Case Manager LCSW, MFT, LPCC

Health Plan of San Joaquin/Mountain Valley Health Plan; French Camp (CA); Remote; USD 96,000 - 145,000; Full time

Job summary

Join a forward-thinking health plan as a Behavioral Health Case Manager, Licensed Clinician. This role involves providing essential intervention services to support members facing complex social challenges related to their health. You will collaborate with various stakeholders to develop comprehensive care plans and ensure effective resource utilization. The position offers the opportunity to make a significant impact in the lives of individuals and families while working within a supportive team environment. If you are passionate about mental health and eager to help others navigate their recovery journey, this is the perfect opportunity for you.

Qualifications

• Minimum 3 years experience as a social worker in healthcare.
• Licensed in California as LCSW, MFT, or LPCC.

Responsibilities

• Conduct initial reviews and triage members appropriately.
• Develop care plans in partnership with members and providers.
• Monitor and evaluate progress, conducting interventions as needed.

Skills

Psychosocial Assessment Skills

Clinical Judgment

Problem-Solving Skills

Interpersonal Skills

Time Management

Education

Licensed Clinical Social Worker

Marriage and Family Therapist

Professional Clinical Counselor

Tools

Microsoft Word

Microsoft Excel

Job description

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Health Plan of San Joaquin/Mountain Valley Health Plan provided pay range

This range is provided by Health Plan of San Joaquin/Mountain Valley Health Plan. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$96,000.00/yr - $145,000.00/yr

Direct message the job poster from Health Plan of San Joaquin/Mountain Valley Health Plan

We are currently hiring a Case Manager, Behavioral Health, Licensed Clinician to join our team.

Must reside in California - remote position.

Summary

Under general direction, the Behavioral Health Case Manager, Licensed Clinician is responsible for providing intervention services to assist members and their families in coping with complex social problems that accompany medical and behavioral health conditions or inhibit recovery in a manner that supports quality, cost effective care, and is consistent with department objectives and applicable regulations. Work is varied and moderately complex and requires a moderate degree of discretion and independent judgment.

Essential Functions

• Conducts initial review for selected members, triages as appropriate.
• Assesses psychosocial factors that may influence health or recovery for identified members.
• Develops care plans in partnership with members, their provider, and plan staff.
• Collaborates with members, family/caregiver, and internal and external resources to ensure understanding of and compliance with care plans.
• Provides and coordinates resource contacts, and/or referrals to appropriate professional or community resources.
• Monitors and evaluates progress at appropriate intervals; conducts appropriate interventions.
• Assists RN case managers and concurrent review nurses with case management, discharge planning and other member transition needs.
• Assists CM & CCRN in assessing members for Mental Health/Behavioral needs and refers to appropriate resources to meet needs.
• Performs community outreach for selected members as assigned.
• Supports and advises member on self-advocacy efforts.
• Documents activities in appropriate plan system(s) according to standards; maintains records according to standards.
• Tracks data as required; compiles data for, produces and submits routine reports.

Knowledge, Skills, Abilities and Competencies

Required

• Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and meeting deadlines.
• Ability to apply clinical judgment to complex medical situations and make timely decisions.
• Strong psychosocial assessment skills.
• Strong knowledge of prevention, treatment and rehabilitation techniques used in the identification and treatment of mental illness and emotional disorders.
• Strong knowledge of federal, state and local laws, rules and regulations associated with mental health treatment and education programs.
• In depth understanding of the treatment of mental illness, including wellness and recovery as well as strength-based approaches for individuals and their families.
• In depth knowledge of chronic and acute disease and how they impact health conditions and social functioning.
• Strong knowledge of and proficient skills in administering protocols.
• In-depth knowledge of community resources related to healthcare.
• In-depth knowledge of medical policy benefits and exclusions.
• Ability to read, interpret and apply complex written regulations, guidelines and other materials; ability to read and interpret basic clinical information.
• Strong analytical and assessment skills.
• Strong problem-solving skills.
• Produces work that is accurate and complete.
• Produces the appropriate amount of work.
• Actively learns through experimentation when tackling new problems, using both successes and failures to learn.
• Rebounds from setbacks and adversity when facing difficult situations.
• Knows the most effective and efficient process to get things done, with a focus on continuous improvement.
• Interpersonal skills - interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people.
• Ability to use tact and diplomacy to diffuse emotional situations.
• Strong oral and written communication skills, with the ability to communicate professionally to diverse individuals inside and outside of HPSJ, effectively explain complex information and document according to standards.
• Ability to work independently and as part of a team.
• Time management and organizational skills. Uses time effectively and efficiently. Values time. Concentrates his/her efforts on the more important priorities. Can attend to a broader range of activities. Meets deadlines
• Basic skills in Word and Excel.
• Ability to enter data into and navigate through multiple databases.
• Ability to speak and be understood in English.
• Ability to handle confidential information with appropriate discretion.

Preferred

• Proficient (as defined by HPSJ’s Cultural and Linguistics Program) in one of HPSJ’s threshold languages.
• Basic knowledge of the principles, practices and regulatory requirements of managed care.
• Knowledge of Medi-Cal or other government sponsored programs and regulations as they apply to social work.

Education and Experience

Required

• Licensed Clinical Social Worker, Marriage and Family Therapist or Professional Clinical Counselor license; and
• At least three years as a social worker in a health care setting.

Preferred

• Experience working with Medi-Cal and other government sponsored programs.
• Experience working in a managed care setting.

Licenses, Certifications

Required

• Current Clinical Social Worker (LCSW) License, Marriage and Family Therapist (MFT) License, or Licensed Professional Clinical Counselor (LPCC) issued by the California State Board of Behavioral Science Examiners.
• Valid California driver license and reliable transportation, or the ability to obtain transportation on demand in the counties served by the plan if prohibited from getting a driver license due to a medically documented disability.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Insurance

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