Job Details: Level: Experienced, Job Location: Temple Downtown Clinic - Temple, TX, Position Type: Full Time, Education Level: 4 Year Degree, Salary Range: Undisclosed, Job Shift: Day, Job Category: Health Care, SKILLS Knowledge of health care conditions and needs of children and pregnant women. Ability to learn and apply case management and patient education skills. Strong interpersonal skills with the ability to build effective relationships across medical teams and with patients. Proficiency in problem identification and care plan development. Professional interaction skills with medical providers and other healthcare professionals. Skillfully conduct health assessments and screenings. Ability to learn and apply evidence-based behavioral strategies. Strong written and oral communication skills.   PRIMARY DUTIES Coordinate and manage care for high-risk children and/or pregnant women to improve outcomes. Assess and respond to psychosocial, financial, functional, cognitive and medical needs. Identify and address gaps in patient care through proactive outreach and follow-up services. Identify and utilize patient’s systems of support and facilitators for reaching health goals. Monitor and respond appropriately to changes in patients’ condition, resources, or services. Serve as a liaison between primary care, specialty, and behavioral health services for coordinated patient treatment plans. Conduct comprehensive psychosocial needs assessments. Develop individualized care plans focusing on short and long-term medical and behavioral health treatment goals. Assist patients in navigating the healthcare system. Apply knowledge of community resources to address care gaps or improve quality of life conditions.   OTHER DUTIES As assigned by supervisor.           Qualifications:  Social Work Care Manager Children & Pregnant Women   REPORTS TO: Director of Care Management and Social Work Care Management Team Lead   EDUCATION & EXPERIENCE LMSW Preferred: Experience in social services, counseling, or case management Experience providing social services in healthcare settings TERM: Funding is secured through October 31, 2027. This revenue-generating role is expected to evolve into a self-sustaining, ongoing position, and every effort will be made to continue the role beyond the initial term.   PHYSICAL AND MENTAL REQUIREMENTS   Possess a valid Texas driver’s license and appropriate liability insurance Access to personal transportation Visual and auditory accuracy Shift length varies Indoor setting Continuous use of computer Long periods of sitting Frequent use of telephone and/or smart devices Continuous repetitive grasping and manipulation of both hands Continuous conversational communication Occasional reaching, walking, squatting, bending, kneeling, twisting and climbing Occasionally carrying, lifting, pushing and pulling of up to 25 lbs. Occasionally working in confined, noisy, dusty areas Understand/carry out simple/detailed, oral/written instructions Memorize and retain instructions Read and interpret detailed specifications Mental competency Tobacco non-user Physical accommodations will be implemented where necessary and feasible