Case Manager - Perinatal 

SUMMARY:

The Social Work Case Manager-Perinatal works with all Open Door staff providing prenatal services and postpartum care at multiple facilities. Staff includes MDs, CNMs, RNs, Doulas, and clinical support.    The SWCM-Perinatal is based out of a staff building in Arcata and travels to a variety of clinic locations as needed to provide resource assistance and services to both the pregnant and postpartum patient, and the immediate family. The SWCM-Perinatal works collaboratively with the SWCM-Pediatrics to transition CM services for the infant at an appropriate time and on an individual basis. The SWCM-Perinatal will work closely with the Supervising Case Manager to ensure quality of care.

In addition to meeting the standards and responsibilities of the Social Work Case Manager, the Social Work Case Manager—Perinatal has a strong understanding of the biological, psychological, societal, and cultural factors related to pregnancy, labor and delivery, and postpartum aspects of Women’s Health, and initial stages of neonatal health, and the ability to provide emotional support and assistance in navigating crises.

Upon referral from a provider, the SWCM-Perinatal will coordinate with pregnant and/or postpartum patients and their families to develop, implement, and monitor effective treatment plans. The SWCM will assess the biopsychosocial needs of each patient (and family) and their coping and adaptive abilities, formal and informal support systems, as well as identify individual barriers and areas of needs, and strategize with the patient and health care team to develop a plan to overcome such barriers.

The SWCM—Perinatal will meet regularly with the clients to assist them in fulfilling recommendations for their plan of care including, but not limited to, explanation of special instructions, aid in problem resolution and decision making, providing resources and education to other ODCHC Case Managers and interdisciplinary care team members as needed, and performing other duties and responsibilities as identified and assigned by the Supervising Case Manager.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Works with pregnant and/or postpartum patients and their families, upon referral from a provider, to develop, implement, and monitor effective treatment plans.
• Facilitates and promotes effective communication between the patient, their family, his/her primary care provider and other service providers.
• Assists the family in accessing needed services, addressing financial hardships, and resolving medical insurance issues.
• Maintains current information on and positive working relationships with community social service providers and programs specific to infants and families.
• Explains benefit programs to patients and their families and helps them navigate the processes required to obtain benefits. Provides direct assistance when needed.
• Develops and maintains effective working relationships with clinic staff, care providers, and the general public
• Aligns services with the care plans and goals outlined by the patient’s provider.
• Maintains records of services performed and completes necessary documentation.
• Submits required reports in appropriate timeframes.
• Reviews problems with supervisor to resolve and meet goals for patient and their family.
• Adheres to ODCHC’s policies and procedures, including attendance policy.
• Performs related duties as and responsibilities as designated by supervisor.

BASIC QUALIFICATIONS:

• Ability to work with diverse populations and operate from a strengths-based, family systems perspective.
• Knowledge of community services and local resources related to pregnancy, infants, and families.
• Ability to work as a member of a team, communicate pertinent information to others and support Medical and Behavioral Health Provider decisions.
• Ability to creatively assist and support patients and families in attaining their goals and produce desired outcomes for patients.
• Excellent interpersonal skills, both written and verbal.
• Ability to handle difficult or confrontational situations in a calm, consistent, and equitable manner.
• Ability to advocate for patients and families to set mutual goals, encourage and monitor treatment plan adherence, and provide targeted and appropriate education.
• Must have strong computer skills.
• Bachelor’s degree in social work, sociology, psychology or human services required; MSW or related advanced degree preferred.
• Must have experience working with families experiencing poverty, mental illness, living with disability, and/or other social health challenges.

SUPERVISORY RESPONSIBILITIES: None.

SUPERVISION AND SUPPORT: The Case Manager - Perinatal reports to the Health Resources Manager who oversees the daily activities of this position. The Case Manager - Perinatal will also work with managers and subject matter experts from multiple ODCHC sites and departments.

PHYSICAL REQUIREMENTS: This is largely an office-based position although occasional travel among ODCHC sites is expected. The physical requirements described are representative of those needed to successfully perform the essential duties of the position. Reasonable accommodation will be made to allow otherwise qualified candidates to perform these functions.

• Speaking and hearing sufficient to communicate effectively by telephone, video or in-person at normal volumes.
• Vision adequate to read documents, computer screens, forms and designs and to differentiate colors as necessary.
• Ability to sit or stand for extended periods of time.
• Ability to use keyboard and view computer screens for extended periods of time.
• Ability to travel locally by vehicle and long-distance.
• Ability to lift and carry packages and boxes weighing up to 25 pounds.
• Ability to move around offices and health centers as needed.

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