Social Work Navigator - Grand Rapids, United States - Christian Living Services

Christian Living Services
Christian Living Services
Verified Company
Grand Rapids, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Social Work Navigator (MSW or BSW)


TANDEM365 has a unique opportunity for a Social Worker (MSW or BSW) 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 position is Wayne County.

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Get to know 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.


TANDEM365 services over 1300 participants in the West Michigan area and has provided care to thousands in their 10 years in existence.

TANDEM365 is excited to bring this care model to the Metro Detroit area.


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.

Our services help them remain in their homes and manage their conditions more effectively. Our model provides a patient-centered method of care delivery to reduce gaps in care and prevent fragmentation.


Why should you consider TANDEM365?

  • Hybrid work (mix of remote from home and in person visits)
  • Ability to work within a supportive interdisciplinary team
  • A supportive company culture that encourages a healthy work/life balance
  • Mileage reimbursed from the time you leave your door
  • Ability to establish longterm relationships with your participants

What is it like to work here?
TANDEM365 is a growing organization who is focused on developing a supportive workplace environment.

We recognize that creating an environment where staff are supported, encouraged, and appreciated for their hard work results in excellent patient care and organizational success.

We encourage a healthy work/life balance.

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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.

Duties include coordinating and collaborating to facilitate and monitor appropriate services across the continuum of care.


Responsibilities

  • Both inhome and phone assessments to formulate plans 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, goalfocused conversations
  • Working with the care team to prevent 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 is highly preferred
  • 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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