Clinician - Behavioral Health (LCSW)

Job Summary

The Clinician is responsible for completing telephonic behavioral health screenings and determining member behavioral health level of care needs, which includes telephonic behavioral health crisis intervention, higher level of care referrals, and coordination of care between physical and behavioral health. The incumbent coordinates activities between staff, contracted providers, and health networks by providing guidance and support when appropriate. The incumbent is responsible for the direct behavioral health case management services offered to Medi-Cal, OneCare, and OneCare Connect members.

Position Responsibilities

• Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity, and accountability.
• Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department.
• Completes telephonic behavioral health assessments and triages for members with behavioral health needs.
• Coordinates referrals to County Mental Health Plan for members who may need additional mental health and/or behavioral health case management support.
• Coordinates and collaborates between behavioral health providers, health networks, and other departments for problem resolution and service integration, including providing consultations on resolving complex case management issues and serving on the treatment team.
• Participates in bi-weekly clinical team meetings.
• Supports members in navigating the behavioral health systems of care.
• Builds, and maintains relationships with the County of Orange, providers, health networks, community-based organizations, and other key stakeholders.
• Other projects and duties as assigned.

Possesses the Ability To:

• Work in a team environment, be flexible, and adapt to change.
• Manage multiple deadlines in a fast-paced environment.
• Establish and maintain effective working relationships with CalOptima leadership and staff.
• Communicate clearly and concisely, both verbally and in writing.
• Analyze information and prepare concise clinical documentation.
• Work with all levels of staff to identify and problem-solve contracted provider issues.
• Follow through on projects with minimal supervision or guidance.
• Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.

Experience & Education

• Master's degree in Social Work, Clinical Psychology, Marriage and Family Therapy or related field of study required.
• Current, unrestricted Licensed Clinical Social Worker (LCSW) or Marriage Family Therapy (MFT) license to practice in the State of California required.
• 3 years of related experience, e.g., Clinician experience, required.

Knowledge of:

• Culture and needs of the socially and ethnically diverse populations.
• Principles and practices of health care, healthcare systems and Managed Care.
• Medi-Cal benefits and regulations.
• Health plan, hospital and medical group operations and strategies.
• Community-based organizations, agencies and community services.