Social Worker Care Manager (Gulf Breeze, FL)

Ennoble Care • Gulf Breeze, FL

8d

About The Position

Ennoble Care is seeking an experienced, full-time Social Worker Care Manager to serve patients in and around Gulf Breeze, Florida, as part of its house calls department. The position focuses on patients experiencing mental health and substance abuse concerns and is based out of the Gulf Breeze office. The role is primarily telephonic, with in-person patient visits also required.

The Care Manager supports patients’ mental and physical health through screening, assessment, education, follow-up, brief evidence-based behavioral interventions, treatment monitoring, and coordination with primary care and psychiatric consultants. The role includes tracking patient outcomes, documenting progress and recommendations in the EHR and other systems, arranging referrals, and facilitating treatment-plan changes when patients are not improving as expected. Care Managers also develop relapse-prevention self-management plans for patients preparing to leave the caseload.

Requirements

• Minimum of a Bachelor of Social Work (BSW).
• Behavioral health experience and knowledge.
• Licensed driver with an insured automobile in good working order.
• Ability to communicate effectively, verbally and in writing.
• Time-management skills.
• Comfort with conducting both telephonic and in-person visits.

Nice To Haves

• Licensure or provisional licensure.

Responsibilities

• Support the mental and physical health care of patients on an assigned caseload.
• Screen and assess patients for common mental health and substance abuse disorders, and facilitate patient engagement and follow-up care.
• Educate patients about common mental health and substance abuse disorders and available treatment options.
• Track treatment response and monitor patients in person or by telephone for changes in symptoms, side effects, or complications.
• Support psychotropic medication management in consultation with the behavioral health consultant and communicate with the assigned primary care provider.
• Provide brief behavioral interventions using evidence-based techniques such as behavioral activation, problem-solving treatment, and motivational interviewing.
• Provide or facilitate referrals to evidence-based psychosocial treatments when clinically indicated.
• Participate in regularly scheduled caseload consultations with the psychiatric consultant and communicate treatment recommendations to the patient’s medical provider.
• Track patient follow-up and clinical outcomes using a registry; document encounters and use the system to identify and re-engage patients.
• Document patient progress and treatment recommendations in the EHR and other required systems for sharing with medical providers, psychiatric consultants, and other treating providers.
• Facilitate treatment-plan changes in consultation with the medical provider and psychiatric consultant for patients who are not improving as expected and may need more intensive or specialized care.
• Arrange referrals for clinically indicated services outside the organization, including housing assistance, vocational rehabilitation, mental health specialty care, and substance abuse treatment.
• Develop and complete relapse-prevention self-management plans with patients who have achieved treatment goals and are nearing discharge from the caseload.
• Use Excel and Word and complete assessments and productivity trackers daily.
• Manage the workday effectively using calendars and the EMR system.
• Conduct both telephonic and in-person visits.

Benefits

• Medical, dental, vision, and supplementary benefits, including life insurance, short-term and long-term disability, flexible spending accounts for medical and dependent care, accident coverage, critical illness coverage, and hospital indemnity.
• Paid time off.
• Paid office holidays.
• Paid sick time.
• 401(k) with up to 3% company match.
• Referral program.
• Payactiv pay-on-demand access to earned wages.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level