Social Services Case Manager

Westside Family Healthcare Inc•Bear, DE

11d

About The Position

WESTSIDE IS LOOKING FOR A SOCIAL SERVICES CASE MANAGER TO JOIN THE TEAM! JOIN THE TEAM THAT MAKES A DIFFERENCE IN THE LOCAL COMMUNITY! Westside Family Healthcare is a nonprofit organization that provides high quality primary medical care without regard to ability to pay. The Social Services Case Manager is a core member of the collaborative care team who assesses the need for and provides access to social services and resources for Westside’s patients. The position will be responsible for assisting patients and families by identifying social determinants of health and by providing case management to connect them with appropriate internal services and community resources. The Social Services Case Manager will work closely with the primary care, behavioral health and multidisciplinary teams to support health care integration efforts. Since opening our doors in 1988, Westside has been driven by our mission to improve the health of our communities by providing equal access to quality healthcare. With 240 team members, five health centers, one mobile health unit and over 27,000 patients all across Delaware, Westside is committed to improving health, one patient, one family, one community at a time. WORKING AT WESTSIDE MEANS WORKING IN A PRIMARY CARE MEDICAL HOME.A Primary Care Medical Home is not a special building. It is a way to provide healthcare that puts the patient at the center of health care decision-making. As a community health center, Westside Family Healthcare provides care for everyone who walks through our doors Our Mission: To improve the health of our communities by providing equal access to quality healthcare Our Vision: Achieve health equity for all Our Values: Compassion: Lead with compassion Service: Serve with humility Excellence: Be exceptional Empowerment: Empower all people

Requirements

Bachelor’s degree in psychology, social work or another human services area and at least 3 years of relevant experience
One year of experience providing services to a culturally diverse population
Three years of experience using computers and Microsoft Office software
Fluency in written and spoken English and spoken Spanish and/or Haitian Creole

Responsibilities

Perform comprehensive screenings and assessments of a patient’s social, emotional, environmental, financial and other support needs to identify factors influencing the patient’s well-being.
Connect patients and families to appropriate internal services and community resources. Consult and interact with community agencies, state social service centers and school districts to identify and obtain resources for resolving patients’ health, psychosocial and /or financial problems.
Support behavioral health integration by managing a registry of patients identified by the collaborative care team. Manage behavioral health referrals and provides case management connecting patients to the appropriate level of care for mental health and substance use disorder
Facilitates regularly scheduled caseload consultation with the Behavioral Health team and communicate treatment recommendations to the patient’s medical provider.
Accurately identify, address and prioritize at-risk patient populations and address crisis interventions as needed
Assure implementation of care plans throughout the continuum of care to include a variety of settings (i.e. home, school, work site, clinic)
Travel as needed between Westside sites to provide coverage and social service assistance as needed
Maintain, share and apply current knowledge of available resources for durable medical equipment, inpatient and outpatient rehabilitation services, adult day care, foster care, nursing home placement, etc. and connect patients to these services as appropriate
Maintain and apply current knowledge of relevant Medicare/Medicaid, and commercial insurance carriers, rules and regulations
Maintain and apply current knowledge of the impact of relevant naturalization and immigration laws on applications for benefit programs.