Case Manager - Field Based in Union and Surrounding Counties - NJ
- Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs
- Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs
- Develop and implement individualized, person-centered care plans inclusive of goals, opportunities and interventions aligned with a person's readiness to change to support the best health and quality of life outcomes by meeting the member where they are
- Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
- Provide referral and linkage as appropriate and accepted by member (may include internal consult opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.)
- 4-Year or Higher degree in a behavioral health related field (e.g., Social Work, Psychology, Counseling, etc.)
- 2+ years of experience directly serving individuals with behavioral health conditions (mental health / substance use disorders) or individuals in long-term care, home health, hospice, public health or assisted living
- 1+ years of experience with local behavioral health providers and community support organizations (e.g., food banks, non-emergent transportation, utility assistance, housing/rapid re-housing assistance, etc.)
- 1+ years of experience with MS Office, including Word, Excel, and Outlook
- Driver's license and access to reliable transportation and the ability to travel within assigned territory to meet with members and providers
- Current, unrestricted independent licensure as a Social Worker
- Demonstrated experience/additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
- Experience working in team-based care
- Background in Managed Care
- Bilingual in Spanish/English
- Ability to transition from office to field locations multiple times per day
- Ability to navigate multiple locations/terrains to visit employees, members and/or providers
- Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.)
- Ability to remain stationary for long periods of time to complete computer or tablet work duties
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