Engage collaboratively with key stakeholders, including families, foster parents, and service teams to craft and sustain individualized treatment plans
Conduct assessments to identify individual needs
Develop comprehensive care plan to address objectives and goals as identified during assessment
Supports member access to appropriate quality and cost effective care and modifies plan(s) as needed
Coordinates with internal and external resources to meet identified needs of the member in terms of integrated (physical and behavioral) whole person care
Coordinates social determinants of health to meet the needs of the member and incorporates that into care planning
Works closely with various state agencies
Maintains knowledge of the system of care philosophy; a spectrum of effective, community-based services and supports for those with or at risk for mental health or other challenges and their families, that is organized into a coordinated network
Builds meaningful partnerships with designated populations and their families, and addresses cultural and linguistic needs
Evaluates health needs and identifies applicable services and resources in conjunction with members and their families
Provides important information including patient education, medication reconciliation, and identification of community resources and assists with arrangement of follow-up care
Facilitates health rounds with other clinical centered professionals to ensure whole person health
May lead and work on specialty projects and initiatives
Assists with process improvements activities
Trains and mentors staff
Performs case/chart audits and ensures departmental compliance
Serves as a member of the leadership team
Requirements
Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in nursing
Minimum of 7 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment
Requires an active, current and valid license as an RN, LCSW (as applicable by state law and scope of practice), LMHC, LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist
Experience working with Children, Youth, and Families who are being served by Local Departments of Social Services through Foster Care and Adoptive Assistance programs is strongly preferred
Experience serving the children and youth involved in Foster Care and Social Services
Knowledge of resources, supports, services and opportunities required for safe community living for populations receiving in-reach and transition services, including LTSS, Behavioral Health, therapeutic, and physical health services
Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred
Clinical experience in social work counseling with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred
Experience working with specialty populations preferred.
Certified Case Manager Certification preferred
We are unable to accommodate LCSW-A, LCMHC-A or any other associate level licenses.
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