Care Manager - Social Work (LMSW) - CIN Days (M-F, Resource) - 8hrs/wk

umhealthwest•Wyoming, MI

About The Position

Under the direction of the PHO Director, the MSW Care Manager provides social work services to patients and their families in an ambulatory setting. The role performs care coordination, clinical assessments, and therapeutic interventions to optimize patients’ physical and mental health. The MSW Care Manager serves as a mental health specialist and community resource expert, expanding primary care’s scope of practice to address mental health and social needs and support comprehensive, efficient, quality care. The position is listed for 8 hours per week, with a note that it could be 8–20 hours per week without a guarantee.

Requirements

Demonstrate leadership qualities through excellent time management, work delegation, and organization skills.
Demonstrate creative problem-solving, critical-thinking skills, and excellent written and verbal communication.
Have comprehensive knowledge of community resources.
Have knowledge of chronic medical and mental health conditions.
Be able to triage and manage complex clinical issues using assessment skills and protocols.
Be able to work independently and in a team environment.
Be able to adapt to changes in health care with the goal of improving quality, efficiency, and cost effectiveness of care.
Have knowledge of electronic medical record documentation.
Hold an unrestricted State of Michigan license as a Licensed Master of Social Work (LMSW), or a Limited Licensed Master of Social Work (LLMSW) and obtain full licensure within six months of hire.
Have a Master’s Degree in Social Work.

Nice To Haves

Three to five years of clinical experience or medical social work experience preferred.

Responsibilities

Receive referrals for moderate and complex patients through risk stratification, registries, and provider referrals.
Assess patients’ mental health, substance abuse, and psychosocial needs through standardized assessments.
Recommend treatment plans based on evidence-based guidelines.
Educate patients and families on behavioral health and social barriers.
Provide care coordination and follow-up for chronic medical, mental health, and substance abuse services across the continuum of care.
Follow patients longitudinally to evaluate treatment goals.
Advocate for patients and family members while maintaining professional boundaries.
Consult with members of the care team on treatment plans and follow-up care.
Provide brief therapy for acute and chronic conditions.
Participate in process improvement activities to enhance behavioral health services and workflow.