Address
Form of work**Remote/Field based role - Ventura County, CA Territory
**Bilingual Spanish
**LCSW
About SCAN
SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, Nevada, Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.
The Job
The purpose of the Complex Care Behavioral Health Specialist is to collaboratively assess, plan, implement, coordinate, monitor, and evaluate the member’s health and psychosocial needs. Focusing on members’ behavioral and mental health serves to holistically support the member and potentially prevent unwanted or unnecessary events across the continuum of care.
You Will
The Behavioral Health Specialist on our Complex Care Team will function in the following ways:
- Assess members to identify medical, physical, and psychosocial needs in order to prevent utilization and support member’s overall goals of care.
- Manage members identified with mild to severe mental illness, including “high touch” members.
- Ensure and evaluate clinical appropriateness of care plan by incorporating assessment findings against evidence-based guidelines, clinical reasoning, clinical practice guidelines and/or best practices in the community.
- Provide education and coaching surrounding behavioral and mental health therapies, interventions, and pharmacological approaches.
- Create interventions and overall plan of care for members identified with a BH/MH diagnosis through risk stratification.
- Strong collaboration with external providers, specifically with BH/MH vendors and programs.
- Enhance department and organization activities by identifying opportunities for improvement to existing processes.
- Participate in activities to support professional growth through education opportunities, reading professional publications, maintain professional networks, and participating in professional organizations.
- Comply with all regulatory and quality agency standards including: Centers for Medicare and Medicaid Services (CMS), Department of Managed Health Care (DMHC), Department of Health Services (DHS), and accreditation bodies’ standards such as the National Commission of Quality Assurance (NCQA) as it relates to care management activities.
- Actively support the achievement of SCAN’s vision, mission, and goals.
- Other duties as assigned.
Your Qualifications
Master's Degree in Social Worker required. LCSW required.
CCM Certification, preferred.
2-5 years Behavioral and/or Mental Health Case Management Experience, required.
E+ Year post-Licensure Clinical Practice, preferred.
BILINGUAL- Must be bilingual in English/Spanish. (Test will be administered to assess proficiency.)
Strong knowledge & work experience with coaching & \motivational interviewing with the ability to build strong rapport.
Travel 50+% of the time in the assigned area (Ventura County, CA) - Must have a valid driver’s license, automobile insurance and reliable transportation.
Tuberculosis Screening Policy
To ensure the health and safety of our members, if you are selected for this position, your job offer with SCAN will be contingent on providing proof of Tuberculosis screening upon hire or providing proof of a negative screening within the last year. If you have a disability/medical reason or sincerely held religious belief that prevents you to provide information required in this policy, SCAN will initiate and engage in the interactive process to evaluate what, if any, reasonable accommodations may be available.
What's in it for you?
- Base salary range: $34.47 to $55.14 per hour
- An annual employee bonus program
- Robust Wellness Program
- Generous paid-time-off (PTO)
- Ten paid holidays per year, plus 1 additional floating holiday
- Excellent 401(k) Retirement Saving Plan with employer match and contribution
- Robust employee recognition program
- Tuition reimbursement
- An opportunity to become part of a team that makes a difference to our members and our community every day!
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
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