Licensed Clinical Social Worker (Remote) - Upward Health : Job Details

Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. We are driven by a desire to improve the lives of our patients, with care that addresses a wide range of needs from medical management to social resources. Upward Health is an equal opportunity employer.

Licensed Clinical Social Worker (Remote) at Upward Health plays a crucial role in assessing and addressing the psychosocial needs of patients. As a member of the interdisciplinary care team (IDT), the LCSW collaborates with team members to develop comprehensive care plans that address both the medical and emotional well-being of patients. This position applies behavioral intervention techniques such as Motivational Interviewing, trauma-informed care, and person-first thinking. The LCSW connects patients and their families to community resources, facilitates transitions of care, provides short-term, risk-focused care management, and intervenes during crises when necessary to promote patient self-management and autonomy.

• Assess and address psychosocial needs of patients as part of an interdisciplinary care team (IDT).
• Develop and implement comprehensive care plans addressing medical and emotional well?being.
• Apply behavioral intervention techniques (e.g., Motivational Interviewing, trauma-informed care, person-first approaches).
• Connect patients and families to community resources and support services.
• Facilitate transitions of care and provide short-term, risk-focused care management.
• Intervene during crises to ensure patient safety and continuity of care.
• Promote patient self-management and autonomy within care plans.

• Licensed Clinical Social Worker (LCSW) with all state certification and licensing requirements met.
• Minimum of three (3) years of social work experience, with at least two (2) years in a healthcare setting (e.g., physician's office, PCMH, hospital, clinic, home care, or nursing home).
• Knowledge of Medicaid and Medicare, and experience with managed care organizations.
• Strong oral and written communication skills and ability to collaborate with multidisciplinary teams.
• Experience in home care or field case management is preferred.
• Working knowledge of local and state resources to support patient needs.
• Ability to assess and address Social Determinants of Health (SDOH).
• Ability to manage patient crises and provide focused care interventions.
• Valid state drivers license and access to an automobile.
• Bilingual in English and Spanish is preferred.

• Empathy: Demonstrates understanding and compassion in interactions with patients and families.
• Accountability: Takes ownership of care delivery and adheres to clinical guidelines.
• Initiative: Identifies innovative solutions to patient needs across healthcare and psychosocial dimensions.
• Leadership: Guides the care team in applying best practices and ensuring care coordination.
• Clinical Expertise: Proficient in behavioral health intervention techniques including Motivational Interviewing and trauma-informed care.
• Community Engagement: Navigates and connects patients with local resources and services.
• Communication: Clears complex health and social information to patients and team members.
• Crisis Intervention: Intervenes effectively in patient crises with appropriate solutions.
• Patient-Centered Care: Supports self-management and alignment of care plans with patient values and goals.
• Documentation: Maintains accurate, timely patient records per regulatory and company standards.
• Problem-Solving: Identifies and addresses barriers to care to improve outcomes.

Salary: 95,000-100,000 yearly

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Health Care Provider
• Industries: Hospitals and Health Care

Compensation details may be subject to change and is based on experience and location.

Get notified about new Licensed Clinical Social Worker jobs in Santa Cruz, CA.