Licensed Clinical Social Worker, CCH
About The Position
The Licensed Clinical Social Worker (LCSW) provides advanced clinical social work services to members with complex medical, behavioral health, substance use, and psychosocial needs. The role conducts comprehensive psychosocial and behavioral health assessments, develops individualized interventions and care plans, provides crisis intervention, and supports complex case management, care coordination, and transitions of care. The LCSW collaborates with members, families, providers, hospitals, the health plan’s behavioral health delegate, and interdisciplinary teams to address barriers to care and improve health outcomes. Serving as a clinical subject matter expert in behavioral health and substance use disorders, the LCSW provides advanced clinical consultation and support for complex cases. The position supports Complex Case Management, Population Health Management (PHM) initiatives, transitions of care, and behavioral health quality initiatives, including interventions to address applicable behavioral health HEDIS care gaps. The LCSW works with Case Management, Quality, and other interdisciplinary teams on health plan quality initiatives and supports quality and regulatory efforts, including NCQA accreditation, HEDIS improvement, health equity, DMHC/HEQMS requirements, population health program implementation, and quality performance improvement.
Requirements
- Master’s degree in social work (MSW).
- Three years of post-graduate clinical social work experience.
- Experience providing clinical services to both pediatric and adult populations.
- Experience in behavioral health and/or substance use disorders.
- Experience collaborating with interdisciplinary medical and behavioral health teams.
- Clinical social work and/or case management experience in a hospital/acute-care, behavioral health, or related setting.
- California Licensed Clinical Social Worker (LCSW) license.
Nice To Haves
- Experience with Population Health Management, HEDIS, or health plan operations.
- Additional behavioral health, case management, or population health certification.
Responsibilities
- Conduct comprehensive psychosocial and behavioral health assessments.
- Develop individualized interventions and care plans.
- Provide crisis intervention.
- Support complex case management, care coordination, and transitions of care.
- Collaborate with members, families, providers, hospitals, the health plan’s behavioral health delegate, and interdisciplinary teams to address barriers to care and improve health outcomes.
- Provide advanced clinical consultation and support for complex cases as a behavioral health and substance use disorders subject matter expert.
- Support Complex Case Management, Population Health Management initiatives, transitions of care, and behavioral health quality initiatives.
- Implement interventions to address applicable behavioral health HEDIS care gaps.
- Collaborate with Case Management, Quality, and interdisciplinary teams on health plan quality initiatives.
- Support NCQA accreditation, HEDIS improvement, health equity, DMHC/HEQMS requirements, population health program implementation, and quality performance improvement.
Benefits
- Free continuing education and certification.
- Tuition reimbursement, education programs, and scholarships.
- Vacation time starts accruing on Day 1 and builds with seniority.
- 403(b) retirement plan with matching contributions.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
