► CareersLicensed Social Worker

Licensed Social Worker

This positon provides oversight and interventions to complement behavioral health case management and utilization review in order to ensure timely and appropriate level of care of Minuteman membership while in BH acute care, diversionary, or ambulatory levels of care. The Licensed Social Worker also supports quality improvement projects and NCQA accreditation activities that will improve coordination and integration of behavioral health for MHI members.


Responsibilities:
  • Improve quality of behavioral health service coordination by supporting cross functional initiatives.
  • Support NCQA initiatives.
  • Develop behavioral health clinical resources.
  • Work with utilization, case and disease management teams to implement and operationalize BH integration initiatives.
  • Support behavioral health specific policy and procedure development, clinical program descriptions, and other related documentation requirements.
  • Assist with analysis of behavioral health utilization data.
  • Performs duties and responsibilities as assigned.

Qualifications:
  • Licensure as a Clinical Social Worker (LICSW).
  • Two years of experience in managed care.
  • Two years of direct clinical experience. Solid understanding of different levels of care in behavioral health.
  • Excellent interpersonal, communication and planning skills.
  • Experience working with diverse patient populations.
  • Familiarity with decision support systems for level of care criteria a plus.
  • Flexibility, resilience and a strong team player.

Description of Company:

Minuteman Health is a non-profit health insurance option for Massachusetts and New Hampshire residents. Founded by contributors that include Tufts Medical Center, Vanguard Health Systems and New England Quality Care Alliance (NEQCA), Minuteman offers consumers and employers lower-cost high-quality care with unprecedented transparency, as well as increased efficiency and satisfaction for physicians, patients, and employers alike. Plan members will ultimately govern this health plan via Minuteman’s unique ownership structure.


*Please, NO recruiters or agencies


 


 



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