Overview

Strive Health

Strive Health is built for purpose- to transform a broken kidney care system. We are fundamentally changing the lives of kidney disease patients through early identification and engagement, comprehensive coordinated care, and home-first dialysis. Strive's model is driven by a high-touch care team that integrates with local providers and spans the entire care journey from CKD through ESRD, leveraging comparative and predictive data and analytics to identify patients at risk. Strive Health's interventions significantly reduce the rate of emergent dialysis crash, cut inpatient utilization, and significantly improve patient outcomes and experience. Come join our journey as we create THE destination for top ta lent in the Healthcare community and set a new standard for how care kidney should be done.

Licensed Clinical Social Worker (LCSW)

The Social Worker provides support to patients with complexhealth needs and are an integral part of our coordinated care team which includes physicians, nurse practitioners, nurses, care coordinators, social workers, dietitians, educators and pharmacists. The Strive Social Worker must be able to work successfully both in person and remotely via telephone or videoconferencing technologies. They will be assigned a patient census and will round on patients in a variety of clinical settings such as hospitals, SNFs, dialysis centers, and the patient's home. The Strive Social Worker is responsible for addressing non-clinical barriers to care and screening for social determinants of health.

Essential Functions

• Arrange, coordinate, monitor, evaluate, and advocate for support services to meet patient clinical, behavioral and social health needs
• Provide counseling, education, and crisis intervention
• Build a strong relationship with the patient and their family and then investigate the social factors that are influencing their health with empathy, trust, and compassion
• Educate the patient and patient's family on condition, treatment, and benefits of selected interventions
• Collaborate with multidisciplinary treatment team including patients' primary care providers, case managers, care coordinators, and others
• Understand what the patient wants for his or her life and work to remove the barriers
• Collaborate with the Nurse Practitioner to ensure clinical instructions are followed by the patient and the patient needs are communicated to the NP
• Support and coach care team on effective identification of emotional and psychosocial health needs and promote sensitivity to mental health in their daily practice
• Help patients locate and access community resources. Assist patients above and beyond making a referral. Social workers will help drive engagement with resources.
• Educate the entire care team on community resources and pull together resource information so they can make simple referrals
• Assess home environments to understand deeper issues impacting patient health
• Get involved with patient's adherence challenges and high risk situations (like high ER utilization) to solve for them
• Develop collaborative relationships with dialysis unit social workers

Qualifications

Minimum Qualifications

• Master's degree in social work required
• Licensed Clinical Social Worker Certificate
• Minimum 5 years' experience working in chronic disease management (e.g. internal medicine, renal, cardiac, pulmonary, or oncology care) or critical care setting
• State specific licensure required
• Visit patients in home environment

Preferred Qualifications

• Ability to develop and maintain patient relationships
• Knowledge of surrounding community resources
• Strong communication skills

Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide and work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all qualifications . If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected]