Hybrid BH (LICSW or LMHC) Clinical Care Manager - Leominster
$80,000–$120,000 year
On-siteWorcester, Massachusetts, United States
Job Summary
Conduct home and community visits for dually eligible enrollees with complex medical, behavioral, and social needs, establishing care management relationships while addressing cultural and linguistic requirements. Function as a liaison between healthcare providers, community resources, and enrollees to coordinate seamless care transitions and prevent hospital readmissions. Lead interdisciplinary care teams to develop holistic care plans, oversee long-term services utilization, and assist members in accessing housing, transportation, and food assistance. Perform required assessments including Comprehensive Assessments, MDS-HC, and Crisis Risk Assessments, while educating members on chronic condition management, medication adherence, and preventive strategies. Report abuse, neglect, or exploitation as a mandated reporter and adhere to NCQA standards. Maintain valid driver's license and flu vaccination records for this mobile role requiring over 50% travel within the Massachusetts territory.
Required Qualifications
- Master's degree in social work or mental health counseling
- Independent license (Licensed Clinical Social Worker, Licensed Independent Clinical Social Worker, or Licensed Mental Health Counselor)
- Ability to independently serve people with complex medical, behavioral, and social needs
- Prior experience in care coordination, case management, or working with dual-eligible populations
- Medicaid and/or Medicare managed care experience
- Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
- Understanding of Medicare and Medicaid programs, as well community resources and services available to dual-eligible beneficiaries
- Strong interpersonal and communication skills to effectively engage with members, families, and healthcare providers
- Ability to manage multiple cases and priorities while maintaining attention to detail
- Adherence to code of ethics that aligns with professional practice
- Awareness of and sensitivity to the diverse backgrounds and needs of the populations served
- Decision making and problem-solving skills
- Ability to function independently and effectively as part of an interdisciplinary team
- Strong and effective communication skills, both written and verbal
- Strong interpersonal and customer relations skills
- Strong customer service skills
- Licensed Clinical Social Worker (LCSW), Licensed Independent Clinical Social Worker (LISCW), or a Licensed Mental Health Counselor (LMHC)
- Case Management Certification
- Valid driver's license, vehicle and verifiable insurance
- Influenza vaccination
Desired Qualifications
- Clinical Field / Community Based Training
- Must reside in the same territory they are assigned to work in
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