Social Work Case Manager Site Coordinator

Chase Brexton Health Care-posted 3 months ago
Glen Burnie, MD
251-500 employees
Hospitals
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This position is primarily responsible for providing direct support and communication to the site medical team as well as 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. Activities include working with an interdisciplinary team to support, guide, and address treatment, education, adherence and psychosocial needs; directly facilitating specialty medical care referrals, and external medical stakeholder activities/communication as needed. This position will also serve as the coordinator for specialty care internal referrals as well as coordinate student interns for their site.

  • Direct and effective communication with all medical staff at their site location of CBHC.
  • Participate in the development and implementation of psychosocial interventions.
  • Plan, coordinate, and participate in case conferences with multi-disciplinary teams.
  • Organize and track all internal referrals from their site location of CBHC.
  • Serve as the JHH TAP Program Navigator for their site location.
  • Provide updates regarding internal referrals made as the BCCDT contact.
  • Communicate directly with Field Placement liaison regarding student placements.
  • Maintain assigned project reports, documents, and data.
  • Provide audits of follow up regarding internal referrals.
  • Collect necessary documentation for specialty care referrals.
  • Participate in provider meetings and daily morning huddles.
  • Spend at minimum one day per week in the medical pods.
  • Collaborate directly with medical providers regarding coordination of care.
  • Develop and maintain positive working relationships with medical teams.
  • Organize all associated paperwork for the JHH TAP Program Coordinator.
  • Orient staff and students as assigned by Director.
  • Monitor and arrange for adequate staffing daily.
  • Document all services as directed by CBHC policy and professional standards.
  • Adhere to departmental policies and procedures.
  • Demonstrate appropriate use of billing and coding for EHR documentation.
  • Refer patients to on- and off-site community resources.
  • Provide clinic and triage coverage as assigned.
  • Maintain an established caseload of patients and monitor for medical adherence.
  • Master's Degree in Social Work.
  • Active Maryland State Social Work License (LGSW, LCSW, LCSW-C).
  • MHBE Insurance Assister/Counselor Certification within one year of hire.
  • Four years of related experience in a health care setting and community, case management, and/or outreach experience.
  • Knowledge of community resources.
  • Knowledge of Ryan White service deliverables.
  • Ability to work with diverse populations.
  • Excellent attention to detail and organizational skills.
  • Demonstrate ability to communicate with providers of many disciplines.
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