Clinical Social Worker, Primary Care

Why Fraser Health?:
Fraser Health is responsible for the delivery of hospital and community-based health services to over 1.9 million people in 20 diverse communities from Burnaby to Fraser Canyon on the traditional, ancestral and unceded territories of the Coast Salish and Nlaka’pamux Nations, and is home to six Métis Chartered Communities. Our team of 43,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care.

Effective October 26th, 2021 all staff for all positions across Health Care require full COVID 19 vaccination. All positions, require that you are fully vaccinated against COVID-19 (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines). Please note this applies to all postings, and there are no exceptions.

**Position Highlights**

We are currently looking to fill an exciting Full Time position as a Clinical Social Worker, Primary Care in Surrey, BC.

**Valued Benefits**

A career with Fraser Health will offer you the opportunity to be a part of a dedicated team of professionals in a dynamic and rewarding health care environment. We offer a competitive compensation and benefit package, including comprehensive health benefits coverage.

Detailed Overview:
The Clinical Social Worker, Primary Care is a member of an interdisciplinary team within either Urgent and Primary Care Centres (UPCC), Primary Care Clinics (PCC), or Primary Care Networks (PCN).

The Clinical Social Worker conducts comprehensive social work and psychosocial assessments of clients and their families using a variety of assessment tools to provide treatment services for clients, including liaising with community agencies and caregiver support groups; provides clinical support to the interdisciplinary team, including physicians and nurse practitioners in the development of care plans and services within the assigned area of responsibility; delivers and evaluates clinical services and outcomes; participates on local committees and planning bodies to identify areas to improve the efficiency and effectiveness in service delivery to enhance client care services and reduce service gaps.

The Clinical Social Worker within the UPCC or PCC provides timely care to residents and continuous longitudinal primary care to unattached vulnerable residents in the assigned region.

The Clinical Social Worker within the PCN provides continuous longitudinal primary care to patients attached to local primary care providers. This role may require outreach and share care visits at primary care providers’ offices.

This role provides culturally safe client and family-centred care through a trauma-informed approach and evidence-informed practice in accordance with professional standards, clinical policies, legislation and practices. Establishes a dignifying, purposeful and trusting relationship with clients, promoting self-determination and independence. Encourages knowledge exchange in day-to-day activities, and empowers clients and natural supports to engage and connect within their communities; ensures clients and their family members are supported in navigating the health care system.

**Responsibilities**:

- Conducts comprehensive social work and psychosocial assessments by interviewing the client and/or their family, obtaining relevant information, gathering social data and interpreting the data using a variety of tools.
- Provides comprehensive therapeutic services by exploring the psychosocial response to identify problems, personal concerns, treatment objectives and facilitates change in coping style, behavior, attitude and feelings; participates with the client, families, community supports and the interdisciplinary team to coordinate services, manage cases and facilitates meetings.
- Provides short-term brief/crisis intervention for patients with mental health and substance use issues using a variety of interviewing, clinical counselling and assessment methods.
- Collaborates with the interdisciplinary team in client care planning by interviewing the client and/or family to assess and determine care plan and type of service required; follows up and provides ongoing monitoring of complex psychosocial situations; evaluates client’s response to interventions.
- Supports a seamless approach to care and service delivery across the healthcare system by participating in the admission and discharge process of clients in acute care and community; arranges meetings to assist in developing and coordinating comprehensive care plans and community services for clients; collaborates with the hospital and community services to determine the effective utilization of available resources.
- Partners with community services, health and social agencies including provincial Ministries, physicians and other primary care providers in the assessment and