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University of Michigan Health-West (Formally Metro Health) is looking for an Ambulatory Care Coordinator (Social Worker)

The Ambulatory Care Coordinator -- Social Work is a Licensed Master of Social Work (LMSW) leader who assists in the management of the Ambulatory Social Work Care Management team and coordinates the care management services provided to adult and pediatric patients and families in an ambulatory setting. The Ambulatory Care Management Social Work Coordinator performs care coordination, clinical assessments and therapeutic interventions with the goal of optimizing patient's physical and mental health. The Ambulatory Care Management Social Work Coordinator serves as the mental health specialist and community resource expert. This integral role expands primary care's scope of practice by focusing on mental health and social needs to ensure the delivery of comprehensive, efficient and quality care.

Requirements:

• Current State of Michigan License (unrestricted) as a Licensed Master of Social Work (LMSW).
• Master's Degree in Social Work required.
• Three to five years of clinical experience or medical social work experience preferred.
• Demonstrated leadership
• Previous experience in the Care Management preferred.

Essential functions and Responsibilities:

COORDINATION

Assists with scheduling staff based on budgeted FTEs, skill mix, patient needs, and coverage.

Facilitates daily operations of the department.

Manages appropriate staff resources and allocate departmental based activity and budgeted hours in various care areas.

Provides clinical direction, evaluate staff performance, and complete evaluations on time according to schedule.

Performs daily maintenance and payroll processes of time and attendance.

With the oversight of the Manager, assists with departmental budget and demonstrates fiscal responsibility and stewardship.

CLINICAL

Functions as a role model, demonstrating expertise in clinical judgment, system navigation, and execution of the social work process within this context.

Receives and acts on referrals for moderate and complex patients through risk stratification, registries and provider referrals

Assesses patients' mental health and biopsychosocial needs through standardized assessments

Recommends treatment plans based on evidence based guidelines

Educates patients on preventive health, chronic illness and recommended treatments

Provides care coordination and follow-up for chronic medical, mental health and substance abuse services across the continuum of care

Follows patients longitudinally to evaluate treatment goals

Advocates for patients and family while maintaining professional boundaries

Consults with members of the care team throughout the continuum on treatment plans and follow-up care

Provides brief therapy for acute and chronic conditions.

Participates in process improvement activities to enhance behavioral health services and workflow.

Mentors staff in the Ambulatory Social Work Care Management role, promotes team collaboration, and appropriate delegation.

Functions in a direct Social Work Care Management role approximately 50% of the time.

LEADERSHIP

Participates and serves on committees, task forces, and work groups at the department and hospital level as determined by the Manager.

Assists in the development, maintenance and revision of departmental standards, policies, procedures and guidelines.

Demonstrates knowledge and consistently applies departmental policies.

Demonstrates knowledge of professional standards of care.

Supports professional growth and staff development of all departmental employees.

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