Care management Behavioral Health/Social Worker Lead

Profile

Description

The Behavioral Health Lead utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Behavioral Health Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Behavioral Health Lead exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Utilizes project leadership experience to close gaps and lead new projects involving gap closure.

The Care Management Behavioral Health Lead uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Advises executives to develop functional strategies (often segment specific) on matters of significance.

Required Qualifications


Licensed Bachelor of Social Work to include any of the following: (LBSW) Bachelor of Social Work, BSW, Bachelor of Art in social Work, BASW, or Bachelor of Science in Social Work, BSSW with 5 years of experience as a licensed social worker


OR


Master's Social Work, MSW with minimum 3 years working as a licensed Social Worker
Licensure in field of study within the state of Florida without restrictions
3 or more years of managed care experience
Independent with reporting and analyzing data and value proposals.
Intermediate experience using MS Office Suite, Word, Excel, PowerPoint
2 or more years of project leadership experience
Must be passionate about contributing to an organization focused on continuously improving consumer experiences


Additional Information

Hours: Must be willing to work 40 hour work week between the hours of 8:00 AM - 6:00 PM Eastern Monday-Friday

Work Style: Remote/Work at Home in the state of Florida


Must have a separate room with a locked door that can be used as a home office to ensure you and your patients have absolute and continuous privacy while you work
Must have accessibility to hardwired high speed internet with minimum speeds of 10Mx1M for a home office (Wireless and Satellite are prohibited)


Travel: 25% to support business needs.

Preferred Qualifications


Master's degree
Current valid unrestricted Florida LCSW (Licensed Clinical Social Worker)
Working knowledge using Six Sigma
Experience with utilization review
Experience with behavioral change, health promotion, coaching and wellness
Experience working with the geriatric population and SDOH
Knowledge of community health and social service agencies and additional community resources
Bilingual English/Spanish. Must be able to pass both language proficiency assessments


Scheduled Weekly Hours

40

Company info

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