LCSW Care Coordination Job at American Nursing Care (Roseburg)

LCSW Care Coordination

As our Social Worker, you will be a compassionate advocate, providing vital supp...

Location

United States , Roseburg

Salary:

38.72 - 56.14 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Oregon LCSW
Master's in Social Work

Job Responsibility

Conduct psychosocial assessments
Develop care plans
Provide counseling and crisis intervention
Connect clients to resources
Advocate for clients
Collaborate with multidisciplinary teams
Assess the behavioral health needs of patients
Assess, communicate, and document risks related to potential harm to self or others
Participate in and implement effective discharge plannings
Provide individual, family, and group psychotherapy sessions

What we offer

Medical
Prescription drug
Dental
Vision plans
Life insurance
Paid time off
Tuition reimbursement
Retirement plan benefit(s) including 401(k), 403(b), and other defined benefits offerings

Parttime

Care Management Specialist II (RN or LCSW)

The Care Management Specialist II utilizes clinical skills and training to perfo...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments
Experience providing care management with complex/catastrophic conditions
Current knowledge of clinical standards of care and disease processes
Critical thinking skill
Excellent customer service skills
Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions
Ability to triage immediate member health and safety risks
Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping
Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders
Ability to use a personal computer, and knowledge of medical information systems

Job Responsibility

Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs
Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives
reviewing member claims histories and identifies intervention opportunities through the professional standards of practice
contacting and interviewing members to conduct a baseline assessment, assess self-care ability, assess knowledge and adherence deficits
conducting comprehensive clinical assessments as indicated
developing a member centric plan of care
Maintains assigned care management caseload for with a focus on the most complex, highest-risk members particularly those with advanced chronic conditions, co-occurring mental and/or substance abuse and complex social issues (e.g. homelessness, domestic violence)
Collaborates with primary care physician and other treating professionals as appropriate
Authorizes initiation of care management services and specialized program services for members and specific populations, and develops interventions designed to meet member or population desired outcomes
Provides comprehensive education and resources to members about accessing services, in-network use, national guidelines for care, community resources, and self-management skills and strategies

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

New

Registered Nurse-Initial Clinical Reviewer

Responsible for identifying, researching, processing, resolving, and responding ...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

2 years of experience in clinical field of practice, health insurance, or other health care related field
Associate’s Degree in general field of study or Post High School Nursing Diploma or Certification (LPN only) from an approved program
Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to practice in the State of Arizona as an LPN
Intermediate PC proficiency
Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
Maintain confidentiality and privacy
Strong current clinical knowledge
Practice interpersonal and active listening skills to achieve customer satisfaction
Compose a variety of business correspondence
Interpret and translate policies, procedures, programs and guidelines

Job Responsibility

Identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, written communication and/or in person
Answer a diverse and high volume of health insurance related customer calls or correspondence on a daily basis
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
Maintain complete and accurate records per department policy
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines and required by State, Federal and other accrediting organizations
Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc.
Demonstrate ability to apply plan policies and procedures effectively
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
Collaborate with team to distribute workload/work tasks
Monitor and report team tasks

Fulltime

New

Integrated Care Manager - Medicare Advantage

Integrated Care Manager - Medicare Advantage (prior CM experience working in a h...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN
Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC)
Intermediate PC proficiency
Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
Intermediate skill in word processing, spreadsheet, and database software
Maintain confidentiality and privacy
Advanced and current clinical knowledge

Job Responsibility

Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan
Answer a diverse and high volume of health insurance related customer calls on a daily basis
Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
Maintain complete and accurate records per department policy
Demonstrate ability to apply plan policies and procedures effectively

Fulltime

New

Social Worker II - Beebe Behavioral Health

Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vib...

Location

United States , Lewes

Salary:

59966.40 - 92955.20 USD / Year

beebe healthcare

Expiration Date

Until further notice

Requirements

Clinical counseling: 2 years (Required)
Experience working with adults with SUD & Mental Health Diagnosis
Experience working in an Outpatient setting preferred
Experience with trauma-informed service, cognitive-behavioral therapies including DBT, and motivational therapies including the use of incentives preferred
Strong interpersonal and engagement skills
Ability to work independently and in collaboration with multidisciplinary team
Licensed Clinical Social Worker (LCSW) in Delaware or Licensed Professional Counselor in Mental Health (LPCMH) in Delaware

Job Responsibility

Assess the counseling needs of the client including appropriate level of care placement
Assess and diagnose client for mental health/ substance use diagnoses using DSM and/or ASAM criteria
Incorporate the concepts of evidence-based practices relating to recovery, trauma-informed care, CBT, DBT, etc.
Be familiar with all State and Federal (OMHSAS, DDAP, SAMHSA) regulations for the Program
Improve access to high-quality care for individuals across the life span
Promote integration of behavioral health, drug and alcohol, and physical health care services using Evidence-Based Practices (EBPs) in service provision
Provide individual, group, family, and IOP counseling
Build and enhance the relationship with program staff and outside providers to coordinate care
Complete all clinical documentation required, intake assessments for open access service
Obtain previous records that are relevant to the current treatment episode

