Licensed Clinical Social Worker (LCSW)

Activate Care • Las Vegas, NV

1d • Hybrid

About The Position

Activate Care is dedicated to enhancing health equity and improving health outcomes nationwide. Our Community Care Record platform facilitates care coordination between healthcare and community organizations for individuals facing health-related social needs. The Path Assist program, our tech-enabled community health worker initiative, employs evidence-based interventions to boost health confidence, self-efficacy, and reduce unnecessary healthcare spending.

Requirements

• Active, unrestricted LCSW license in the State of Nevada
• Master's degree in Social Work (MSW) from a CSWE-accredited program.
• 3+ years of post-graduate clinical experience, including behavioral health assessment and crisis intervention.
• Experience working with Nevada Medicaid, underserved, or community-based populations.
• Demonstrated experience with Medicaid billing, billing workflows, CPT/HCPCS coding, or revenue cycle management within an integrated care setting.
• Strong knowledge of social determinants of health and community resource navigation.
• Ability to work effectively alongside CHWs and interdisciplinary teams as a non-supervisory clinical resource.
• Comfort with community/field-based work and telehealth; valid driver's license and reliable transportation if field travel is required.

Nice To Haves

• Bilingual (Spanish or other languages common to the served community) desired
• Managed care, care management, or integrated behavioral health experience preferred
• Familiarity with local community resources and the regional behavioral health landscape.
• Approved clinical supervisor credential (a plus if the team later supports associate-level clinicians).

Responsibilities

• Serve as the embedded clinical resource for a team of CHWs
• Provide real-time case consultation, clinical guidance, and side-by-side assistance to CHWs on complex member situations.
• Own the daily clinical audit of the Transitions of Care (TOC) queue, utilizing health plan guidelines to appropriately triage complex Level 2 cases and route clean Level 1 referrals to the CHW team.
• Identify members whose needs exceed the CHW scope and step in directly or coordinate the appropriate clinical hand-off.
• Lead and represent the organization in monthly joint Level 1 and Level 2 case conferences with health plan clinical leadership.
• Coach and mentor CHWs to strengthen engagement skills, recognition of behavioral health and risk indicators, and appropriate escalation.
• Oversee the end-to-end Medicaid claims cycle for the clinical team, including pre-submission documentation reviews, code utilization tracking, and denial management.
• Identify and execute direct-billing opportunities for licensed behavioral health interventions and assessments allowable under Nevada Medicaid.
• Help develop and reinforce team workflows, clinical protocols, and best practices in partnership with leadership.
• Conduct biopsychosocial and behavioral health assessments to identify member needs, strengths, and risks.
• Provide brief, evidence-based clinical intervention (such as motivational interviewing and solution-focused techniques) and warm hand-offs to ongoing behavioral health treatment.
• Contribute clinical expertise to individualized care plans as part of the interdisciplinary care team (ICT).
• Apply trauma-informed and culturally responsive practice across a diverse, predominantly Medicaid population.
• Serve as the team's escalation point for members presenting with behavioral health, safety, or crisis concerns.
• Conduct risk assessment and coordinate appropriate crisis response, follow-up, and linkage to emergency or stabilization services.
• Support CHWs through difficult situations in the field and debrief afterward.
• Partner with CHWs to connect members to behavioral health services, community resources, and supports addressing social determinants of health, including housing, food, transportation, employment, and benefits.
• Build and maintain relationships with community-based organizations and behavioral health providers across the assigned territory.
• Coordinate with PCPs, care managers, and health-plan partners to close gaps in care.
• Maintain timely, accurate clinical documentation in the care management platform.
• Ensure work meets Medicaid, state, NCQA, and organizational clinical and privacy (HIPAA) standards.
• Contribute to quality initiatives and outcome tracking for the team.
• Other duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Senior