Trillium Health, a Federally Qualified Health Center Look-Alike, is a community health center offering access to affordable care for all, with a special focus on meeting the needs of LGBTQ people, communities of color, and underserved populations.
Nationally recognized for outstanding patient-centered care, the team at Trillium Health provides a wealth of knowledge and experience. Our expansive array of services, including testing and treatment, laboratory services, primary and specialty care, and an on-site pharmacy, makes it easier for patients and clients to receive the complete care they need, all in one place.
Our authentic commitment to diversity and inclusion is evidenced through our hiring practices, our employee programs, and our compassion for everyone we serve. Based in downtown Rochester, with satellite locations in Bath and Geneva, and MOCHA centers in Buffalo and Rochester, Trillium is deeply invested in building community. We proudly sponsor many other nonprofit organizations throughout the area and participate in a wide range of community events.
Trillium’s employee-centered company culture and exceptional benefits have contributed to impressive growth in recent years, raising our staff total to more than 250. We hope you will consider joining us on this upward path and becoming a part of the Trillium Health family.
We are currently recruiting for a Social Worker Adult Day Health Care Program.
Adult Day Health Care Program Behavioral Health Services
Conduct participant’s psycho-social intake assessment prior to program enrollment
Conduct ongoing, scheduled assessments for the purpose of re-evaluation on a semi-annual or as needed basis, using evidence based behavioral assessment tools (i.e. PHQ-9, DAST)
Utilizing assessment information and in coordination with the participant, create meaningful and achievable goals for the participant’s care plan
Provide group-based processing programs for participants (e.g. Dialectic Behavioral Theory, Anger Management, Substance Use Recovery/Maintenance, etc.)
Meet with participants for individual sessions for on an as-needed basis or as indicated in their comprehensive care plan
Maintain accurate and timely documentation (on paper forms and/or within the EMR) for each participant for assessments, individual sessions, and group-based sessions
Incorporate and utilize trauma-informed care and harm reduction philosophies within the scope of group, individual and care planning services
Attend Adult Day Health Care Program administrative team meetings as scheduled
Attend Adult Day Health Care Program clinical meetings as scheduled
Care Coordination/Care Management services
Coordinate case management services to a participant caseload of up to approximately twenty-five (25) participants.
Orient new participants to service(s) of the program.
Facilitate compilation of interdisciplinary participant-driven comprehensive care plan for each participant
Review comprehensive care plan with each participant and determine appropriate schedule for group attendance on a monthly basis.
Assess for client-specific barriers that may hinder progression of the care plan.
Coordinate joint services and treatment planning, assessment and reassessment for participants receiving services from multiple providers and organizations.
Coordinate case conferencing with other service providers to clarify and define each provider’s goals and objectives.
Provide linkage, counseling, and referrals for participants around useful risk reduction and safer sex information and current HIV/AIDS treatment care. Refer to risk reduction and treatment adherence groups as appropriate.
Promote self-management and support for each patient
Participates in discharge planning activities when appropriate.
Outreach to individuals who are assessed as frequent absenteeism from the program.
Crisis Intervention Services
Facilitate participants’ creation of an Individualized Crisis Intervention Plan
Provide crisis intervention and/or de-escalation services on an as needed basis, during program operation
Requires the ability and commitment to respect and support inclusiveness and diversity including but not limited to individuals of different backgrounds, cultures, races, ages, sexual orientations, gender identities or expressions, experiences, opinions, etc.
Requires individual demonstration of commitment to the One Trillium behaviors and business impacts and modeling them in the organization.
Responsible for maintaining confidentiality of all patient, client, employee, protected and proprietary information.
Employees are accountable for meeting the performance standards of their departments and must participate as requested in compliance audits, process improvement and quality improvement plans.
Other specific duties as assigned.
Masters in Social Work or Mental Health Counseling, and licensed by NYS. Experience in HIV, Substance Abuse and/or Mental Health preferred. Ability to speak Spanish and/or ASL preferred. Must be accustomed to diversity.
Trillium Health offers employment to all employees & applicants. No person shall be discriminated against in employment on the basis of race, age, color, marital status, religion, creed, sex, sexual orientation, gender identity or expression, national origin or ancestry, disability, veteran status, status as a domestic violence victim, genetic condition or predisposition, or any other characteristic protected by law.