ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of a vibrant community. Our members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities.

ArchWell Health requires all new hires to provide proof that they are fully vaccinated from COVID-19, or represent that they will be fully vaccinated within 30 days of their start date. 

Duties/Responsibilities:

• Develop relationships and collaborate with the primary care teams to conduct social services assessments to determine the appropriate needs for each member
• Plan, coordinate, manage and implement support packages to help members deal with socioeconomic and medical barriers
• Navigate managed care plans for community services and programs
• Case management for social and behavioral care to allow members to self-manage health and social service support
• Accurate and timely documentation of patient encounters and sessions in all clinical management systems
• Proactively identify methods to improve ArchWell Health's approach based on feedback and regularly conducted surveys
• Support advance care transitions with members and their families
• Assist members with access to state-based prescription programs and other benefits
• Collaborate with the primary care teams to conduct behavioral health assessments to determine the appropriate level of care for each member; screen and access each member for common mental health and substance use disorders
• Develop care plans and provide short-term counseling or facilitate referrals, including warm hand offs for telehealth visits or referrals to external specialists
• Accurate and timely documentation of patient encounters and counseling sessions in all clinical management systems
• Proactively identify methods to improve ArchWell Health’s approach based on feedback and regularly conducted surveys

Required Skills/Abilities:

• Experience supporting patients with co-occurring behavioral health and substance abuse issues
• Experience with screening, assessment, and treatment planning for common mental health and/or substance use disorders
• Working knowledge of differential diagnosis of common mental health and/or substance use disorders
• Highly skilled in behavioral therapy, cognitive behavioral therapy, dialectical behavioral therapy, relapse prevention therapy, contingency management, and motivational interviewing
• Strong interpersonal communication skills with exceptional active listening abilities
• Highly empathetic, non-judgmental, and open-minded
• Experience in a collaborative team environment

Education and Experience:

• 1 years' experience in clinical social work
• A problem-solving orientation and a flexible and positive attitude
• Mission driven and motivated to join an organization that will transform the way we deliver accessible, clinically excellent care to seniors
• Fully Licensed LCSW
• Master’s degree in social work
• A problem-solving orientation and a flexible and positive attitude
• Mission driven and motivated to join an organization that will transform the way we deliver accessible, clinically excellent care to seniors
• Proficient PC skills
• Fluency in Spanish or other languages spoken by people in the communities we serve (where necessary)