Utilization Management Lcsw Jobs (NOW HIRING)

A Licensed Clinical Social Worker (LCSW) contributes to AHF by blending the organizational mission with the provision of care management services. The LCSW provides preventive health services to prevent disease, disability, and other health conditions or their progression; to prolong life; and promote physical and mental health.
A LCSW enhances the reputation of AHF by impacting improved member health outcomes and health equity which leads to longer, healthier, and happier lives. The LCSW assists members in their homes, community, or clinic setting, provides support of adherence and compliance to care, and helps members identify socio-economic issues that affect their overall health.
You will be a passionate advocate for our top initiatives.
To be successful as a LCSW it is crucial to ensure that the AHF Core Values and Mission stay top of mind with all that you do. At AHF we are nimble and able to adapt in a dynamic environment to assist in providing the best experience for our clients and workplace for our employees.
AHF has a collaborative organizational structure where staff are accountable to multiple leaders.
The LCSW will work as a part of a close-knit team to provide complex care management and delivers culturally and linguistically responsive support services to members within the HIV/AIDS Special Needs population enrolled in a Medicare/Medi-Cal health plan. The LCSW applies advanced clinical practice skills to support th Care Team by identifying, cataloging, and coordinating community resources, and acts as a liaison to address the psychosocial needs of members. The LCSW actively participates as a member of the interdisciplinary team, contributing to assessment, data gathering, and care planning. They also participate in CMS, DHCS/DMHC, and other relevant committees to strengthen organizational understanding of the social determinants of health affecting the members served by the plan, and consistently go the extra mile to ensure members are informed about and have access to their health plan and community benefits. The LCSW addresses psychosocial barriers that impact the management, control, or prevention of chronic and infectious diseases; mental health conditions and substance use disorders; need for preventive services; perinatal and reproductive health needs; environmental and climate-related health challenges; oral health; aging; injury; and domestic or interpersonal violence. The LCSW demonstrates leadership by serving as a mentor to Community Health Workers (CHWs). The LCSW assists members in crisis, manages referrals, and oversees behavioral health transitions of care in collaboration with the Utilization Management Department and Care Team Managers. They lead behavioral health meetings, maintains tracking of all referrals, and regularly updated leadership on successful linkages to care. Additionally, the LCSW updates care plans and esures timely, accurate documentation consistent with organizational policies, accreditation standards, and regulatory requirements.
Licenses and Certifications: Masters of Social Work from an accredited school. CA Licensed Clinical Social Worker (LCSW)
At least two (2) years of social work experience in Managed Care is preferred.
Bilingual Spanish preferred.
AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!
Does the idea of doing something that really makes a difference in people's lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?
If so, AIDS Healthcare Foundation is the place for you!
Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.
AHF's core values are:

• Patient-Centered
• Value Employees
• Respect for Diversity
• Nimble
• Fight for What's Right

Please review our Advocacy page for the latest news on how AHF is Fighting for What's Right! Advocacy News.
Benefits at AHF
AHF offers comprehensive benefits to help our employees do and be their very best! These benefits are intended to enhance employee physical, financial, spiritual and professional health.
#INDAHF
#ZR