Social Work Case Manager

Santa Cruz Community Health•Santa Cruz, CA

5h•$65,557 - $87,781•Hybrid

About The Position

The Social Work Case Manager (SWCM) is a vital member of Santa Cruz Community Health’s integrated delivery model that takes a whole-person, team-based approach to serving patients. Case Managers undertake a collaborative process of assessment, treatment-planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs. Reports to: Case Management Supervisor Classification: Full-Time, Exempt, Salary Hours: Varies; Days and One Evening Shift Per Week Location: Hybrid; Clinic/Community/Remote Compensation: (Bachelor's Level): $65,557 - $78,778/yr; (Master's Level): $74,298 - $87,781/yr Language: Bilingual in English and Spanish Preferred

Requirements

A bachelor's degree in social work, psychology or related field from an accredited college/university and at least six (6) months experience providing mental health services, including intensive case management or health care coordination; OR Associate’s degree and three (3) years’ experience of direct services in mental health, community services, health care coordination, and/or case management, OR High School Graduate or G.E.D. equivalent and four (4) years of direct services in mental health, community services, health care coordination, and/or case management
Understanding of community resources and ability to easily build rapport and maintain engagement with patients served.
Strong computer skills, including able to easily navigate around health care systems
General understanding of the complex needs of families in our community
Ability to assess safety risks
Knowledge of basic medical and psychiatric terminology
Must have valid CA driver’s license and clean driving record
Ability to move between sites and perform duties in the field in a variety of settings
Knowledge of or reasonable ability to learn use of Electronic Health Record

Nice To Haves

Case management/patient navigation experience within a community-based health center
Bilingual in English and Spanish Preferred.
Knowledge of evidence-based practices including Motivational Interviewing, Harm Reduction, and Trauma-Informed Care
Ability to work in a fast-paced environment with quickly shifting priorities
Experience with Electronic Health Records

Responsibilities

Manages an assigned panel of patients who meet criteria for ECM (Enhanced Case Management) services. Patients may qualify for one of several internal programs that offer case management.
Operate within ECM program guidelines including offering Medi-Cal program benefits under the California Advancing and Innovating Medi-Cal, also called CalAIM. The SWCM helps Alliance members with complex needs get assistance by coordinating and helping to manage their care for a period of time
Utilizes screening tools and evidence-based practices to support patient-centered care and mutual goal development.
Designs and implements care plans that improve the patient experience, improve health outcomes, and reduce barriers to care.
Provides risk assessment and crisis intervention services as needed.
Consults and collaborates with members of the patient’s care team, including developing shared treatment plans, goals and interventions.
Consults and coordinates with community systems to facilitate linkage, manage referrals and advocate for patient needs, with a focus on supporting identified treatment goals
Maintains patient and program documentation according to HIPAA and SCCH standards and regulations.
Utilizes Health Information Technology such as SCHIO, Activate Care and/or Unite Us to better serve patients and improve communication with outside agencies.
Uses critical thinking and common sense to analyze situations, make timely and valid decisions, and take appropriate actions. Must be prepared to adapt to rapidly shifting priorities with grace.
Expands the interdisciplinary team to include patients, their identified support system, health care providers and community-based professionals with whom the client interacts (e.g. nurses, substance use counselors, behavioral health providers, pharmacy, etc.)
Works within scope of practice and maintains a high level of ethical standards regarding confidentiality, dual-relationships and professional stature.
Practices cultural humility in working with diverse patient populations.
Attends community meetings as assigned and represents the organization professionally and capably.