- Conduct outreach to patients from diverse populations to engage them in population health initiatives
- Build rapport and establish trusting relationships with patients to promote their active participation in care
- Identify barriers to healthcare access and address social determinants of health that impact patient well-being
- Educate patients on available resources, preventive measures, and self-care strategies
- Perform comprehensive medical and behavioral assessments to evaluate patients' physical, psychological, and social needs
- Identify and address mental health issues, substance abuse, domestic violence, and other psychosocial factors
- Collaborate with healthcare providers to develop individualized care plans based on assessment findings
- Advocate for patients' needs and preferences in care planning and decision-making processes
- Collaborate closely with a multi-disciplinary team, including physicians, nurses, care coordinators, and community partners
- Participate in care conferences and team meetings to discuss patient cases and develop integrated care plans
- Share expertise on social determinants of health and provide guidance to the team on addressing patients' social and emotional needs
- Coordinate referrals to community resources, mental health services, and support groups
- Maintain accurate and up-to-date documentation of patient interactions, assessments, and care plans
- Adhere to privacy regulations and ensure the confidentiality of patient information
- Provide timely and thorough reports to the multi-disciplinary team regarding patient progress and interventions
- Collaborate with healthcare providers to ensure continuity of care and coordination of service
- Master's degree in Social Work (MSW) from an accredited institution
- Current and valid licensure as a Licensed Social Worker (LSW) or Licensed Clinical Social Worker (LCSW)
- Minimum of 2 years of experience as a social worker, preferably in a healthcare or population health setting
- Knowledge of medical and behavioral assessment techniques, mental health interventions, and crisis management
- Strong understanding of social determinants of health and their impact on patient well-being
- Excellent communication and interpersonal skills to engage patients and collaborate with a diverse team
- Demonstrated ability to work collaboratively in a multi-disciplinary team environment
- Strong interpersonal skills to build effective relationships with colleagues, patients, and community partners
- Excellent problem-solving and conflict resolution skills
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Social Worker - Orlando, United States - Wellvana Integration Partners, LLC
Description
Job Description
Job DescriptionDescription:Who we are:
The healthcare system isn't designed for health. We're designed to change that. We're Wellvana, and we help doctors deliver life-changing healthcare.
Through our elevated value-based care programs, we're revitalizing an antiquated system that's far too long relied on misaligned incentives that reward quantity of care not the quality of it.
Our enlightened approach—covering everything from care coordination to coding to marketing— ties the healthy outcomes of patients directly to healthier earnings for primary care providers.
Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. Patients, in turn, get an elevated experience with coordinated 24/7 care that is nothing short of life changing.
Recently named by Insider as one of 33 startups investors expect to take off in 2023, we're one of the fastest-growing healthcare companies in America because what we do works. This is the way medicine is meant to be.
What you'll do:
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