Licensed Clinical Social Worker - Bi-lingual, Spanish

Job Summary:

The CareBridge Licensed Clinical Social Worker (LCSW) is an integral interdisciplinary team member that provides telehealth services to Managed Long Term Support Services (MLTSS) patients. The LCSW provides comprehensive psychosocial assessment and interventions to patients on a referral basis from the physician or nurse practitioner and may continue to follow a patient longitudinally to support ongoing healthcare goals. The CareBridge LCSW will work collaboratively with the Managed Care Organization's care management team to support the implementation of interventions according to the Person-Centered Support Plan (PCSP).

Responsibilities:

• Complete post-hospitalization assessments on select patients with mental health diagnoses within seven days of discharge and escalate to the psychiatrist or psych NP as appropriate.
• Respond to referrals from the CareBridge team promptly.
• Complete telephonic or telehealth psychosocial and economic assessment of patients.
• Support the needs of individuals, which can include counseling, crisis intervention, services, family therapy, and the mobilization of support networks.
• Assess for social determinants of health that may impact health.
• Collaborate with other CareBridge team members, health plan care coordinators, patients, and family to develop goals and interventions as appropriate.
• Deliver targeted interventions for identified patients.
• Provide patients with education on disease state, available services, and resources.
• Use motivational interviewing techniques to address non-adherence and quality of life concerns for patients.
• Support medication compliance and assistance with maintaining medical appointments.
• Facilitate patient access to community-based services.
• Coordinate services and referral to services when needed.
• Participate in interdisciplinary case conference discussions.
• Document assessments and plans in the CareBridge system.
• Maintains excellent punctuality and attendance during work hours.
• Perform other duties as assigned.

Qualifications:

Required:

• Master’s degree in social work (MSW)
• Licensed as an LCSW in the state of Texas with active NPI.
• Texas Medicaid and Medicare billing capabilities.
• 3+ years’ experience in medical social work; preference is given for behavioral health experience.
• Experience working with adult chronic disease patients and the geriatric population.
• Works and communicates well in a team environment.
• Maintains a patient-centered focus.
• Excellent communication skills.
• Basic computer and EHR skills and understanding.
• Medicare and Medicaid experience preferred.

Those who thrive at CareBridge tend to possess these qualities:

• An entrepreneurial spirit. Must be a tenacious self-starter
• Flexible and adaptable to a constantly changing workload
• Must enjoy working in a fast-paced environment
• A sense of humor and a down-to-earth nature

Employment Type: Full-Time

Location: Remote