Responsibilities
- Monitor high-risk pediatric patients (up to 21 years old), including those recently discharged from the hospital, ensuring appropriate follow-up and assistance with meeting resource needs (food, housing, etc).
- Conduct comprehensive assessments to address behavioral, social, emotional, and systemic needs of patients and families; provide referrals based on identified needs; and ensure caregivers and patients receive prompt, coordinated communication.
- Perform daily tracking of family needs, continuously evaluate the effectiveness of the patient/family care map, and modify plans based on evolving needs and goal progression.
- Maintain timely, accurate clinical documentation for each family; utilize Athena and other internal systems to close patient visits and charts within required timeframes.
- Provide interventions aligned with the social, emotional, and physical needs of patients and caregivers, including de-escalation of mental health crises, behavioral issues, and family conflict; escalate high-risk patients through appropriate pathways.
- Facilitate case management requiring clinical expertise across various systems, helping patients and families navigate the complexities of mental health diagnoses.
- Research and resource validated external services to meet behavioral and social needs, including social services agencies and behavioral health specialists.
- Provide psychoeducation on mental health diagnoses, treatment progression, the importance of treatment adherence, and related topics as appropriate.
- Collaborate regularly with external care team members, including school systems, specialists, and respective state department of child welfare as needed.
- Participate in scheduled interdisciplinary team consultations to monitor patient progress.
- Represent Imagine Pediatrics professionally to patients, families, providers, and the broader community.
- Perform other duties and responsibilities as assigned by manager.
Requirements
- Masters’ degree with major course work in social work or related field
- Minimum 3-5 years of post-graduate experience in health care social work/Case management in behavioral health
- Experience working with pediatric population and family systems
- Proficiency in motivational interviewing practices and/or techniques; goal setting and intervention; assessment of needs
- Knowledge of social work including crisis prevention and intervention
- Experience with providing telehealth services
- Knowledge of MS Office Suite and ability to work in online platforms
- Strong knowledge of behavioral health principles and practices
- Proficient in trauma-informed care practices
- Strong knowledge of mental health common signs and symptoms and able to identify difficulties with coping
- Ability to work afternoons and evenings
Nice to Have
- Provisional licenses (LMSW, PLPC, LAMFT)
- Bilingual Spanish
Benefits
- Competitive medical, dental, and vision insurance
- Healthcare and Dependent Care FSA; Company-funded HSA
- 401(k) with 4% match, vested 100% from day one
- Employer-paid short and long-term disability
- Life insurance at 1x annual salary
- 20 days PTO + 10 Company Holidays & 2 Floating Holidays
- Paid new parent leave
Work Arrangement
Hybrid
Additional Information
- Role is remote with 10% travel necessary for training/education purposes
- Monday to Friday, 8:00am - 5:00pm eastern and 10:30 am - 7:00pm eastern
