April 19, 2021
Neurology-Memory and Aging
Full Time
Req Number: 
The primary responsibility of the Clinical Social Worker I/II (CSW I/II) at the Memory and Aging Center within the Department of Neurology will be to assess patients and their families to determine their psychosocial needs and to suggest and coordinate interventions and access to social services. The CSW I/II will be responsible for needs assessments, development of care plans, brief problem-focused counseling, crisis intervention, advocacy, referrals, follow-up and documentation. The CSW I/II will collaboratively develop comprehensive care plans that may include plans to address legal, financial and long-term care planning needs. 

All clinical services provided will be in the context of two care models and within research: the Care Ecosystem and the Brain Health Consultation. The overarching goal of these projects is to develop, test, and disseminate innovative approaches to quality dementia care that can be disseminated widely, including to historically underserved populations. The individual will participate in the development, research, and dissemination of these care models to multiple sites throughout the U.S. and internationally. For the Care Ecosystem, the CSW I/II will participate in training Care Team Navigators (CTNs) who act as the primary point of contact to the families, and will consult to the CTN or directly to the families when complex needs arise that would benefit from the CSW I/II expertise. The CSW I/II will also consult to providers at other health systems to provide guidance on how to deliver the Care Ecosystem model of care. For the Brain Health Consultation project, the CSW I/II will interface with primary care and dementia specialist providers to support care of their patients around the time of Alzheimer’s or related diagnosis. For both projects, the CSW I/II will participate in research and dissemination, and will support project development and care model fidelity. This will likely include helping to set up systems in the electronic medical record and other software to support efficient workflows and coordinated care. 

The CSW I/II will demonstrate the ability to work with any patient regardless of race, gender, religious affiliation, cultural beliefs, lifestyle, disease process or treatment plan.