Social Work Navigator - Grand Rapids, United States - Christian Living Services
Description
Social Work Navigator (BSW or MSW) - northern Kent, Montcalm, Newaygo Counties
TANDEM365 has a unique opportunity for a Social Worker (BSW or MSW) to take their career to the next level.
This full-time position offers competitive pay, flexibility, some remote work and the opportunity to work as an essential part of an interdisciplinary healthcare team.
The territory for this Navigator is northeast Kent County as well as Newago and Montcalm Counties.Why Join TANDEM365?
We are a complex medical case management program coupled with a robust community paramedicine program that offers rapid response and in-home interventions.
Our unique population health model exists to provide innovative services and challenge the complexities of healthcare, so the lives of our participants are enriched and transformed.
At TANDEM365, we utilize highly skilled nurses, medical social workers, community paramedics and medical assistants to assist our participants with complex medical needs navigate the health care system, support their goals and prevent unnecessary hospital utilization.
What Will You Do?
In this community-based program, the Social Work Navigator performs assessments in our participant's homes or other settings, uses innovative interventions to balance a variety of needs and is skilled in person-centered care planning.
Responsibilities
- Both inhome and phone assessments to formulate plan of care
- Coordination of care with mental health providers
- Assessing social determinant of health needs and implementing appropriate interventions
- Advance Care Planning
- Working to transition our participants to hospice at the appropriate time
- Empowering selfmanagement
- Conducting challenging goal focused conversations
- Working with the care team to prevent address unnecessary hospitalizations
- Resource connection
Skills to be Successful
- Flexibility, resiliency, and adaptability
- Selfdirected and autonomous
- Ability to prioritize
- Skilled at initiating and having challenging conversations
- Organized
- Team player mentality
Education and Experience
- BSW or MSW licensure in the State of Michigan
- At least 3 years of social work experience
- Postacute older adult care preferred
- Experience caring for individuals with behavioral health conditions in addition to complex and chronic medical conditions preferred
- Knowledge of communitybased resources and strong networking skills
- MMAP training is highly valued
- Understanding of Advance Care Planning process
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