Ennoble Care
Healthcare
SocialWorkerCareManager
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“Social Worker Care Manager at Ennoble Care. Skills: Social Work, Care Management, Mental Health, Substance Abuse. 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”
What You'll Achieve.
Track patient follow up and clinical outcomes using a registry; patients who have achieved their treatment goals and are soon to be discharged from the caseload
Industry & Context.
problem-solving treatment
travel outside of the office to patients home or facilities for appointments, must be licensed driver with an insured automobile in good working order, telephonic, however in person visits are done and the BHCM has to be comfortable completing them both ways
What They're Looking For.
Must Have
MSW, licensed driver with an insured automobile in good working order, Ability to communicate effectively, both verbally and in writing, Time Management skills
Nice to Have
provisionally licensed, Behavioral Health experience and knowledge
What You'll Do.
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, Provide patient education about common mental health and substance abuse disorders and the available treatment options, 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, Provide brief behavioral interventions using evidence-based techniques such as behavioral activation, problem-solving treatment, motivational interviewing, or other treatments as appropriate, Provide or facilitate in-clinic or outside referrals to evidence-based psychosocial treatments (e.
problem-solving treatment or behavioral activation) as clinically indicated, Participate in regularly scheduled (usually weekly) caseload consultation 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 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.
, 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, completing assessments and productivity trackers daily, manage their day effectively through calendars and the EMR system, completing them both ways.
How You'll Work.
Team & Collaboration
consulting with the behavioral health consultant; communicating with the primary care provider assigned; Participate in regularly scheduled (usually weekly) caseload consultation with the psychiatric consultant and communicate resulting treatment recommendations to the patient’s medical provider; 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
Communication Scope
Ability to communicate effectively, both verbally and in writing
Full Job Description
About Us Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, and Georgia. Ennoble Care’s clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, “To Care is an Honor.” Join Ennoble Care today! Job Summary: Ennoble Care is seeking an experienced Full-time Social Worker Care Manager to service patients for our house calls department within and around the Toms River, NJ region. This position will focus on patients with mental health and substance abuse matters, and will based out of the Freehold, NJ office with travel outside of the office to patients home or facilities for appointments. 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. Provide patient education about common mental health and substance abuse disorders and the available treatment options. 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. Provide brief behavioral interventions using evidence-based techniques such as behavioral activation, problem-solving treatment, motivational interviewing, or other treatments as appropriate. Provide or facilitat
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