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Community Support Specialist

2 months ago

Pocono Lake, United States PCS Mental Health Full time
Job Overview

Our Commitment:

Empower individuals facing significant mental health challenges, including co-occurring substance use disorders and dual diagnoses, to lead fulfilling lives within their communities, guided by their own definitions of success.

Position: Social Worker (SW)

Reporting To: Program Director

Role Summary:

Deliver social work and case management services to Members, collaborating with families and various stakeholders to ensure seamless care coordination.

Key Responsibilities:

  • Assist with the admission process to ensure new Members are welcomed and integrated into the program effectively.
  • Prepare Incident Reports in line with the guidelines set by the Managed Care Organization (MCO), state regulations, and project protocols.
  • Work alongside the multidisciplinary team to formulate treatment plans tailored to the needs of identified Members.
  • Conduct monthly individual sessions with Members, documenting outcomes in DAP format within 24 hours.
  • Provide comprehensive case management services, including but not limited to:
  1. Facilitating financial eligibility and benefits coordination.
  2. Coordinating family engagement and support.
  3. Conducting utilization reviews and member care assessments with MCOs and other payers.
  4. Tracking member authorizations and ensuring timely input into the Electronic Health Record (EHR).
  5. Generating authorization reports and other necessary documentation in the EHR as required.
  6. Managing Level of Care adjustments and planning aftercare with Members.
  7. Resolving billing discrepancies promptly.
  8. Communicating with referral sources and external support systems (hospitals, rehabilitation centers, etc.) to facilitate Members' successful reintegration into the program.
  9. Assist Members with ongoing transition planning through the APPLE Plan.
  10. Conduct discharge follow-ups for all Members according to established processes.
Facilitate or co-facilitate assigned group sessions, ensuring documentation is completed within 24 hours.Provide transportation support for Members as directed by the Program Director.Observe Member alcohol and drug screenings, documenting findings within 24 hours (if applicable).Monitor Member self-administration of medication as assigned.Engage in phone coaching and crisis management, which includes:
  1. Orienting Members and families to the phone coaching process.
  2. Being available for coaching calls on assigned days, including emergency on-site support when necessary.
  3. Providing coverage for staff absences.
  4. Following incident reporting and documentation protocols for all on-call emergencies.
Offer backup support to the Program Director as needed.Complete ongoing educational requirements to maintain regulatory compliance.Attend individual supervision sessions and program meetings as scheduled by the direct supervisor.Perform other duties as assigned by the Program Director.

Performance Expectations:

  • Engage in multidisciplinary treatment team discussions, supporting and implementing interventions as directed.
  • Exhibit compassion and understanding when assisting Members, aligning with the mission and core values of Project Transition and PCS Mental Health.
  • Approach Member engagement with a non-judgmental perspective, recognizing that behaviors may stem from past experiences, including trauma.
  • Treat Members with dignity and respect, even in challenging situations, demonstrating supportive kindness.
  • Seek guidance from Clinicians or Psychiatrists, in conjunction with the Program Director, when uncertain about how to effectively support a Member.
  • Report any observations of Member behavior that may indicate a need for additional treatment or support to the Treatment Team.
  • Engage with external parties and individuals professionally, embodying a positive customer service approach and representing the organization effectively.

Qualifications:

  • Bachelor's degree in social work or a related field, with at least 1 year of experience in Mental Health, Behavioral Health, or Substance Use fields; or a different bachelor's degree with 2 years of relevant experience.
  • A minimum of two years of experience in case management, family support, and care collaboration.
  • Strong skills in assessment and documentation.
  • Excellent communication, interpersonal, organizational, and time management abilities.
  • Proven ability to work effectively within a multidisciplinary team.
  • High-energy individual with a strong work ethic and the capacity to manage multiple tasks.
  • Ability to work independently and maintain confidentiality.

Benefits for Full-Time Employees:

  • Paid Time Off
  • Health Insurance available within 60 days of hire
  • Company Paid Life Insurance
  • Short-Term and Long-Term Disability Insurance
  • Dental Insurance
  • Vision Insurance
  • Health Spending Accounts
  • Eligibility to participate in company 401K after 6 months of employment
  • Company 401K match up to 3%

Access to Employee Assistance Program for all Employees

We are an equal opportunity employer. All applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.