Social Work Case Manager I

Social Work Case Manager II Job Description JOB SUMMARY: Responsible for providing a wide range of social work and medical case management services to CBHS patients and families, with the goal of addressing social determinants of health that directly impact access to and engagement in medical care and treatment. Service delivery shall including all or many of the following: patient screening, comprehensive psychosocial assessment, service or care planning, referral and linkage to resources, progress monitoring and reassessment, crisis intervention, and supportive counseling.

As a member of the medical care team, Case Managers provide consultation and support to regarding concrete needs and financial services to CBHS providers and patients. Additionally, Case Managers facilitate applications for Social Security, Medicaid and Medicare programs, and Affordable Care Act enrollment.

Case Management services are made available to primary care, obstetrics/gynecological, pediatric, dental, behavioral health, LHRC, and infectious disease patients, who present with 1) general level of needs requiring routine follow-up and monitoring; 2) specialized or targeted needs requiring a specific, responsive, skilled intervention; or 3) complex needs and requiring moderately intensive monitoring and follow-up services.

MAJOR DUTIES AND RESPONSIBILITIES: Analytical and Critical Thinking • Provides supportive counseling for patients and families as per CBHC policy. • Performs comprehensive intake assessments and completes all necessary documentation duties. • Completes assigned triage and clinic duties in thorough, timely, and accurate manner. • Provides wide range of case management and outreach services to patients and families.

Case management includes comprehensive assessments, linkage to resources, planning, monitoring, crisis intervention, supportive counseling, and coordination with other team members. • Executes aspects of assigned departmental or organizational plans specific to the provision of care and services to a diversity of patient populations and facilitating awareness of such populations. • Facilitate psycho-educational and social/clinical support groups, as necessary for targeted CBHC patients. • Refers and creates linkage for patients with resources provided within the CBHC service deliver system, as well as appropriate community based resources. • Demonstrates advanced level of knowledgeable about existing community resources and how to access those resources that improve social determinants of health.

Checking, Examining, and Recording • Coordinates information, caseload priorities, and referrals. • Follows up on referrals in a timely, accurate manner. • Completes referrals in a timely and accurate manner. • Reviews patient needs, acuities, care plan, and engagement through periodic case consultation with supervisor. Teamwork • Works with providers, the health care team, and the community. • Educates providers, the health care team, and the…

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