Overview:

Greater Flint Health Coalition is seeking an experienced Social Worker to provide medical/healthcare focused social work and behavioral health services for children ages 0-18 years as well as adults 18-64 who are Genesee County Community Health Access Program (CHAP) and /or Genesee Clinical Community Linkage Hub clients, including but not limited to assessment of biopsychosocial issues and barriers to comprehensive healthcare, education, referrals to counseling/ mental health/substance use treatment, linkage to community referrals, and follow up to ensure appropriate services are acquired. This position coordinates behavioral health needs of clients, acts as a liaison between Genesee CHAP and participating medical practices and providers, and consults with the Genesee CHAP team regarding social and behavioral health issues. This position works as a member of the interdisciplinary Genesee CHAP team collaborating with physicians, physician practices, and community organizations to provide services to individuals/families that address social determinants of health to achieve health equity for individuals/families.

Genesee CHAP is an innovative and collaborative approach to improve the health outcomes for Genesee County's children (ages 0-18 years) with Medicaid while reducing costs. The Genesee Clinical Linkage Hub mirrors this approach for adults ages 18-64 with Medicaid. Through these programs, a multi-disciplinary, community and clinically-based team will link families with a medical home (primary care physician), health behavior and asthma education, transportation to medical home visits, interpreting services, and community resources to address social determinants of health. The position will not be providing direct health care or clinical services but serves as a community-based mechanism to eliminate barriers and improve coordinated use of services.

Operated via the Greater Flint Health Coalition, the Social Worker will join our team based in Flint, Michigan, working in a fast-paced, demanding, but rewarding collaborative environment. You will have the opportunity to use your social work experience, as well as clinical and community knowledge, to improve health outcomes and healthcare access for children.

Primary Responsibilities:

Effectively manage a medical/healthcare social work caseload and determine intervention strategies based on the referral type, previous interventions, and information from the provider(s) and client(s).

Receive social work referrals and schedule initial office/home visits and/or conduct phone calls with families to complete assessment, provide education, and connect families with resources or provide referrals to outside agencies.

Provide education to clients on appropriate use of all health care services and promote practice of "medical home-ness."

Complete brief patient/family assessments during office/home visits and phone consultations.

Interview patients, families, community professionals, and providers as necessary to obtain biopsychosocial information.

Continually conduct office/home visits and/or phone calls as needed based on client needs and referral options.

Interpret information gathered during office/home visits/phone calls and identify patient/family needs and appropriate course of action.

Provide de-escalation intervention to clients