The Harold Schnitzer Diabetes Health Center ambulatory clinic sees pediatric and adult patients with diabetes. The role of the Social Worker is to support all patients within the center in achieving maximum physical and psychosocial functioning by providing assistance to uninsured/ underinsured, serving as a point of contact for care coordination within OHSU, communication and coordination with OHSU Patient Advocacy, community agencies, medical providers, schools, NICH, DHS, APS, and Aging and Disabilities. Additionally the position serves as a point of contact and collaboration with outside entities such as Juvenile Diabetes Research Foundation (JDRF), American Diabetes Association (ADA) and Chris Dudley Foundation as it pertains to any programs that patients and caregivers may benefit from. This role also facilitates support groups for individuals with Type 1 and Type 2 diabetes and may also facilitate Diabetes Prevention Classes. The position is involved with the overall Behavioral Health Program of the Center and helps grow and expand programs to support patients/families/friends within the center and beyond.
Homelessness or unsafe/unstable living environment
Food insecurity/poor nutrition
Work, School/Daycare, Camps (FMLA, 504/IEP)
Out of pocket costs for medical care and appointments not covered by insurance
Access to primary care, other specialty care, and mental health/substance abuse treatment
Identify resources and funding to assist with patient needs
2. Case Management/Care Coordination/Advocacy
Referral follow up, pharmacy/insurance barriers, appointment scheduling particularly for patients with language, cultural and mental health barriers
Assistance with locating appropriate PCP, community endocrinology and behavioral health services
Follow up with people who cant get appointments sooner, need coordinated visits, want to switch providers, are being reviewed for appointment/behavioral challenges, or who are trying to establish as new patients
Mandatory reporter for both children and adults with safety issues (provide related case management)
Collaborate with diabetes team, patient, family and community partners
Provide assessments, screening tools, resources, and preventative services
Follow up with patients lost to follow up care or who frequently no show or cancel
Coordinate with inpatient teams for outpatient plans when patients admitted for medical or psychiatric needs
Coordination with OHSU, Patient Advocates, community agencies, medical providers, schools, NICH, DHS, APS, and Aging and Disabilities
Collaboration with diabetes related programs such as ADA, JDRF, CDN, Gales Creek Camp, Chris Dudley Camp, Camp Tamarack, local and community diabetes related support groups, colleges/universities, and mentorship opportunities
Care conferences and case coordination with diabetes team and outside providers when needed to advocate for supports and services
Assisting with developmental transition process and transfer of care to another diabetes provider
3. Additional Responsibilities:
Facilitate Type 1 and Type 2 Support Groups and DPP class
Participate in Orientation for Young Adult Clinic
Facilitate as requested Type 2 and Pre-Diabetes classes, Nurse Glycemic Program Presentation, Medical School Elective Class, OHSU and community/presentations and trainings
Coordinate referrals for Joslin 50 year medal
Food Insecurity Screenings and interventions
Attend meetings as needed for pediatric and adult diabetes teams
Coordinate OHSU Volunteers within the clinic
Master's Social Work (MSW), heath care experience with pediatric and adult patients. Certificate of Clinical Social Work (CSWA) or Licensed Clinical Social Work (LCSW).
Must be able to perform the essential functions of the position with or without accommodation
Experience with patientswith diabetes.
Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or firstname.lastname@example.org.
As the state's only health and research university, OHSU brings together patient care, research, education of the next generation of health care providers and scientists and community service to improve the health and well-being of all Oregonians.The university is a conduit for learning for more than 2,800 students, providing training to interns, residents and fellows in postgraduate medical and research. It is the only place in Oregon that grants doctoral degrees in medicine, dentistry and nursing. OHSU cares for more than 251,000 patients each year from around the region and takes a leadership role in contributing to solutions involving the health of the state and the nation, such as health care access and transparency, ethics and workforce shortage. Beyond providing critical health care services, quality education and cutting-edge research, OHSU also is a key economic and social force in the Northwest. With an annual operating budget of $2.06 billion and more than 14,000 employees, OHSU is Portland?s largest employer. Its size contributes to its ability to provide... many services and community support activities not found anywhere else in Oregon. For more information visit http://www.ohsu.edu/xd/about/index.cfm