Clinician (Behavioral Health) Call Center (Full Telework)
Clinician (Behavioral Health) Call Center (Full Telework)
Job Description
Why CalOptima?
CalOptima is the single largest health plan in Orange County, serving 880,000 members, or one in four residents. Our motto — "Better. Together.” — is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. If you're looking for an opportunity to work for an organization dedicated to improving local health care and serving the needs of the most vulnerable, we encourage you to join CalOptima.
***Full Telework Opportunity***These positions are a remote opportunity for Southern California Applicants. In order to be considered, you must live in Southern California or be willing to relocate.
Job Summary
The Clinician (Behavioral Health) is responsible for completing telephonic behavioral health screenings and determining member behavioral health level of care needs, which includes telephonic behavioral health crisis intervention, higher level of care referrals, and coordination of care between physical and behavioral health. The incumbent coordinates activities between CalOptima staff, contracted providers, and health networks by providing guidance and support when appropriate. The incumbent is responsible for the direct behavioral health case management services offered to CalOptima Medi-Cal, OneCare, and OneCare Connect members.
Position Responsibilities:
• Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity, and accountability.
• Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department.
• Completes telephonic behavioral health assessments and triages for members with behavioral health needs.
• Coordinates referrals to County Mental Health Plan for members who may need additional mental health and/or behavioral health case management support.
• Coordinates and collaborates between behavioral health providers, health networks, and CalOptima departments for problem resolution and service integration, including providing consultations on resolving complex case management issues and serving on the treatment team.
• Participates in bi-weekly clinical team meetings.
• Supports members in navigating the behavioral health systems of care.
• Builds, and maintains relationships with the County of Orange, providers, health networks, community-based organizations, and other key stakeholders.
• Educates CalOptima staff, health networks, providers, and members on behavioral health issues and available resources.
• Other projects and duties as assigned.
Possesses the Ability To:
• Work in a team environment, be flexible, and adapt to change.
• Manage multiple deadlines in a fast-paced environment.
• Establish and maintain effective working relationships with CalOptima leadership and staff.
• Communicate clearly and concisely, both verbally and in writing.
• Analyze information and prepare concise clinical documentation.
• Work with all levels of staff to identify and problem-solve contracted provider issues.
• Follow through on projects with minimal supervision or guidance.
• Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.
Experience & Education:
• Master's degree in Social Work, Clinical Psychology, Marriage and Family Therapy or related field of study required.
• Current, unrestricted Licensed Clinical Social Worker (LCSW) or Marriage Family Therapy (MFT) license to practice in the State of California required.
• 3 years of related experience, e.g., Clinician experience, required.
Preferred Qualifications:
• Bilingual in English and in one of CalOptima's defined threshold language (Spanish, Vietnamese, Arabic, Farsi, Korean, Chinese) is preferred.
Knowledge of:
• Culture and needs of the socially and ethnically diverse population CalOptima serves.
• Principles and practices of health care, healthcare systems and Managed Care.
• Medi-Cal benefits and regulations.
• Health plan, hospital and medical group operations and strategies.
• Community-based organizations, agencies and community services.
Department(s): Behavioral Health Integration
Reports to: Manager, Behavioral Health
FLSA status: Non-Exempt
Salary Grade: K - $33.65 - $51.83 ($70,000 - $107,800)
CalOptima is an equal employment opportunity employer and makes all employment decisions on the basis of merit. CalOptima wants to have qualified employees in every job position. CalOptima prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.
If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. You can request reasonable accommodations by contacting Human Resources Disability Management at 657-900-1134.
Job Location: Orange, California
Position Type:
To apply, visit https://apptrkr.com/3227235
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