Practice Medical Social Worker - Lifetime Wellness

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BHG Bronson Healthcare Group Title Practice Medical Social Worker - Lifetime Wellness Responsible for the delivery of care management and behavioral health services in the ambulatory primary care practice setting to a variety of patient populations across the lifespan. Coordinates care to ensure patient/family have access to community services. Administers behavioral health screenings and conducts and arranges for more detailed assessments when indicated. Integrates evidence-based guidelines in the development of individualized patient centered care plans with the patient/family. Monitors/evaluates progress with the goal of optimizing the patient’s health status. Delivers brief interventions to support necessary lifestyle and behavioral changes. Responds to crisis situations in the ambulatory setting. Identifies high-risk psychosocial needs of patients/families. Collaborates with patients, families, and the interdisciplinary care team to ensure understanding of the impact the disease or illness has on the patient's mental and emotional health. Offers a range of brief, solution-focused prevention, treatment, and recovery services for patients with mild to moderate risk factors. Collaborates and works effectively as part of the interdisciplinary health care team to ensure delivery of quality, efficient, and cost-effective team-based health care services. Provides culturally competent clinical services which are relevant to patients/families. Emphasis of duties may vary depending upon the area of assignment. Master of Social Work degree with one-year recent medical or mental health experience preferred or equivalent Master’s degree. Licensed Master Social Worker (LMSW) in the state of Michigan preferred. Limited Licensed Master Social Worker (LLMSW) in the state of Michigan will be considered. Ability to use word processing, spreadsheets, presentation programs, and other software relevant to the job. Demonstrates customer focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary health care team, community agencies, patients, and families with diverse opinions, values, and religious and cultural ideals. Demonstrates ability to work autonomously and be directly accountable for practice. Demonstrates leader qualities including time management, verbal and written communication skills, listening skills, problem solving, critical thinking, analysis skills and decision-making, priority setting, work delegation, and work organization. Demonstrates ability to develop positive, ongoing relationships and set appropriate boundaries with others. Ability to affect change, work as a productive and effective team member, and adapt to changing needs/priorities. Ability to manage complex clinical issues utilizing assessment skills and protocols. Assume responsibility for professional development. Attend assigned training and meetings. Develop and support a positive work climate and the overall team effort of the department. Participates in the development and revisions of departmental processes and standard work. Flexibility to adapt to the needs of the department. Function autonomously on behalf of the providers under the Bronson system and in collaboration with the providers for all identified responsibilities. Identify appropriate patients to work with. Assess patient needs, coordinates services, and referrals. Assess the nature of the crisis and the immediate social/emotional needs and strengths of the patient and family in order to provide appropriate intervention. Perform appropriate screenings based on patient population and need. Identify problems surrounding the crisis situation and may act as patient advocate to improve such problems. Collaborate with other members of the patient care team to understand each situation recommends or provides immediate treatment and solution focused interventions. Work effectively as part of the interdisciplinary healthcare team, collaborating and communicating regularly with the PCP, patient, health care team and other members across the care continuum and community. Develop a comprehensive individualized plan of care with targeted interventions for patients. Conduct regular follow-ups with patients to evaluate progress and response to plan of care, promote continuity of care and ensure improved health outcomes. Evaluate effectiveness of interventions continuously and modify the plan of care as needed. Provide patient self-management support with a focus on empowering the patient/family to build capacity for self-care. Provide education to patients of all ages based on knowledge of growth/development across the lifespan. Promote healthy behaviors in all populations and ensure navigation assistance with community resources. Link patients to social services programs and make referrals to community agencies and other healthcare specialist to resolve emotional, social, or financial problems impacting health care status. Ensure the appropriate follow-up treatment and support is available. Implement clinical interventions and protocols based on risk stratification and evidence-based clinical guidelines. Thoroughly document each case into the patient's medical record, such as care coordination, care management and behavioral health activities, as appropriate. Identify and provides for learning needs of patients, families, and healthcare coworkers. Work with ambulatory care management, managed care, and practice leadership to continuously evaluate processes, identify problems, and propose/develop process improvement strategies to enhance patient care and ensure program & metrics are met. Mentor and supervise students as needed/able. Bill appropriate codes based on payor guidelines and direction of leadership. Shift First Shift Time Type Full time Scheduled Weekly Hours 40 Cost Center 1287 Centralized Disease and Care Management (BHG) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson! Bronson Healthcare is a community-owned, not-for-profit health system that has been serving southwest Michigan since 1900. Today, with a workforce of 9,000 people and 1,500 medical staff members, it is the area’s largest employer and leading healthcare system. Bronson provides care in virtually every specialty and offers a full range of services from primary care to critical care at more than 100 locations. Bronson’s exceptionally high quality standards enable us to do what’s right for our patients and their families. We are empowered as individuals and as teams, to apply our skills and experience so that every patient receives safe, timely and effective treatment. What’s more, our state-of-the-art, technology and evidence-based processes give us the tools we need to deliver the right care, at the right time. By putting each patient and their family at the center of our work, we demonstrate the dignity and respect we have for each individual we serve. This unwavering commitment to serving others combined with our unique healing environment helps make the patient experience here an exceptional one. The excellence and Positivity of our employees and medical staff has contributed to Bronson Healthcare being ranked by Forbes as one of America’s Best-In-State Employers (2022-23), by Newsweek as one of America’s Greatest Workplaces for Women (2023) and by the National Association for Business Resources as one of the 2023 Top 101 Best and Brightest Companies to Work For.