Social Worker – Community Health

Job Overview

Why Crescent Community Health Center? Crescent is a mission driven, patient centered organization. Crescent provides medical, dental and brain health services to the Greater Dubuque area including our most vulnerable populations. Crescent works hard to bring high quality affordable health care to all in our community. Crescent provides a diverse, fun, and inclusive workforce with competitive wages and benefits. If you are looking for a rewarding career that makes a difference in the community, this is your chance.

Summary

The Social Worker applies social work methods to engage, educate and empower Crescent's patients and the communities we serve. . This individual will work as part of a care team assisting clients/patients in navigating a variety of systems within and outside of Crescent to overcome barriers pertaining to access to healthcare.

Essential Duties

• Assists in developing and implementing social service programs and resources.
• Uses evidence-based practice to assess and resolve complex social, economic, and psychosocial barriers that affect care such as motivational interviewing, SBIRT, PHQ-9.
• Completes PRAPARE assessments and makes referrals according to needs identified.
• Provides referral coordination with community resources and agencies.
  • Assists patients with applications for programs or benefits specific to their needs i.e., Medicaid, Health Home, employment opportunities, etc.
  • Collaborates with providers and specialists to obtain records, coordinate referrals, and ensure continuity of care.
  • Communicates referral status and information to patients in a timely manner.
  • Connects patients to behavioral health or substance abuse treatment services, and other community resources to ensure that the patient is accessing what he/she needs to improve or maintain health status.
  • Arranges transportation for patients when identified as a barrier to care. Tracks and reports approved transportation coverage specific to budgetary and other grant requirements.
• Maintains a professional, collaborative work environment to foster a positive public image for Crescent CHC.
• Provides crisis intervention as needed.
• Reports cases of abuse and neglect to DHS according to the mandatory reporter standard for relevant cases
• Meets with the Patient Care Team in the daily huddle in order to communicate necessary information regarding patient visits.
• Prepares requested reports.
• Assists in the collection of key data points in order to track quality benchmarks.
• Places outreach and follow-up calls to assigned patients and tracks calls made.
• Tracks patient compliance with recommended care and referrals.
• Provides evidence-based educational materials to the patient as directed by the provider or other care team members to empower the patient with self-management of their illness.
• Updates patient charts in EHR according to specialty care visit notes.
• Tracks patients in i2i and EHR to manage patient populations, including vulnerable and high-risk patients and patients needing a visit.
• Answers and returns phone calls to patients in a timely manner.
• Acts as a liaison with other departments within Crescent CHC.
• Performs quality assurance and utilization management audits of patient charts to assure compliance with various program expectations.
• Advocates, connect resources, and educates at the community level to inform the general public about the Crescent's offerings and the special populations served.
• Works toward continuous quality improvement.
• Stay current with changing technology, including software and programs.
• Uphold, support, and promote all company policies and procedures.
• Establishes boundaries and maintains a code of ethics according to social work standards.
• Completes other duties as assigned.

Qualifications

• Bachelor's degree (B. A.) in social work or related field from four-year college or university
• Prior related experience preferred.
• Must hold current certification as a mandatory reporter or be willing to obtain within 3 months of hire.

Pre-employment drug testing, physical, review of required immunizations, and background check required.

EOE