Federally Qualified Health Center Social Services Specialist II

Fairfax County

HEALTH DEPARTMENT - MULTIPLE LOCATIONS, VA

JOB DETAILS
SKILLS
Clinical Assessment, Community Health, Community and Social Services, Customer Support/Service, Department of Health and Human Services, Discharge Plans, Diversity, Documentation Plan, Emergency Care, Emergency Response, Emergency Services, Financial Analysis, Health Department, Health Plan, Healthcare, Healthcare Providers, Hospital, Leadership, Needs Assessment, Nursing, Patient Care, People Management, Primary Care, Professional Services, Public Health, Social Work, Systems Administration/Management, Team Lead/Manager, Treatment Plan
LOCATION
HEALTH DEPARTMENT - MULTIPLE LOCATIONS, VA
POSTED
4 days ago
*$2,500 Sign-on Bonus

If your goal is to build a career that makes a difference, then consider joining the dedicated practitioners in the Division of Health Services, Health Integration program of the Fairfax County Health Department (HD).

The Fairfax County Health Department is a progressive public health leader serving 1.2 million residents from diverse ethnic, cultural and economic backgrounds. With more than 100 years of leadership in the field, we are committed to promoting population health, protecting public health and the environment, and ensuring residents' equitable access to health services and information. Join a team that works with individuals and families to improve lives in meaningful and significant ways and grow your career with the Fairfax County Health Department! 

Under supervision of the Health Integration Team Manager, and in partnership with on-site primary care staff, works independently to perform the full range of professional social services on a variety of social work cases. Perform clinical assessments of social, health, emotional, and economic needs of clients. Link clients to needed county and community resources. Act as patient advocate, when needed. Work with the Public Health Nurse (PHN) Liaison and Community Health Worker (CHW) in the development of a care plan to address unmet social and health needs. Collaborate with Federally Qualified Health Center (FQHC) staff and medical providers with referrals for county residents. On-going participation on Health and Human Services agency-wide initiatives.

Care Coordination and Social Determinants of Health include:
  • Coordinates with the Public Health Nurse and Community Health Worker (CHW) in the development of a comprehensive service plan, as well as ongoing case planning, for Care Coordination clients.
  • Performs home visits to assess social, financial, physical, and emotional status. Develops a plan of care that addresses identified social/economic needs. Provides guidance and support to the PHN and CHW in implementation of the plan of care.
  • Communicates with clients in a culturally and linguistically appropriate format, as well as using a trauma-informed approach.
  • Coordinates and facilitates access to needed services for Care Support clients. May participate in the discharge planning process for patients who are hospitalized and assist with arranging post-hospital supportive services.
  • Participates in inter-disciplinary and inter-agency team meetings as appropriate. Monitor and track changes/outcomes of identified needs.
  • Reassess patient needs, as indicated. Documents client plan of care and other related data in county/agency supported systems to share information with provider staff.
  • Coordinates and collaborates with FQHC staff regarding patient care, as needed.
  • Provides patient/family advocacy. In partnership with the FQHC staff, identify the availability of county and community health-related resources, specialty options, and charity programs. Follows agency’s process and procedures in processing complex, medically necessary referrals.

Note: Health Department positions are designated as emergency responders in the event of a public health crisis. As a public health emergency responder, this position may be reassigned to provide support based on the emergency response service needs.

*This position includes a sign-on bonus for fully qualified new county employees in the amount of $2,500 (full-time).
Job Type: FT Hourly W BN
Agency: Health Department
Location: HEALTH DEPARTMENT - MULTIPLE LOCATIONS

About the Company

F

Fairfax County