Clinical Support, Licensed Social Worker

Overview
Overview:

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.

Qualifications
Licenses and Certifications:

Current license to practice as a Licensed Social Worker in New York State Required.

Education:

Master's Degree in Social Work Required.