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Licensed Clinical Social Worker
3 days ago
Provide transitions of care support via collaborative pathways with inpatient, post-acute care facilities, and dialysis centers, to ensure strong social support and behavioral health care plans as part of the overall transition of the care plan
Partner with Evergreen Nephrology's care team to identify and eliminate social determinants of healthcare for your patients, including functional capacity, home environment, health literacy, housing instability, food insecurity, and caregiver support and in-home support service in care planning
Participate in ongoing scheduled consultation with an interdisciplinary team to monitor patient progress.
Weekly meeting with your market BH APP or psychiatrist to review your active caseload.
Link patients to community resources as appropriate
Support patients through direct, telephonic and video behavioral health care for patients with a higher level of behavioral health acuity
Accurately identify and document behavioral health diagnoses and conditions and establish behavioral health treatment plans for the respective conditions.
Implement evidenced based psychotherapies.
Cogently explain the Evergreen Nephrology IDT resources and clinical programs to patients and families; guide patients toward quality-of-life decisions aligned with patient goals and values. Recognize goal-directed care in response to patient needs is an important component of managing psychiatric conditions.
Represent Evergreen Nephrology commendably to patients, families, providers, and the community
Other duties as assigned YOU'RE GOOD AT You reviewed the Who You Are section of this job posting and immediately felt the need to read on. That makes you a match for our innovative culture
You accept that things change quickly in a startup environment and are willing to pivot quickly on priorities
Master's degree in Social Work
At least 12 months of clinical experience, including the provision of psychotherapy.
State licensure or certification is required as a licensed independent clinical social worker or the highest licensure in state of residence.
Engaging patients in psychotherapy, especially CBT and BA with a willingness to learn modalities that are new to you.
Experience in caring for kidney care patients or a willingness to learn.
Experience with team-based care, excellent collaboration skills
Excellent working knowledge of community resources.
Exceptional capacity to multitask
Self-directed
Comfort with ambiguity
Strong communication and teaching skills
Daily access to a vehicle with a valid driver's license WE'RE GOOD AT You will benefit from Evergreen Nephrology's exceptional total rewards package, including competitive base pay with bonuses, paid time off starting at four weeks for full-time employees, 12 paid holidays per year, reimbursement for continuing medical education, 401k with match, health, dental, and vision insurance.
We are proud to offer family-friendly policies that support paid parental leave and flexible work arrangements.
We commit to a robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology.
As an inclusive and diverse team, you will collaborate with like-minded healthcare professionals who, like you, understand the importance and value of Evergreen Nephrology's high-quality, value-based care model. Common characteristics of the people who comprise Evergreen Nephrology: Smart, detail-oriented, mission-driven, entrepreneurial, and operates with urgency %{{advertiserId}}% %%{{category}}%%
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