Description
General Summary of Position
The primary responsibility of the Care Manager Community Based- HEART Team is to drive the delivery of the HEART Team service. The HEART Team Service is a holistic interdisciplinary community based medical and behavioral health service designed to help beneficiaries manage complex medical and behavioral health illnesses. It aims to restore health improve community daily living personal and social skills while reducing incidence of medical or behavioral health crises that lead to unnecessary use of the hospital system. The Care Manager Community Based-HEART Team is responsible for providing coordinating and supporting medical behavioral health and social need services as well as referral coordination. The Care Manager Community Based- HEART Team initiates implements and evaluates care plans and associated interventions that are culturally sensitive and developmentally appropriate. The Care Manager Community Based- HEART Team is also responsible for overseeing Community Health Workers assigned to the caseload.
Primary Duties and Responsibilities
Education
- Bachelor's degree in Social Work Psychology or Human Services required and
- Master's degree in Social Work Psychology or Human Services preferred
- 3-4 years Experience working with patients who have co-occurring chronic medical and behavioral health conditions. Coordination and collaboration with multiple providers and agencies. Comprehensive care plan development. A superior communicator who shares information readily and concisely while remaining solution focused and collaborative in nature. required
- One year of relevant professional-level work experience may be substituted for one year of required education.
- LCSW- License Clinical Social Worker Upon Hire preferred and
- DL - Valid State Driver's License in good standing Upon Hire required and
- CPR - Cardiac Pulmonary Resuscitation within 90 Days required
- Excellent oral communication writing organizational skills and abilities.
- Utilizes approaches and strategies that support and optimize patient care outcomes that are based on the interdisciplinary plan of care.
- Solution Focused
- Collaborative nature and demonstrated ability to collaborate effectively in team settings.
- Working knowledge of Microsoft Word Excel and PowerPoint applications.
- Experience with Electronic Health Records
This position has a hiring range of
USD $59,820.00 - USD $101,836.00 /Yr.
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