OverviewOverview:
The Clinical Support Licensed Social Worker provides clinical expertise and behavioral health support to Care Management operations, helping to ensure integrated, member-centered care across the physical and behavioral health continuum. This role supports high-risk members, collaborates with interdisciplinary teams, and helps operationalize quality, compliance, and regulatory initiatives, including corrective action plan (CAP) requirements. The Clinical Support Licensed Social Worker serves as a key resource for behavioral health consultation, care coordination, and program development to improve member outcomes and strengthen care delivery.
This position is in the office 3 days/week.
What We Provide:
- Referral bonus opportunities
- Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
- Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability
- Employer-matched retirement saving funds
- Personal and financial wellness programs
- Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
- Generous tuition reimbursement for qualifying degrees
- Opportunities for professional growth and career advancement
- Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities.
What You Will Do:
- Participate in interdisciplinary rounds, case conferences, and care coordination meetings.
- Manage a Behavioral Health Care Management (BH CM) caseload for members with complex behavioral health and psychosocial needs.
- Serve as a Health Home and HARP liaison to support coordination, communication, and program integration.
- Provide clinical consultation and guidance to Care Management staff regarding behavioral health conditions, social determinants of health (SDoH), and member engagement strategies.
- Conduct outreach and follow-up activities related to quality initiatives, including depression screening follow-up, substance use disorder engagement, and other behavioral health interventions.
- Support care transitions and engagement of high-risk members across care settings.
- Collaborate with Utilization Management, Care Management, Quality, and Compliance teams to develop and enhance clinical workflows and operational processes.
- Assist in implementing and monitoring corrective action plans (CAPs), Medicaid Managed Care readiness activities, and other regulatory requirements.
- Support chart audit activities, including audit tool development, revision, execution, and monitoring.
- Identify barriers to care and connect members with appropriate behavioral health, community, and social service resources.
- Maintain timely, accurate, and compliant documentation in accordance with organizational and regulatory standards.
- Contribute to the development of programs and initiatives that improve behavioral health integration and continuity of care.
QualificationsLicenses and Certifications:
Current license to practice as a Licensed Social Worker in New York State Required.
Education:
Master's Degree in Social Work Required.
Work Experience:
Minimum of three years Social Work experience in a managed care, home care or community based health care organization required. Experience in geriatric care preferred. Demonstrated clinical competence in social work required. Ability to multi task in a fast paced setting, listen attentively, evaluate calls, and use judgment in a time sensitive environment required. Effective oral/written communication, analytical and interpersonal skills required. Knowledge of Medicaid and/or commercial regulations preferred. Proficiency in MS Word, Excel, and data systems required. Bilingual skills may be required, as determined by operational needs.
Pay RangeUSD $70,200.00 - USD $87,700.00 /Yr.
About UsVNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.