The Social Work Care Manager I uses clinical expertise to perform psychosocial assessments, develop and implement care plans with the appropriate care team, and assess crisis situations. The role provides clinical counseling, diagnosis, brief therapeutic interventions, and referrals or other necessary resources. Individual and family treatment may also be provided as indicated. The position collaborates with patients, their support persons, healthcare providers, insurers, community resources, and other involved parties. The role evaluates patients for transition planning, mental health, substance use, and goals of care; develops and monitors care plans that address social determinants of health and community resources; and uses motivational interviewing and therapeutic techniques to support behavioral health needs. It provides brief individual, group, and family therapy, identifies mental, emotional, and behavioral disorders, connects patients to services, educates patients and staff, and advocates for patients’ rights and access to care. Additional work includes facilitating safe transitions to the community, collaborating with care teams and community providers, supporting quality and compliance initiatives, tracking metrics, and facilitating goals-of-care discussions with patients, families, and teams.
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Career Level
Mid Level