Licensed Clinical Social Worker, CCH

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Responsibilities 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 position 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. The LCSW serves as a clinical subject matter expert in behavioral health and substance use disorders and 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 position works collaboratively with Case Management, Quality, and other interdisciplinary teams to support health plan quality initiatives. The position also supports health plan quality and regulatory initiatives, including NCQA accreditation, HEDIS improvement, health equity, DMHC/HEQMS requirements, population health program implementation, and quality performance improvement Qualifications Education Master’s degree in social work (MSW) required Experience Three (3) years of post-graduate clinical social work experience required Experience providing clinical services to both pediatric and adult populations required Experience in behavioral health and/or substance use disorders required Experience collaborating with interdisciplinary medical and behavioral health teams required Clinical social work and/or case management experience in a hospital/acute-care, behavioral health, or related setting required Experience with Population Health Management, HEDIS, or health plan operations preferred Licenses and Certifications LCSW - State of California Licensed Clinical Social Worker required Additional behavioral health, case management, or population health certification preferred Disclaimers •

s listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.