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(Archived) Social Worker Case Manager

Last Updated: 3/12/19

Job Description

Social Worker Case Manager

Location: 45th Medical Group, Patrick AFB, Florida

Work Schedule: Monday through Friday, eight hours per day to be worked between the hours of 0700-1700, 40 hours per week, with a one hour uncompensated lunch to be taken between the hours of 1100-1300 depending on the needs of the clinic

Aaron Agena

Healthcare Recruiter

Kako'o Services, LLC

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Minimum Qualifications:
 Degree: Master's degree in Social Work (MSW).
 Education: Graduate from a School of Social Work fully accredited by the Council on Social Work Education (CSWE).
 Experience:

  1. A minimum of two years full-time experience in care coordination, discharge planning or case management in a medical setting within the last four years.
  2. Knowledge and skills to effectively apply SNC functions: a) Assessment: Identification of patients that need special medical and education needs/management; comprehensive collection of patient information and medical status; and continued evaluation of an established plan of care; b) Planning: Collaboration with the patient, family/caregiver, primary provider and other members of the health care team for developing an effective plan of care; c) Facilitation: Care coordination and communication among all involved parties; d) Advocacy: Support for the patient and family/caregivers to ensure identified education and appropriate, timely care coordination is received.
  3. Knowledge and understanding of developmental growth; dynamics of human behavior, family, and other social systems; and impact of illness and disability on social functioning.


 Licensure: Not required but highly encouraged to have current, full, active, and unrestricted license to practice as a Licensed Clinical Social Worker.

HCW Duties (5.1 Task 1): The duties for the HCW are as follows:

The items listed are in addition to Exhibit 5, COR PD: The Special Needs Coordinator is a non-credentialed position that oversees and manages the Exceptional Family Member Program – Medical (EFMP-M) IAW DOD and Air Force (AF) policy, and any subsequent implementing guidance. Establishes and maintains procedures to identify family members with special medical and educational needs in a timely manner. The SNC uses a multi-disciplinary and collaborative approach with other key service providers, such as installation youth and childcare facilities, and officer and enlisted spouses groups, to ensure effective outreach and identification of special needs. Ensures AF sponsors assigned to the installation, or whose personnel functions are handled at the installation, are “Q-coded” (EFMP-enrolled) regardless of location of family members.

  1. The SNC social worker oversees and manages the installation EFMP-M IAW DoD and AF policy and any subsequent implementing guidance.
  2. Use clinical assessment skills and maintain procedures to identify sponsors whose family members have special medical and educational needs in a timely manner. The SNC uses a multi-disciplinary and collaborative approach with other key service providers, such as installation youth and childcare facilities, and officer and enlisted spouses groups, to ensure effective outreach and identification of special needs. Ensures family members of the AF personnel or family of the AF member are appropriately “Q coded” (EFMP-enrolled).
  3. Ensure all active duty sponsors known to the Air Force Personnel Center, and local Military Personnel Section (MPS) and/or Commander Support Staff (CSS) where applicable, having family members with special needs are identified in AF medical special needs data management systems. Provide oversight for base-level data entry in AF-provided data management systems used in the management of EFMP-M.
  4. Provide training to installation personnel and medical staff; and consultation as needed to support the implementation of EFMP-M base-wide.
  5. Integrally involved in the Family Member Relocation Clearance (FMRC) process. Ensure all FMRC requirements are implemented by all EFMP-M staff. Coordinate the enrollment process and travel screening for all active duty family members’ and travel screening upon request to the families of DoD civilian sponsored assignments going to an overseas base.
  6. Provide oversight to ensure every AF sponsor with one or more family members with special needs assigned to the installation has a SN file maintained at the Medical Treatment Facility (MTF). Ensures Q-coded sponsors assigned to the installation are contacted annually to determine if there are unmet needs and to request updates of information as needed.
  7. Collaborate with the Integrated Delivery System (IDS) and other interagency forums that provide family medical information and referrals to base and civilian agencies. Ensure EFMP families are referred to the Airman and Family Readiness Center for additional community assistance as needed. Maintains a cooperative working relationship with the base MPS, CSS, and with Air Force Personnel Center (AFPC). Actively support the integration of EFMP-M, Exceptional Family Member Program – Family Support (EFMP-FS) and Exceptional Family Member Program – Assignments (EFMP-A) services at the installation. Provides information, appropriate contact information, and coordinates referrals as appropriate.
  8. Participate in EFMP quarterly case reviews to discuss/assess newly identified families’, complex, or unmet medical needs. Determine the appropriate resources necessary for the families.
  9. Maintain patient specific assessments and clinical plans of action located in AHLTA and the Special Needs record. Meeting minutes will not contain patient identifying information.
  10. Participate in the clinic orientation and training of other staff of the Special Needs Program. May serve on committees, work groups, and task forces at the facility.
  11. Maintain a level of productivity and quality consistent with: complexity of the assignment; facility policies and guidelines; established principles, ethics and standards of practice of professional social work, Health Services Inspection (HSI); and other applicable DoD and service specific guidance’s and policies. Must also comply with the Equal Employment Opportunity (EEO) Program, infection control and safety policies and procedures.
  12. Complete medical record documentation and coding and designated tracking logs and data reporting as required by local MTF/AF/DoD instructions, policies and guidance.
  13. Complete all required electronic medical record training, MTF-specific orientation and SNC training programs.
  14. Demonstrated abilities in program planning, implementation, and evaluation, and in conducting individual, family, group, and community assessments.
  15. Strong capability to work with service members and/or veterans and their families who are experiencing a wide range of complicated mental, emotional, behavioral, physical, psychosocial, and environmental problems.
  16. Must demonstrate ability to communicate effectively both orally and written.
  17. Must be skillful and tactful in communicating with people who may be physically or mentally ill, uncooperative, fearful, emotionally distraught, and potentially agitated.
  18. Must demonstrate ability to apply critical thinking skills and expertise in resolving complicated healthcare, social, interpersonal and financial patient situations.

Must possess organization, problem-solving and communication skills to articulate medical requirements to patients, families/care givers, medical and non-medical staff in a professional and courteous way.

KAKO’O SERVICES LLC

Kako’oServicesis a premier provider of healthcare workers to various military treatment facilities across the United States. With a corporate office in Honolulu, Hawaii and recruiting office in San Antonio, Texas we specialize in providing skilled, trained and highly successful healthcare workers, including RNs,CRNAs, Physicians, LPN/LVN, Licensed Social Workers, and many more.

We have a strong focus on providing our government customer with quality and superior service.

Kako’o Services is an equal opportunity employer and Minorities, Females, Veterans, and Disabled persons are encouraged to apply. For further information, please click the link below to view the EEO Is The Law poster.

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Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

Only qualified individuals who are being considered will be contacted for an interview

Company Details

Honolulu, Hawaii, United States
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