Care Coordination Social Worker (BSW) - Behavioral health hub

About the role

The Central Florida Behavioral Health Hub (CFL-BHH) Care Coordination Social Worker works within the context of the CFL-BHH, from a team approach, and in partnership with providers, to assist families in timely access to needed mental, emotional, behavioral health care.

Responsibilities

• Actively monitor and update the CFL-BHH Clinical Tracking Database and Nemours Electronic Health Record (EHR) to identify new referrals and manage existing referrals to the CFL-BHH.
• Initiate contact with families referred to the CFL-BHH to complete information needed for referral for services, consultation, or both.
• Collaborate with families to determine the level of care-coordination support they desire for their child/youth or family member at any given point in time.
• Assess patient and family needs, unmet needs, strengths and assets as well as potential barriers to needed treatment.
• Identify ideal treatments and resources for children and families based on their needs.
• Connect children and families to those treatments / resources and track family adherence to those referrals.
• Cook up inter-organizationally among family, the medical home, behavioral health providers and other involved agencies. Provide bi-directional communication between and among the groups.
• Research, find and link resources, services, and supports with/for the child and family. Provide families with information about access to insurance and transportation for visits.
• Refer patients to early intervention and help parents navigate through the school system including help with IEPs when needed.
• Identify families who are in need of immediate assistance, providing immediate referral to emergency services including, when necessary, Mobile Response Teams.
• Actively engage in ongoing collaboration with CFL-BHH team through meetings, trainings, case consultations, and quality improvement projects.
• Participate in completing DOH reporting documents including entering, compiling and analyzing data, as well as building spreadsheets and completing forms.
• Support the CFL-BHH at Nemours and within the community. Provide timely feedback to referring providers, behavioral health providers, and CFL-BHH team.

Qualifications

• Bachelor's degree in social work required (This position requires a Bachelor of Social Work (BSW). This role is not designed for MSW-level candidates)
• American Heart Association BLS required
• Minimum six months social work required