Chase Brexton Health Care-posted 3 months ago
Glen Burnie, MD
251-500 employees

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.
  • Participates in the development and implementation of psychosocial interventions.
  • Plans, coordinates, and participates in case conferences with multi-disciplinary teams.
  • Organizes and tracks all internal referrals from their site location of CBHC.
  • Serves as the JHH TAP Program Navigator for their site location.
  • Provides updates regarding internal referrals made as the BCCDT contact.
  • Communicates directly with Field Placement liaison regarding student placements.
  • Maintains assigned project reports, documents, and data.
  • Provides audits of follow up regarding internal referrals.
  • Collects necessary documentation for specialty care referrals.
  • Participates in provider meetings and daily morning huddles.
  • Collaborates directly with medical providers regarding coordination of care.
  • Develops and maintains positive working relationships with medical teams.
  • Responsible for direct communication with the JHH TAP Program Coordinator.
  • Orients staff and students as assigned by Director.
  • Monitors and arranges for adequate staffing daily.
  • Responsible for site scheduling including tracking outages and arrivals.
  • Documents all services as directed by CBHC policy and professional standards.
  • Adheres to departmental policies and procedures.
  • Demonstrates appropriate use of billing and coding for EHR documentation.
  • Refers patients to on- and off-site community resources.
  • Provides clinic and triage coverage as assigned.
  • Maintains an established caseload of patients and monitors for 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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