Job Details

Job Details

Job Location
Stony Point Admin - Santa Rosa, CA

Position Type
Full Time

Description

POSITION TITLE: Social Work Care Manager

REPORTS TO (TITLE): Care Coordination Program Manager

SALARY RANGE: $82,119 - $114,688 DOE

Job Summary: The Social Work Care Manager is a member of the multidisciplinary care coordination team. The Social Work Care Manager works in partnership with nurse care manager(s), care coordinators, peer health coach medical provider(s) and external partners such as hospitals and County Department of Health Services to assess the behavioral needs of clients experiencing homelessness, focusing on mental health and substance abuse screening and referral; education and counseling; and education and training on skills building with clients to help them learn to self-manage a chronic disease.

Specific Tasks/Duties Include:

Adhere to the medical case management standards. Primary duties are described below:

• Face-to-face psychosocial assessment for all clients to include an appraisal of the general overall appearance, demeanor and affect of the client as part of intake and on a schedule determined by the acuity scale.
• In collaboration with the nurse care managers, care coordinators, peer health coach and medical providers, will assist in the development, periodic re-evaluation and revision of a comprehensive individualized care plan for all clients.
• Provides outreach into the community including hospitals, homeless service programs, County DHS programs, and street outreach to connect homeless individuals and homeless families with holistic health, mental health, substance use and social service programs and activities.
• Education and counseling on referrals to behavioral health services.
• Education and counseling, as appropriate, to assist clients to develop positive behavior change related to mental health, substance use, and self-management.
• Referral, follow-up, and advocacy to appropriate agencies required to assist the client in achieving the goals and objectives identified in the individualized care plan.
• Case conferencing with client's mental health provider, substance abuse treatment provider, and any other professional working with the client on enhancing their behavioral choices.
• Case conferencing with the care team as appropriate and as required by acuity level.
• Document according to grant tracking and reporting requirements.
• Advocacy on behalf of clients with mental health and substance abuse treatment programs and other agencies, developing and maintaining strong working and referral relationships.
• Documentation in progress notes on the required forms and in the electronic health record.
• Facilitate support groups.
• Participate in ongoing training.
• Other duties as assigned.

Qualifications

Minimum Requirements:

Education:

• Master's Degree in Social Work required, LCSW preferred

Experience:

• Minimum 1 year experience providing case management services.

Knowledge and Skills:

• Fluency in English and Spanish (speak, read and write) preferred.
• Experience working with people experiencing homelessness preferred.
• Knowledge of community resources for people experiencing homelessness.
• Cultural competency with the patient populations.
• Demonstrates knowledge of compliance issues within the community clinic environment.
• Maintains confidentiality of patients at all times by complying with HIPAA policies.
• Strong interpersonal skills; ability to be sensitive with persons of various social, cultural, economic and educational backgrounds.
• Proficiency with Microsoft Office applications including Outlook, Word, Excel and PowerPoint.
• Strong organizational skills with ability to prioritize projects, work relatively independently, manage multiple tasks, and meet deadlines.
• Strong written and verbal communication skills.
• Ability to work independently and as part of a team.
• Good judgment, problem solving and decision-making skills.

SRCH is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions), and sexual orientation.

Physical Requirements:

While performing the duties of this job, this position is frequently required to do the following:

• Use standard office equipment and access, input, and retrieve information from a computer. Use computer keyboard with manual and finger dexterity and wrist-finger speed sufficient to perform repetitive actions efficiently for extended periods of time.
• Communicate effectively in person or via telephone in a manner which can be understood by those with whom the person is speaking, including a diverse population.
• Give and follow verbal and written instructions with attention to detail and accuracy.
• Perform complex mental functions and basic arithmetic functions; interpret complex laws, regulations, and policies; collect, interpret, and/or analyze complex data and information.
• Vision: see details of objects at close range.
• Coordinate multiple tasks simultaneously.
• Reach forward, up, down, and to the side.
• Sit or stand for minimum periods of one hour at a time and come and go from the work area repeatedly throughout the day.
• Lift up to ten (10) pounds.

SRCHprovides reasonable accommodation for individuals with a physical or mental disability to apply for jobs and to perform the essential functions of their jobs unless it would cause an undue hardship.