Ennoble Care · 1 day ago
Social Worker Care Manager (Hybrid - Griffin, GA)
Ennoble Care is a mobile primary care, palliative care, and hospice service provider seeking a Full-time Social Worker Care Manager to service patients in the Griffin, GA area. This role involves supporting the mental and physical health care of patients, conducting assessments, providing education, and facilitating referrals as needed.
Health CareMental Health
Responsibilities
Support the mental and physical health care of patients on an assigned patient caseload
Screen and assess patients for common mental health and substance abuse disorders. Facilitate patient engagement and follow-up care
Provide patient education about common mental health and substance abuse disorders and the available treatment options
Systematically track treatment response and monitor patients (in person or by telephone) for changes in clinical symptoms and treatment side effects or complications
Support psychotropic medication management by consulting with the behavioral health consultant and then communicating with the primary care provider assigned
Provide brief behavioral interventions using evidence-based techniques such as behavioral activation, problem-solving treatment, motivational interviewing, or other treatments as appropriate
Provide or facilitate in-clinic or outside referrals to evidence-based psychosocial treatments (e.g. problem-solving treatment or behavioral activation) as clinically indicated
Participate in regularly scheduled (usually weekly) caseload consultation with the psychiatric consultant and communicate resulting treatment recommendations to the patient’s medical provider. Consultations will focus on patients new to the caseload and those who are not improving as expected under the current treatment plan. Case reviews may be conducted by telephone, video, or in person
Track patient follow up and clinical outcomes using a registry. Document in-person and telephone encounters in the registry and use the system to identify and re-engage patients. Registry functions can be accomplished through an EHR build, on a spreadsheet used in conjunction with an EHR, or can be built into a stand-alone clinical management tracking system that may or may not be linked to an EHR
Document patient progress and treatment recommendations in EHR and other required systems so as to be shared with medical providers, psychiatric consultant, and other treating providers
Facilitate treatment plan changes for patients who are not improving as expected in consultation with the medical provider and the psychiatric consultant and who may need more intensive or more specialized mental health care
Facilitate referrals for clinically indicated services outside of the organization (e.g., social services such as housing assistance, vocational rehabilitation, mental health specialty care, substance abuse treatment)
Develop and complete relapse prevention self-management plan with patients who have achieved their treatment goals and are soon to be discharged from the caseload
Be comfortable utilizing Excel and Word and completing assessments and productivity trackers daily
Time-management skills are a must and the BHCM needs to be able to manage their day effectively through calendars and the EMR system
This role is telephonic, however in person visits are done and the BHCM has to be comfortable completing them both ways
Qualification
Required
The Social Worker Care Manager will have a minimum of MSW
Must be licensed driver with an insured automobile in good working order
Ability to communicate effectively, both verbally and in writing
Time Management skills
Preferred
Preferred Licensure or provisionally licensed
Behavioral Health experience and knowledge
Prior behavioral health experience is helpful but not required. New MSW graduates are encouraged to apply
Benefits
Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity.
Paid Time Off
Paid Office Holidays
Paid Sick Time
401(k) with up to 3% company match
Referral Program
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