Practice Medical Social Worker - Part time, 24 hours per week - Bronson Lakeview Family Care, Bangor and Bronson Lakeview Family Care Blue Star, South Haven

About the role

Responsible for the delivery of behavioral health care management 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.

Responsibilities

• 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.
• Makes appropriate referrals to community agencies and other healthcare specialists.
• Collaborates with 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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