What we offer

Competitive compensation and wellness benefits (medical, dental, vision and prescription)
Sign-on and Referral Bonuses for select positions
Tuition Assistance up to $5,000
Paid Time Off
Long Term Sick accrual
Employer Contribution Plan
Free Short and Long-Term Disability for Full Time employees
Zero copay for drugs on prescription plan for certain conditions
College Bound 529 Savings Plan
Life Insurance

Fulltime

New

Licensed Mental Health Clinician

Licensed Mental Health Clinician (LMHC/LCSW/LMFT) - Location: Los Angeles, CA Ar...

Location

United States , Culver City

Salary:

50.00 USD / Hour

Beacon Hill

Expiration Date

Until further notice

Requirements

Active California licensure as a Licensed Mental Health Counselor (LMHC), Licensed Clinical Social Worker (LCSW), or Licensed Marriage and Family Therapist (LMFT)
Minimum of 2 years of clinical behavioral health, social work, case management, or crisis intervention experience
Strong supervisory and leadership skills with the ability to oversee and mentor MSW social work interns
Ability to provide telephonic support and deploy in person within the service area when clinical situations require onsite intervention

Job Responsibility

Provide clinical oversight, consultation, and guidance to multidisciplinary response teams serving individuals experiencing homelessness
Support case management activities through assessment, care planning, crisis intervention, and connections to community resources
Respond telephonically and, when necessary, deploy onsite to assist with behavioral health and social service needs
Supervise and mentor MSW social work interns while supporting professional development and service delivery quality
Assist with de-escalation and stabilization efforts using trauma-informed and person-centered approaches
Collaborate with city agencies, community partners, and service providers to improve outcomes for vulnerable populations
Support program goals focused on reducing interactions between homelessness and the criminal justice system through preventive interventions and resource coordination

Parttime

New

Outpatient Mental Health Therapist

Outpatient Mental Health Therapist (LPC, LCSW, LMFT, LAPC, LSW, LAMFT) – Hybrid ...

Location

United States , Wexford

Salary:

55000.00 - 82000.00 USD / Year

Ellie Mental Health

Expiration Date

Until further notice

Requirements

Master's degree in behavioral sciences or related field
Fully or pre-clinically licensed (LPC, LCSW, LMFT, LAPC, LSW, LAMFT) in Pennsylvania
Comfort working with diverse populations
Solid boundaries and communication skills
Pass a background check and provide three professional references
Ability to be in the Wexford office part of the week

Job Responsibility

Conduct diagnostic assessments and build treatment plans
Provide therapy that's creative, compassionate, and client-focused
Maintain accurate documentation in EHR and submit notes within two days of each session
Full-time availability: 40 hours/week including two evenings until 8pm (or one evening plus part of a weekend day), with a goal of scheduling 30 and seeing 25 clients per week
Actively manage client communications to keep late cancels and no-shows within practice expectations
Coordinate care, join team meetings, and participate in community outreach
Occasionally support scheduling/billing follow-ups and verify insurance accuracy

What we offer

Contracting and credentialing services provided
Company Laptop
Paid Holidays
Paid Trainings
Professional Liability Insurance
License Renewal Reimbursement
AI Notetaking Subsidy
Life Insurance
401(k)
401(k) matching

Fulltime

Initial Clinical Reviewer - Remote - AZ

Responsible for identifying, researching, processing, resolving, and responding ...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

2 years of experience in clinical field of practice, health insurance, or other health care related field
Associate's Degree in general field of study or Post High School Nursing Diploma or Certification (LPN only) from an approved program
Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to practice in the State of Arizona as an LPN
Intermediate PC proficiency
Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
Maintain confidentiality and privacy
Strong current clinical knowledge
Practice interpersonal and active listening skills to achieve customer satisfaction
Compose a variety of business correspondence
Interpret and translate policies, procedures, programs and guidelines

Job Responsibility

Identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, written communication and/or in person
Answer a diverse and high volume of health insurance related customer calls or correspondence on a daily basis
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
Maintain complete and accurate records per department policy
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines and required by State, Federal and other accrediting organizations
Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc.
Demonstrate ability to apply plan policies and procedures effectively
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
Collaborate with team to distribute workload/work tasks
Monitor and report team tasks

Fulltime

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LCSW Care Coordination

Job Description

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Requirements

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What we offer

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LCSW Care Coordination

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