Responsibilities:

  • Conducts Comprehensive Assessments
  • Facilitates medication reconciliation with pharmacist and/or primary care team
  • Engages members and care givers in active care planning with a focus on, medical, behavioral, social, member-centered care needs. Coaches and guides member/representative to meet bio/psycho/social care goals.
  • Provide care coordination, which may include but is not limited to facilitating care transitions, supporting the completion of referrals, and/or providing or confirming appropriate follow-up
  • May be required to meet members while they are inpatient to provide education and support about the discharge process and transition the member into care management**
  • Travel throughout assigned area to engage members at their homes or other locations where the member may be located **
  • Assesses the member’s knowledge of their medical, behavioral health and/or social conditions and provides education and self-management support based on the member’s needs and preferences.
  • Connects members with primary care, behavioral health, flexible services, Community Partner, respite, and other community based social services as indicated and appropriate.
  • In collaboration with Community Health Workers creates and maintains a comprehensive inventory of local community resources through a web-based application, improving accessibility for members and providers, and linking members with the appropriate support services.
  • Participates in the integrated care team meetings and rounds as required
  • Maintain accurate, timely documentation in electronic systems including health center EHRs
  • Provides coverage for team members who are out of office
  • Other duties as assigned

Desired Skills:

  • Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Providers, Nurses, Community Health Workers, and other health care teams
  • Ability to flexibly utilize clinical expertise to solve complex problems
  • Bi-lingual
  • Experience working with patients with chronic and behavioral health needs
  • Must be flexible and adaptable to change
  • Demonstrate the ability to work independently
  • Must demonstrate excellent interpersonal communication skills
  • Additional qualities that would be a good fit for our team include: Enthusiasm and passion for helping patients, genuine spirit, kind, and empathetic nature, and one who embraces a ‘go with the flow’ mentality
  • Experience using appropriate technology, such as computers, for work-based communication
  • Experience and proficiency with Microsoft Office and online record keeping

Qualifications:

  • Experience working with a Medicaid population is strongly preferred
  • Experience working with Federally Qualified Health Centers is strongly preferred
  • 2-3 years of Inpatient or Community Social Work experience providing patient-centered outreach, behavioral health services, needs assessment and support
  • Licensed Clinical Social Worker (LCSW or LICSW),orLicensed Mental Health Counselor (LMHC)
  • Master’s Degree in Psychology, Social Work or related field
  • A valid driver’s license and provision of a working vehicle
  • Experience with anti-racism activities, and/or lived experience with racism is highly preferred

To Apply: Please use link below-

https://communitycarecooperative.applicantpro.com/

** In compliance with Covid-19 Infection Control practices per Mass.gov recommendations**

Community Care Cooperative
https://communitycarecooperative.applicantpro.com

More Information

Apply for this job
Share this job

Contact Us

https://www.behavioralhealthjobs.com/wp-content/themes/noo-jobmonster/framework/functions/noo-captcha.php?code=e07d3

We are the first-of-its-kind and leading source for jobs and career information in Behavioral Health. Behavioral Health Institutions and job seekers trust BehavorialHealthJobs.com because we bring together job opportunities and job seekers specific to the Behavioral Health industry. By bringing together Behavioral Health jobs and job seekers, we are helping all in the Behavioral Health arena cut through the noise and clutter, so they can advance their careers and help employers attract the very best team members.

Contact Us

Behavioral Health Jobs, Inc.
Radnor, Pa.
sales@behavioralhealthjobs.com