Licensed Clinical Social Worker (Bhcm) - Hybrid Wfh - Bronx Ny

$7,500 Sign-on bonus for External Candidates

Careers at Landmark, part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and whenever they need it. We focus on doing what’s right for the people we serve, even when it’s not easy. This is your opportunity to be part of a compassionate team that is setting out to change health care for complex, chronic patients. Here, we’ll invest in your personal and professional growth while giving you a unique opportunity to make a difference. Helping people feel their best is a rewarding part of doing your life’s best work.(sm)

Our medical group provides home-based medical care primarily to geriatric patients that are medically complex and chronically ill, many of whom are ill-equipped to navigate our overwhelming healthcare system. Our interdisciplinary teams collaboratively manage our complex patient panels. These teams are led by Physicians, Nurse Practitioners, and Physician Assistants, with supporting care provided by RN Nurse Care Managers, Social Workers, Pharmacists, Behavioral Health Clinician, and other team members.

The behavioral health care manager (BHCM) is a core member of the collaborative care team, including the patient’s longitudinal medical provider and behavioral health consultant, as well as the larger interdisciplinary team (IDT). The BHCM is responsible for supporting and coordinating the mental and physical health care of patients on an assigned patient caseload with the patient’s longitudinal provider and, when appropriate, community behavioral health providers.

Prioritize completing the assessment and care plans in-person to better understand a patient’s needs, after this initial home visit; patient follow up is routinely done via video or telephonically with clinical discretion regarding any additional visits that should be completed in-person.

You will plan and manage your daily schedule to provide high quality care that is patient-centered and timely. This Monday-Friday role will be based; both in the field and your home office, with no on-call, evenings, or weekends.

Primary Responsibilities:

• Support psychotropic medication management as prescribed by the longitudinal provider, focusing on treatment adherence monitoring, side effects, and effectiveness of treatment.
• Screen and assess patients as well as provide patient education for common behavioral health and substance use disorders
• Participate in weekly consultation meetings with the behavioral health advance practice provider
• Facilitate referrals for clinically indicated services within the community (e.g., social services such as housing assistance, vocational rehabilitation, mental health specialty care, substance use disorder treatment)
• Provide brief behavioral health interventions using evidence-based techniques such as behavioral activation, problem-solving treatment, motivational interviewing, or other interventions as appropriate until linkage to a community provider
• Administer evidence-based screening tools for depression, anxiety and substance use disorders and develop person-centered care plans to address those conditions

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.