Perform primarily face to face and telephonic assessments with members.
Serve as the primary point of contact, providing integrated care to ensure members receive timely, high-quality, and coordination services that meet their unique needs.
Employ a variety of strategies, approaches, and techniques to manage a member's health issues and identify and resolve barriers that hinder effective care.
Utilize high-quality, evidence-based behavioral health services through personalized care coordination, crisis intervention, peer support, and strong collaboration with medical and behavioral health providers.
Provide comprehensive, integrated support to members experiencing behavioral health conditions, including children, adolescents, adults with serious mental illness (SMI) and serious emotional disturbance (SED), and justice-involved members.
Engage members in their own communities, building trust and facilitating meaningful care coordination.
Complete all required assessments, including the Comprehensive Risk Assessment (CHRA).
Coordinate behavioral health and medical services, ensuring appropriate provider engagement and adherence to treatment plans.
Improve member’s health literacy while addressing health related social needs to positively impact member’s healthcare outcomes and well-being.
Oversee care planning, transitions, and service delivery as the quarterback of the member’s interdisciplinary care team (ICT).
Facilitate ICT meetings, ensuring seamless communication among providers, Service Coordinators, and Care Management Extenders.
Engage in biannual and quarterly face-to-face visits, ensuring continuous monitoring and proactive intervention.
Requirements
Bachelor’s degree in social work, psychology or other health or human services related field
Virginia licensed LMHP, LPC or LCSW
Minimum of 2 years of post-degree clinical experience in behavioral health setting
Case management experience working with complex SMI or SED population
Must reside in the Charlottesville region of Virginia. (Lynchburg or Fishersville)
Ability to travel to region-based facilities and homes for face-to-face assessments.
Exceptional oral and written communication and interpersonal skills with the ability to quickly build rapport
Ability to work with minimal supervision within the role and scope
Ability to use a variety of electronic information applications/software programs including electronic medical records
Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel
Ability to work a full-time schedule
Valid driver's license, car insurance, and reliable transportation.
Benefits
medical, dental and vision benefits
401(k) retirement savings plan
time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)