Medical Social Worker-Bakersfield 1.1

Description

Location:Location: Bakersfield, CA 93309 (Onsite)

Classification: Full-Time (Non-Exempt)

Schedule: Monday-Friday 8am-5pm 

Benefits:

· Medical

· Dental

· Vision

· Simple IRA Plan

· Employer Paid Life Insurance

· Employee Assistance Program

Compensation:

The initial pay range for this position upon commencement of employment is projected to fall between $28.15-$35.18 for a non-masters prepared and $33.00- $40.00 for a mastered prepared. However, the offered base pay may be subject to adjustments based on various individualized factors, such as the candidate's relevant knowledge, skills, and experience. We believe that exceptional talent deserves exceptional rewards. As a committed and forward-thinking organization, we offer competitive compensation packages designed to attract and retain top candidates like you.

Position Summary:

The Medical Social Worker, under the supervision of the Director of Clinical Programs, is responsible for addressing the clinical and non-clinical needs of members with the most complex medical and social needs through systematic coordination of services and comprehensive care management. ECM is intended to be interdisciplinary, high touch, person-centered and provided primarily through in-person interactions with members where they live, seek care, and/or prefer to access services. The Medical Social Worker works with members that have chronic health conditions, are homeless or at-risk, with high hospital admissions, substance abuse, behavioral needs, and/or transitioning from incarceration. Using excellent communication skills, Medical Social Worker will provide services and coordination with members to ensure continuity of care across health and social service programs and community based and long term-support service (LTSS) programs. This position requires strong interpersonal and organizational skills to build rapport with members, coordinate referrals, and care amongst various healthcare providers and community services. The Medical Social Worker also works with the member’s interdisciplinary team (ICT) supporting the member and engages the member ant the member’s support systems to define priorities that are central to the member’s desired needs and goals.

Requirements

Job Duties and Responsibilities:

• Effectively manage and maintain a caseload of ECM members with higher behavioral and social acuity/ risk tier levels.

• Conduct a comprehensive assessment to develop a comprehensive, individualized, person-centered care plan with input from the member (and/or their parent, caregiver, guardian) to prioritize, address, and communicate strengths, risks, needs, and goals.

• Supports members with behavioral health conditions, with particular attention to members with SMI and/or SUD needs, through brief interventions, behavioral activation strategies, and linkages to community resources.

• Provide formal and informal training and support for ECM members on behavioral health conditions, including treatments and evidence-base for treatment.

• Tracks medical and behavioral health outcome measures in the web-based care management platform or equivalent platform.

• Responsible for building and maintaining a positive working relationship with Providers, including, but not limited to, communication via in-person, over the phone, and through digital means such as email and fax.

• Responsible for engaging with members, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the member and his or her medical/behavioral team, as well as to increase the member’s sense of control over their whole health.

• Conduct in-person outreach and enrollment in community settings such as shelter, navigation sites, schools, substance use centers, churches—etc.

• Responsible for brief crisis interventions and warm hand-offs to local crisis resources as needed to address behavioral health needs.

• Engage with each member (and/or their parent, caregiver, guardian) authorized to receive ECM primarily through in-person contact and provide culturally appropriate and accessible communication.

• Identify necessary clinical and non-clinical resources that may be needed to appropriately assess member health status and gaps in care and may be needed to inform the development of an individualized Care Management Plan.

• Ensure member’s care plan, incorporate identified needs and strategies to address needs, including, but not limited to, physical and developmental health, mental health, dementia, SUD, LTSS, oral health, palliative care, necessary community-based and social serv