Social Work Case Manager, HealthAssist MEND Program
HealthAssist, a division of Access East, Inc., has an immediate opening for a full-time Social Work Case Manager for its MEND (Medically Enduring Neighborhood Dream) program.
- The MEND Social Work Case Manager collaborates with the client, nurse case/care managers, local free clinics, East Carolina University medical students, other healthcare providers and faith-based organizations to facilitate client access to health and social services that enhance the client’s health, well-being, and ability to adhere to the client’s prescribed medical treatment regimen in the most efficient, cost-effective manner possible.
- The MEND Social Work Case Manager provides social work services to adult clients in clients’ homes and in the community, as well as in clinical settings.
- The MEND Social Work Case Manager is also responsible for assisting MEND board members with solidifying funding for program initiatives and sustainability.
- Accountable for developing and facilitating services, and community engagement, and partnering with community resources to address the needs of an assigned population (uninsured/underinsured, homeless, high ED utilization).
- Uses independent, professional judgment to provide case-management services to an assigned population.
- Attends all regularly scheduled free-clinic sessions, ED-utilization meetings, community-leadership meetings, and staff meetings.
- Provides leadership in population-based health improvement (uninsured/underinsured, homeless, high ED utilization).
- Acts as a client advocate for the development of community resources, program sustainability and funding, community outreach, and access to medical services.
- Collaborates effectively with the HealthAssist care-management staff to achieve goals and objectives.
- Accountable for developing and facilitating services, and partnering with community resources to address the needs of an assigned population.
- Develops and facilitates services that provide education, screening, and advanced assessments for an assigned population.
- Consults with other community agencies and committees to identify potential resources for resolving a client’s health, psychosocial, and/or financial problems.
- Functions as a liaison to external agencies and shares information with others that may impact client care and/or client services.
- Performs other appropriate duties as assigned.
- Uses independent, professional judgment to provide case-management services to an assigned population. Accurately identifies and prioritizes the at-risk patient population.
- Collaborates with the patient, caregivers, physicians, and other providers to develop a comprehensive plan of care.
- Assures implementation of care plans throughout the continuum of care to include a variety of settings (e.g., home visits, school, worksites, free clinics, community settings, transportation, specialists, FQHCs).
- Effectively communicates care plans and other client-related activities both verbally and in writing to appropriate personnel and agencies (e.g., faith-based organizations, medical providers and students, MEND Board of Directors members, the Eastern Carolina Community Health Consortium).
- Communicates with physicians and other healthcare team members regarding necessary changes to care plans that promote optimal medical, academic, and behavior performance.
- Demonstrates the ability to use teaching, learning, and counseling skills. Promotes empowerment of the patient through self-management of his/her disease.
- Coordinates educational opportunities/presentations MEND-related to a variety of stakeholders (e.g., the healthcare system, the school system, community, employers, faith-based organizations, etc.).
- Attend appropriate educational opportunities/programs that promote “best practices” in the management of various populations. Advances clinical expertise through attendance at conferences, reading journals, etc.
- Coordinates primary- and secondary-prevention opportunities that promote early identification and intervention for various populations.
- Provides leadership in population-based health improvement.
- Develops and implements programs or projects that facilitate the attainment of corporate goals. Leads and/or participates in MEND interdisciplinary team meetings, and MEND Board meetings.
- Responsible for the development of strategic long-range plans in the area of program sustainability, including solidifying donations and funding opportunities.
- Participates in the development and coordination of marketing efforts.
- Uses the principles of disease-management to facilitate improvement in patient outcomes.
- Maintains and advances knowledge and skills in areas of specialization.
- Utilizes advanced skills and assessments to work autonomously in different settings (e.g., hospital, school, outpatient, community).
- Participates in professional organizations.
- Utilizes advanced assessments to evaluate and communicate the effectiveness of comprehensive plans of care. Maintains a professional network among colleagues.
- Demonstrates the knowledge and skills necessary to provide service appropriate to the age of the patient.
- Promotes and participates in quality improvement (QI) activities and clinical research. Changes practice behavior as a result of data.
- Encourages clinical problem-identification and problem-resolution activities.
- Identifies, addresses, and reports quality issues identified through data sources. Identifies and participates in research activities through data analysis and collection.
- Maintains the confidentiality of medical records and complies with all applicable state and federal regulations, including, but not limited to, HIPAA and HITECH.
Bachelor’s degree in Social Work required.
One-two (1-2) years of related experience required.
Send résumé only to firstname.lastname@example.org; no cover letter required.
About Access East:
Based in Greenville, N.C., the nonprofit Access East, Inc. coordinates and administers regional, collaborative initiatives designed to address the healthcare needs of low-income and uninsured residents across a 27-county service area, and to assist the state of North Carolina in enhancing access, improving health outcomes, and controlling costs for its economically challenged and uninsured population.