What are the responsibilities and job description for the Social Work Care Manager - Children & Pregnant Women (2810, 3402) position at WACO FAMILY MEDICINE?
SKILLS
- Knowledge of health care conditions and needs of children and pregnant women.
- Ability to learn and apply case management and patient education skills.
- Strong interpersonal skills with the ability to build effective relationships across medical teams and with patients.
- Proficiency in problem identification and care plan development.
- Professional interaction skills with medical providers and other healthcare professionals.
- Skillfully conduct health assessments and screenings.
- Ability to learn and apply evidence-based behavioral strategies.
- Strong written and oral communication skills.
PRIMARY DUTIES
- Coordinate and manage care for high-risk children and/or pregnant women to improve outcomes.
- Assess and respond to psychosocial, financial, functional, cognitive and medical needs.
- Identify and address gaps in patient care through proactive outreach and follow-up services.
- Identify and utilize patient’s systems of support and facilitators for reaching health goals.
- Monitor and respond appropriately to changes in patients’ condition, resources, or services.
- Serve as a liaison between primary care, specialty, and behavioral health services for coordinated patient treatment plans.
- Conduct comprehensive psychosocial needs assessments.
- Develop individualized care plans focusing on short and long-term medical and behavioral health treatment goals.
- Assist patients in navigating the healthcare system.
- Apply knowledge of community resources to address care gaps or improve quality of life conditions.
OTHER DUTIES
- As assigned by supervisor.
Qualifications:
Social Work Care Manager
Children & Pregnant Women
REPORTS TO: Director of Care Management and Social Work Care Management Team Lead
EDUCATION & EXPERIENCE
- LMSW
- Preferred:
- Experience in social services, counseling, or case management
- Experience providing social services in healthcare settings
TERM: Funding is secured through October 31, 2027. This revenue-generating role is expected to evolve into a self-sustaining, ongoing position, and every effort will be made to continue the role beyond the initial term.
PHYSICAL AND MENTAL REQUIREMENTS
- Possess a valid Texas driver’s license and appropriate liability insurance
- Access to personal transportation
- Visual and auditory accuracy
- Shift length varies
- Indoor setting
- Continuous use of computer
- Long periods of sitting
- Frequent use of telephone and/or smart devices
- Continuous repetitive grasping and manipulation of both hands
- Continuous conversational communication
- Occasional reaching, walking, squatting, bending, kneeling, twisting and climbing
- Occasionally carrying, lifting, pushing and pulling of up to 25 lbs.
- Occasionally working in confined, noisy, dusty areas
- Understand/carry out simple/detailed, oral/written instructions
- Memorize and retain instructions
- Read and interpret detailed specifications
- Mental competency
- Tobacco non-user
- Physical accommodations will be implemented where necessary and feasible