Core Responsibilities &Essential Job Functions
Follows care plan through effective case management
Responsible for assessing and addressing risk, and escalateshigh riskclinical concerns to supervisor
Serves as a liaison between treatment providers, funding sources, and client families.
Collaborateswith key stakeholders to address clinical concerns related to client care.
Serves as the main contact for client families and funders and responds to all inquiries to ensure that they are addressed
Responsible for conducting service recovery efforts through a thorough clinical review of current care plan (i.eunderstanding barriers, challenges, clinicalprogressand desired outcomes) with client families.
Address and resolve any issues or complaints from client families to improve client satisfaction and access to medically necessary services through service recovery.
Responsible for reviewing clinical appropriateness of provider transfer requests and supportsclient’stransition to next treating provider.
Completes documentationregardingall interactions with the client, provider, and interdisciplinary team, usingappropriate systemsand proceduresin a timely manner, per agencypolicies.
Supports Clinical Escalation Specialists and Provider Case Manager to address complaints and grievances by conducting client case reviews and client family outreach. Documents all client family complaints and grievances, andsubmitsdocumentation to the Catalight Quality department, per policy requirements
Responsible for supporting identified coverage needs related to Behavioral Health Screening.
Monitor and analyze trends in caregiver concerns.
Prepare and present data to management on caregiver trends.
Participate in special projects, andassistwithadditionalduties or tasks, as assigned by supervisor.
Qualifications
Minimum Education, Experience & Training Equivalent to:
Master's degree from an accredited college or university in social work,marriagefamily therapy or counseling isrequired.
Current registration with the California Board of Behavioral Sciencesisrequired.
Licensed Clinical Psychologist, LCSW, LMFT or LPCCrequired.
One to two years of related professional experience working with children with autism spectrum disorders (“ASD”) and/or other related developmental disabilities in a multi-disciplinary team setting preferred
Knowledge of community resources
Previousexperience with clinical case management.
Demonstratedexpertisein crisis management.
Knowledge&Skills:
Able to conduct strengths based, client centered clinicalscreenerand refer clients for clinicallyappropriate services.
Must adhere to all federal, state, and local laws/legislations as applicable as well as HIPAA laws and regulatory agencies
Sensitivity to working with an ethnically, linguistically, culturally, and economically diverse population.
A commitment to the values of the organization whiledemonstratinggood judgment, flexibility, patience, and discretion when dealing with confidential and sensitive matters.
Knowledgeable in Microsoft Office (Outlook, Word, Excel, etc.)
Ability to work in a fast-paced environment while effectively multitasking.
Ability to work with various individuals across all levels within the organization.
Manage day-to-day responsibilities with or without supervision.
Excellent verbal and writing skills.
Strong interpersonal skills (i.e.advanced listening techniques: empathic,activeand reflective listening)
Strong client focused approach (i.e.ability to set clear boundaries and advocate for client/family needs)
Must be highly detail oriented and have strong time management skills
Ability to effectively de-escalate clients and families.
Excellent problem-solving skills.
Ability to work successfully on an interdisciplinary team.
Physical Requirements:
Must be able to communicate effectively within the work environment,readand write using the primary language with the workplace.
Visual and auditory ability to work with clients, staff, and others in the workplace continuously.
Frequent speaking and listening (25-75%) to clients, staff, and others in the workplace.
Ability toutilizecomputer, cellphone(iPhone).
Frequent sitting.
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