Job Description

We are so glad you are interested in joining Sutter Health!

Organization:

Sutter Health Alliance - Valley

Position Overview:

This position is responsible for operationalizing Sutter Health Plan's health-related social needs (HRSN) screening and intervention program in accordance with NCQA's Social Need Screening and Intervention (SNS-E) measure and other contractual requirements. Annually or more frequently, the incumbent screens Plan Members aged 18 and older for food insecurity and additional health-related social needs (e.g., housing instability, homelessness), coordinates screening and closed-loop referral efforts with Participating Providers, links members to appropriate community and social services across the Service Area, and produces the analysis and reporting required to demonstrate compliance to SHP’s client and internal executive leadership. Screening is administered through a blended digital and telephonic outreach model that leverages the member resource directory/community resource platform maintained by SHP's contracted vendor.

Job Description:

EDUCATION:

• Master's: Social Work OR Master of Social Services, MSS, degree from a school accredited by the Council on Social Work Education

TYPICAL EXPERIENCE:

• 2 years recent relevant experience.

SKILLS AND KNOWLEDGE:

• Clinical skills in biopsychosocial assessment and clinical interventions, including crisis intervention, intervention with patient/family behavioral issues, grief counseling, supportive counseling, adjustment to illness, life review/end of life support, behavioral change therapy, motivational interviewing, short-term family counseling, group facilitation.
• Collaboration skills and ability to work effectively on a team.
• Skills in patient and family advocacy.
• Knowledge of transitions of care and community resources.
• Knowledge of post cute levels of care and resource needs for discharge planning
• Knowledge of child, elder and dependent adult abuse, crimes against persons reporting requirements, and other significant regulations affecting clinical social work practice (e.g. Tarasoff, patient confidentiality).
• Knowledge of behavioral health and the skills to assess mental health functioning, high risk behaviors, depression, anxiety, or other psychiatric conditions impacting hospitalization or transitions of care.
• Knowledge of suicidal behavior, and the skills necessary to assess lethality, and to develop and implement an appropriate plan of care.
• Knowledge of substance use and the skills to assess level of addiction, motivation for change, and to develop and implement an appropriate plan of care.
• Knowledge and understanding of the influence of cultural and spiritual values in social work practice.
• Knowledge and skills necessary to provide psychosocial care appropriate to the age-specific needs of newborns, children, adolescents, adults and elders.
• Knowledge of palliative care, goals of care discussions, and the psychosocial needs of the patient and family at end-of-life.
• Knowledge of bioethics and legal issues impacting patient care.
• Demonstrated ability to effectively communicate, both verbally and in writing.
• Must demonstrate interpersonal and organizational skills, to work effectively in a fast-paced environment with rapidly changing priorities and competing demands.
• Proficient in using a computer to accurately enter and extract data, send and receive email, calendar appointments, and use task lists as will be using a variety of computer software programs.
• Knowledge of local county/state/federal resources for at-risk population.

Job Shift:

Days

Schedule:

Full Time

Shift Hours:

8

Days of the Week:

Monday - Friday

Weekend Requirements:

None

Benefits:

Yes

Unions:

No

Position Status:

Non-Exempt

Weekly Hours:

40

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $50.83 to $71.15 / hour

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.