Patient Assessment / Care Planning / CounselingAs a member of the interdisciplinary team, assesses patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment.Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of… Show more Patient Assessment / Care Planning / CounselingAs a member of the interdisciplinary team, assesses patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment.Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life.Utilizes FKC patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of assessment and care planning to address barriers and meet patient treatment goals.Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life.Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license.Provides educational and goal directed counseling to patients who are seeking transplant.Provides information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes.Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education.Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons.In collaboration with the physician and nurse, participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care. Show less

Complete comprehensive clinical assessments for adults and youth with a wide variety of mental health and substance abuse challenges. Determine service need(s) and medical necessity. Formulate comprehensive treatment plans that are individualized to the individual/family’s specific treatment needs and are based on clinical experience and knowledge. Utilize various, best-practice therapy modalities of treatment. Provide individual and group therapy services to promote optimum mental health and… Show more Complete comprehensive clinical assessments for adults and youth with a wide variety of mental health and substance abuse challenges. Determine service need(s) and medical necessity. Formulate comprehensive treatment plans that are individualized to the individual/family’s specific treatment needs and are based on clinical experience and knowledge. Utilize various, best-practice therapy modalities of treatment. Provide individual and group therapy services to promote optimum mental health and overall well-being. Provide psycho-education on self-management skills building tools. Provide clinical consultation and work in partnership with individuals and families, other staff member sand community stakeholders in carrying out the goals and objectives of the treatment plan. Refer individuals inquiring about services or on service to appropriate community agencies and resources. Prepare and maintained all state, local, federal and company documentation, treatment records and reports. Show less

Attend community and health events to distribute Health Care Plan information. Schedule and deliver health education presentations in designated service areas. Support Health Plan sponsored programs in school, churches, and social service agencies in designated areas. Schedule outreach Ambassadors and coordinate their schedules to support marketing events. Conduct follow up with prospects encountered at events in designated service areas. Promote and organize employee volunteers in support of… Show more Attend community and health events to distribute Health Care Plan information. Schedule and deliver health education presentations in designated service areas. Support Health Plan sponsored programs in school, churches, and social service agencies in designated areas. Schedule outreach Ambassadors and coordinate their schedules to support marketing events. Conduct follow up with prospects encountered at events in designated service areas. Promote and organize employee volunteers in support of selected community events and activities. Participate in the development and implementation of strategies of member attainment in the designated service areas. Order and maintain inventory of promotional giveaways and materials. Vendor recruitment for community events. Show less

Provided health education and coaching to members tailored to issues identified within treatment and ervice plans. Coordinated with various healthcare providers for diagnostics, ambulatory care, and hospital services. Assisted members with social determinants of health including access to exercise and healthy food. Promoted activities focused on the health of a patient and their community, including without limitations outreach, quality improvement, and patient panel management. coordinated… Show more Provided health education and coaching to members tailored to issues identified within treatment and ervice plans. Coordinated with various healthcare providers for diagnostics, ambulatory care, and hospital services. Assisted members with social determinants of health including access to exercise and healthy food. Promoted activities focused on the health of a patient and their community, including without limitations outreach, quality improvement, and patient panel management. coordinated community-based management of medication therapy. Show less

Used only approved Crisis Prevention Intervention when engaging in physical crisis intervention. Assisted, implemented, and created behavioral plans for the youth. Worked directly under the supervision of the unit nurse. Participated in weekly staffing’s. Completed all documentation in a timely manner.Used consultations services to seek and implement feedback. Supervised the unit behavioral instructors.Youth Case