health and other employed team members. The primary role
of the Social Worker (SW) is to assess the psychosocial needs of
members and provide solution-focused care coordination to address
issues that impede their ability to adhere to their medical care
plan. The SW is an active member of the Interdisciplinary care team
(IDT). Social work services will be provided in home,
telephonically and/ or video. Part time 1-2 days per week
telephonic assesments and resource referrals The Social Worker is
responsible for: * Facilitating serious illness / goals of care
discussion with the patient and family * Conducting an assessment
of the patients and familys strengths and needs; this may be done
in the home, telephonically and or video * Developing collaborative
care plan goals with the patient and family and/ or caregivers and
IDT members * Connecting patient and/ or patients family/ caregiver
to appropriate community resources and supports * Providing
solution focused case management * Providing brief therapeutic
interventions to patient and family * Utilizing motivational
interviewing (MI) and other psychotherapeutic techniques to elicit
behavior change * Promoting patient and family self-management
strategies * Enhancing connectivity between patients and members of
the interdisciplinary team * Navigating community resources and
developing community partnerships to improve access to care and
ease of systems navigation * Masters Degree (MSW) in Social Work *
Meet all state certification and licensing requirements * Minimum
of three (3) years of social work experience (internship not
included) * Minimum of two (2) years of social work experience in a
healthcare setting * Palliative and/or hospice care experience is
preferred * Experience in delivering home-care or field case
management is preferred * Excellent communication skills and
knowledge of accessing community resources _In order to work with
potentially vulnerable patient populations and to keep employees
healthy while caring for patients, all patient-facing employees of
Landmark must provide evidence of the following required
immunizations/vaccinations as a condition of employment: TB, MMR,
Tdap, and Influenza. Declinations may be accommodated based on your
medical history, an allergy or religious beliefs. Please
immediately contact HR if you wish to apply for an exemption from
our vaccination requirements so that we may determine if you
qualify for an accommodation._
Keywords: Landmark Health, Palo Alto , Social Worker - Part Time, Other , Palo Alto, California
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