Social Worker Care Manager (Gulf Breeze, FL)
About The Position
Ennoble Care is seeking a full-time Social Worker Care Manager to serve patients in its house calls department in and around Gulf Breeze, Florida. The position focuses on patients with mental health and substance abuse concerns and is based out of the Gulf Breeze office. The role is primarily telephonic, with some in-person visits. The Care Manager supports patients’ mental and physical health, assesses and monitors behavioral health concerns, provides brief evidence-based interventions and education, coordinates referrals, and works with medical providers and a psychiatric consultant to support treatment planning. The role also includes maintaining patient follow-up and outcomes in a registry, documenting in the EHR and other systems, and managing daily activities and productivity tracking.
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, both verbally and in writing.
- Time-management skills.
- Comfort completing patient visits both by telephone and in person.
Nice To Haves
- Licensure or provisional licensure is preferred.
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, facilitate patient engagement, and coordinate 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 and treatment side effects or complications.
- Support psychotropic medication management by consulting with the behavioral health consultant and communicating 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 as clinically indicated.
- Participate in regularly scheduled caseload consultations with the psychiatric consultant and communicate resulting 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 the care team.
- Facilitate treatment-plan changes for patients who are not improving as expected, in consultation with the medical provider and psychiatric consultant.
- Facilitate referrals for clinically indicated services outside the organization, including housing assistance, vocational rehabilitation, mental health specialty care, and substance abuse treatment.
- Develop relapse-prevention self-management plans with patients who have achieved their treatment goals and are nearing discharge from the caseload.
- Use Excel and Word and complete assessments and productivity trackers daily.
- Manage daily work effectively using calendars and the EMR system.
- Conduct telephonic work and in-person visits.
Benefits
- Medical insurance.
- Dental insurance.
- Vision insurance.
- Supplementary benefits, including life insurance and short- and long-term disability.
- Flexible Spending Accounts for medical and dependent care.
- Accident, critical illness, and hospital indemnity benefits.
- Paid Time Off.
- Paid office holidays.
- Paid sick time.
- 401(k) with up to 3% company match.
- Referral Program.
- Payactiv pay-on-demand.
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What This Job Offers
Job Type
Full-time
