As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

601 Elmwood Ave, Rochester, New York, United States of America, 14642

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

500136 Psychiatry SMH Social Work

Work Shift:

UR - Day (United States of America)

Range:

UR URCC 208 H

Compensation Range:

$25.63 - $34.59

Responsibilities:

The social work assistant functions as a Targeted Case Manager (TCM) and primarily responsible for case management services across Strong Ties Clinic. As part of a Certified Community Behavioral Health Clinic, TCM services will assist people receiving services in sustaining recovery and gaining access to needed medical, social, legal, educational, housing, vocational, and other services and support. CCBHC TCM provides an intensive level of support. TCM should be used for individuals with complex or serious mental health or substance use conditions and for individuals who 15 have a short-term need for support during critical periods, such as an acute episode or care transition. CCBHC TCM includes support for people deemed at high risk due to health-related social needs, suicide or overdose and particularly during times of transitions such as from a residential treatment, hospital emergency department, incarceration, or psychiatric hospitalization.


Under general direction and with considerable independence, the TCM performs several care management activities consistent with CCBHC and the Department of Psychiatry Policy. Establishes and maintains cooperative working relationships with community providers and resources to obtain needed services and support for enrolled patients. Works as part of an interdisciplinary team to support activities to engage patients in care, connection to care management, and other resources, ensuring necessities are met. Utilizes community and family resources to create sustainable support systems for patients. Reviews and discusses plan with the patient and the treatment team, focusing on linking individuals to clinical and social services within the system and community providers.

ESSENTIAL FUNCTIONS

• Conducts assessment of identified patients for care management services. Designs appropriate treatment plan goals according to patients identified needs. Interviews patients/family members to obtain psycho-social history, discuss treatment plans, patient's adjustment and assist coping with home, health system and community problems or dynamics influencing patient's health. Reviews clinical and psycho-social information for patients/families referred or those receiving care within assigned units with other professional staff. Collaborate with other staff in developing and carrying out the health care plan for patients and families. Seeks further clarification of services required.  Completes and maintains professional documentation.
• Provide case management needs as indicated to ensure access to healthcare and meet immediate needs of patients. 
• Coordinates outreach and engagement activities focused on finding, connecting and retaining patients in appropriate community services. 
• Completes all Health Home Care management referrals, community agency referrals, and self-referrals for CCBHC patients who are not yet connected to Health Home Care Management services.
• Maximize community integration and normalization.
• Mobilizes family and natural support networks when necessary.
• Liaison responsibilities: collaboration with referral sources and other professionals within the CCBHC throughout patient care activities.
• Establishes and regularly maintains cooperative working relationships with community and health care agencies and professional and administrative staff of the Medical Center and University.
• Attend weekly supervision/clinical meetings
• Participates in departmental and programmatic diversity presentations
• Available to triage case management needs for CCBHC program recipients on an urgent basis, including walk-ins.
• Committed to understanding and meeting the unique needs of external and internal customers.
• Contributes to the vision and mission of the CCBHC
• Maintains a thorough knowledge of related policies and procedures.
• Coordinates with support staff regarding patient scheduling, fees, and insurance issues.
• Promote hope and recovery by using strength based, culturally appropriate, and person-centered practices.
• Other duties as assigned

MINIMUM EDUCATION & EXPERIENCE

• Bachelor's degree in Social Work required, with major course work in a related health/human services/occupational field preferred
• Or equivalent combination of education and experience
• Clinical or Community Social Work experience in health setting preferred
• 2-3 years of relevant experience working with the mentally ill preferred

LICENSES AND CERTIFICATIONS

• Must possess and maintain a valid New York state License, have a satisfactory driving record strongly preferred

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.