Escambia Community Clin·Milton, Florida
The Case Manager provides care coordination, resource navigation, and psychosocial support to underserved populations with complex social and behavioral health needs. They are responsible for conducting assessments, developing individualized care plans, and acting as a liaison between patients and community resources.
Community Health Northwest Florida (CHNWF) is seeking a compassionate, motivated, and patient-focused Social Services Case Manager to join our integrated behavioral health team. This position plays a critical role in supporting patients whose health outcomes are impacted by social, behavioral, and economic barriers. The Case Manager will provide care coordination, resource navigation, advocacy, and psychosocial support to underserved and vulnerable populations.
The ideal candidate is passionate about whole-person care and experienced in working with individuals experiencing behavioral health challenges, substance use disorders, homelessness, incarceration reentry, and other complex social needs.
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Key responsibilities
Conduct comprehensive psychosocial assessments to identify social determinants of health and behavioral health needs.
Develop and implement individualized care plans in collaboration with patients, primary care providers, and behavioral health clinicians.
Coordinate referrals and follow-up services for:
Mental health treatment
Substance use services
Housing resources
Food assistance
Transportation services
Community support programs
Serve as a liaison between patients, families, healthcare providers, and community organizations.
Monitor patient progress and provide ongoing support and follow-up.
Advocate for patient needs within healthcare and community systems.
Participate in interdisciplinary team meetings and integrated care planning.
Maintain accurate and timely documentation in the Electronic Health Record (EHR) using SOAP notes.
Support patient engagement, appointment adherence, and retention in care.
Participate in quality improvement initiatives related to behavioral health and population health outcomes.
Perform additional duties as assigned to support organizational operations.
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Candidates must have 1-2 years of experience in case management and experience working with high-risk populations. A bachelor's degree in Social Work, Psychology, or a related field is preferred along with familiarity with EHR systems.
Market context
In Florida, behavioral-health roles are typically in steady demand across community clinics, schools, and care settings serving diverse populations. Competition often centers on licensure status, supervised experience, and the ability to work well with interdisciplinary teams while applying mental health ethics and cultural awareness. Review the full posting carefully and confirm your Master’s degree, Registered Intern License, and communication experience; this platform’s AI-summarized requirements and benefits can save you time by condensing the original job description.
