To direct, develop, implement and coordinate medically necessary treatment services within
Partnership’s Health Services for adults and children with behavioral health and/or substance use
disorder needs.
Performs risk assessments for members seeking access to behavioral health or SUD
services.
Collaborates and coordinates care as part of the multidisciplinary team to evaluate and
advocate for the medical, behavioral and psychosocial needs of the member while
promoting quality and cost-effective outcomes. Acts as a support/resource to the
Behavioral Health Access team and others within the organization for cases that are
within appropriate scope of practice.
Maintains a high level of clinical expertise. Is knowledgeable of current clinical
conditions, methods, medications, theoretical frameworks and interventions.
Utilizes best practices in delivery of behavioral health services in accordance with
professional and clinical guidelines.
Coordinates with behavioral health providers, psychiatrists, drug and alcohol counselors,
case managers, and other support staff to ensure continuum of care.
Reviews and processes Single Case Agreement requests in accordance with established
guidelines and workflows.
Monitors and responds to correspondence in behavioral health inbox in accordance with
established guidelines and workflows.
Maintains accurate and timely documentation, records, and case files in the Partnership
Case Management System for members in case management.
Attends and participates in multidisciplinary rounds, case conferences, and inter-agency
meetings and may lead these meetings when appropriate.
Participates in developing procedure and informational materials that support Partnership
services and benefits.
Conducts and contributes to special training for staff, professionals, public and private
agencies and others as identified.
Develops and maintains knowledge of community-based resources and organizations.
Aids members to connect with community-based organizations to support and enhance
wellness.
Communicates clearly and effectively through all mediums of communication with
members, providers, vendors, community partners, and Partnership employees.
Assists call center staff with enhancing the member experience, which may include
supporting access to care and ensuring closed loop referrals.
Performs other duties as assigned.
Education and Experience | A Master’s Degree as a Clinical Social Worker or Master’s Degree that
|
Special Skills, Licenses andCertifications | Possession of a current Licensed Clinical Social Worker (LCSW)
|
Performance Based Competencies | Strong organizational, communication, attention to detail and critical
|
Work Environment And Physical Demands | Daily use of the telephone and computer for most of the day. Standard
|
All HealthPlan employees are expected to:
HIRING RANGE:
$106,667.05 - $138,667.16
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
| Location | Fairfield, California |
| Job Type | Full-time |
| Salary | $106,667.05–$138,667.16 Per Year |