Salary
💰 $91,250 - $120,910 per year
About the role
- Provide high quality, effective care management to IEHP members ensuring coordinated continuous care
- Outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors
- Provide other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members
- Facilitate seamless transitions of care and ensuring the right care at the right time for the member
- Utilize clinical expertise to support and engage Members to promote positive health behaviors, assist with coordination of care, provided resource linkages, and collaborate with other Team Members and external partners
- Model behavioral health principles of relationship-based care and promote education and understanding of Behavioral health and its importance in whole health
- Engage in quality improvement initiatives including identifying and addressing HEDIS gaps and testing new practices for improving outcomes
- Provide formal and informal clinical training and onboarding to department Team Members
- Participate in Health Plan staff meetings, trainings, committee meetings, or other activities as needed
- Promote collaborative working environment using evidence-based communication strategies (such as Motivational Interviewing)
- Work primarily with a caseload of Members with behavioral health needs and advocate for Members to receive the highest quality care
- Provide consultation for non-licensed Members of the team on clinical tasks
- Engage with Members to provide effective care management both in-person and on the phone, including linkage to resources and support in transitions of care
- Ensure documentation is accurate and in compliance with regulatory requirements and accreditation standards
- Conduct comprehensive holistic assessments telephonically and in person, assimilate assessment information to assist in developing discharge plans or individualized care plans
- Coordinate with internal and external health partners, PCP offices, specialists, and ancillary services to support comprehensive care needs
- Participate and lead care transition plan responsibilities and inter/transdisciplinary care team meetings
- Provide crisis intervention and clinical guidance and support to others
- Provide transitional care services including assisting Members with PCP appointments, transportations, and coordination of DME and home health
- Perform any other duties as required to ensure Health Plan operations and department business needs are successful
Requirements
- Minimum of three (3) years of experience performing or facilitating Behavioral Health/Medical Social Work services
- Experience in motivational interviewing and/or other evidenced-based communication strategies
- Experience working successfully within a team, and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory
- Master’s degree in Social Work or related field from an accredited institution required
- Possession of an active, unrestricted, and unencumbered license in a Social Services related field issued by the California Board of Behavioral Sciences required (LCSW or LMFT preferred)
- Must have a valid California Driver's License
- Behavioral Health/Medical Social Work services experience in a health clinic psychiatric hospital, medical facility, or health care clinic strongly preferred
- Experience in clinical services, both mental health and substance use preferred
- Familiarity with providing Behavioral Health Care and discharge planning is required
- Knowledgeable and skilled in evidenced-based communication such as Motivational Interviewing, or similar empathy-based communication strategies
- Understanding of and sensitivity to multi-cultural communities
- Deep understanding and knowledge of mental health and substance use conditions, including both acute and chronic management
- Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both
- Must have knowledge of whole health and integrated principles and practices
- Bilingual – written and verbal is highly preferred
- Highly skilled in interpersonal communication, including conflict resolution
- Effective written and oral communication skills, as well as reasoning and problem-solving skills
- Skillful in informally and formally sharing expertise
- Must have the resiliency to tolerate and adapt to a moderate level of change and development around new models of care and care management practices
- Proficient in the use of computer software including, but not limited to, Microsoft Word, Excel, PowerPoint
- Demonstrated proficiency with all electronic medical management systems (e.g., Cisco, MHK/Care Prominence, MediTrac, SuperSearch and Web Portal) is preferred
- Proven ability to sufficiently engage Members and providers on the phone as well as in person
- Proven ability to work as a member of a team, executing job duties and making skillful decisions within one’s scope
- Proven ability to establish and maintain a constructive relationship with diverse Members, Leadership, Team Members, external partners, and vendors
- Proven ability to prioritize multiple tasks as well as identify and resolve problems
- Proven ability to have effective time management and the ability to work in a fast-paced environment
- Proven ability to be extremely organized with attention to detail and accuracy of work product
- Proven ability to have timely turnaround of assignments expected
- Proven ability to form cross-functional and interdepartmental relationships