Remote Clinical Care Coordinator (LCSW/LCPC) P/T
Job Overview We invite you to become a pivotal member of our esteemed, NCQA-accredited behavioral healthcare organization as a Licensed Clinical Social Worker (LCSW) or Licensed Clinical Professional Counselor (LCPC). This position offers the convenience of 100% remote work while empowering you to coordinate comprehensive patient care and navigate their healthcare journeys effectively. As a Clinical Care Coordinator (CCC), your focus will be on implementing Utilization and Population Health Management Programs and contributing significantly to our Quality Management initiatives. Key Responsibilities Adhere to organizational policies and standards, including Apollo Medical Necessity Criteria, ASAM criteria, and URAC, NCQA, JCAHO, and HEDIS standards. Collaborate closely with Health Plans or Medical Groups to maintain compliance with regulatory and clinical guidelines. Utilize established clinical criteria to facilitate decision-making and uphold quality care standards. Oversee and coordinate patient benefits and treatment plans to optimize outcomes within the Case Management/Chronic Care Management (CM/CCM) frameworks, as well as post-discharge care. Actively engage in team meetings, training, and educational initiatives, including weekly clinical discussions. Identify individuals eligible for Population Health Management (PHM) or Virtual Wards programs, assist in their enrollment, and conduct comprehensive initial assessments. Required Skills Proficient computer skills and typing capability; familiarity with Microsoft Excel and Access is advantageous. Comprehensive knowledge of URAC, NCQA, JCAHO, and HEDIS standards. Qualifications Education: Master's degree in Psychology, Social Work, Counseling, or a related mental health field from an accredited institution. Experience: A minimum of 3 years of direct patient behavioral healthcare experience and at least 2 years of case management, discharge planning, or utilization review experience. Licensure: A current, unrestricted clinical license to practice in any U.S. state or jurisdiction; Certified AODA Counselor (CADC) certification is a plus.
Career Growth Opportunities
Joining our organization presents numerous avenues for professional growth and continuous learning within a supportive environment, allowing you to expand your expertise and advance your career. Company Culture and Values We pride ourselves on fostering an innovative and patient-centered approach to behavioral healthcare, with a strong emphasis on collaboration, quality care, and continuous improvement. Why Join Us? By becoming part of our team, you will enjoy the flexibility of remote work while making a meaningful impact on patient outcomes. We encourage passionate individuals dedicated to delivering holistic, recovery-oriented care to apply! Employment Type: Part-Time Apply Job!