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Posted 1 weeks agoSocial Worker Care Manager (Hybrid- Toms River, NJ)
at Ennoble Care
Toms River, United StatesHybrid
Responsibilities
- Support the mental and physical health care of patients on an assigned patient caseload.
- Screen and assess patients for common mental health and substance abuse disorders. Facilitate patient engagement and follow-up care.
- Systematically track treatment response and monitor patients (in person or by telephone) for changes in clinical symptoms and treatment side effects or complications.
- Support psychotropic medication management by consulting with the behavioral health consultant and then communicating with the primary care provider assigned.
- Track patient follow up and clinical outcomes using a registry.
- Document in-person and telephone encounters in the registry and use the system to identify and re-engage patients.
- Document patient progress and treatment recommendations in EHR and other required systems so as to be shared with medical providers, psychiatric consultant, and other treating providers.
- Facilitate treatment plan changes for patients who are not improving as expected in consultation with the medical provider and the psychiatric consultant and who may need more intensive or more specialized mental health care.
- Facilitate referrals for clinically indicated services outside of the organization (e.g., social services such as housing assistance, vocational rehabilitation, mental health specialty care, substance abuse treatment).
- Develop and complete relapse prevention self-management plan with patients who have achieved their treatment goals and are soon to be discharged from the caseload.
Requirements
- experience in integrated behavioral health within a collaborative, team-based environment.
- Registry functions can be accomplished through an EHR build, on a spreadsheet used in conjunction with an EHR, or can be built into a stand-alone clinical management tracking system that may or may not be linked to an EHR.
- Be comfortable utilizing Excel and Word and completing assessments and productivity trackers daily.
- Time-management skills are a must and the BHCM needs to be able to manage their day effectively through calendars and the EMR system.
- Ability to communicate effectively, both verbally and in writing.