Licensed Clinical Social Worker

POSITION SUMMARY:

The Licensed Clinical Social Worker (LCSW) serves as the Collaborative Care Manager anchoring TEAM VSW's psychiatric Collaborative Care Model and Community Health Integration service lines. Operating within a measurement-based, treat-to-target framework, the LCSW partners with treating providers and the consulting psychiatrist to deliver systematic caseload management, evidence-based brief interventions, SDOH-informed care coordination, and registry-driven outcome tracking for a Medicare Part B population across VSW's service area.

This is a heart-led, high-accountability clinical role for a licensed professional who thrives in a collaborative, remote-first care team and is committed to closing gaps in behavioral health access for patients who need it most.

DUTIES & RESPONSIBILITIES:

A. Collaborative Care Model (CoCM)

• Serve as the designated Collaborative Care Manager within the collaborative care team.
• Administer and score validated screening instruments (PHQ-9, GAD-7, C-SSRS, AUDIT-C, DAST-10, PTSD-5, MDQ) using the VSW Screening Console; interpret results and track patient response over time.
• Develop, implement, and revise person-centered care plans in collaboration with the treating provider.
• Maintain and mange the behavioral health registry; conduct systematic, proactive caseload reviews (typically weekly) with the psychiatric consultant.
• Deliver brief, evidence-based interventions such as Behavioral Activation, Problem-Solving Treatment (PST), and Motivational Interviewing (MI).
• Support a treat-to-target approach - stepped-care adjustments, relapse-prevention planning, and escalation of patients not improving as expected.
• Track first-month and subsequent-month time thresholds to ensure accurate, compliant CoCM billing.
• Facilitate warm handoffs, referrals, and follow-up to ensure continuity across the care continuum.

B. Community Health Integration

• Conduct structured SDOH assessments to identify unmet health-related social needs affecting the treatment of the patient's behavioral and/or physical conditions.
• Develop person-centered plans addressing SDOH barriers, and coordinate practitioner-identified interventions.
• Navigate and link patients to community resources using VSW's community resource menu and SOP-VSW-CHI-001; document linkages and outcomes.
• Coordinate with community-based organizations and social services to advance whole-person care.

C. Registry, Documentation & Measurement-Based Care

• Maintain accurate, timely documentation in ChronicCareIQ (CCIQ) and Practice Fusion, with fidelity to CMS time-tracking and service-element requirements.
• Own outcome tracking within VSW's CoCM registry and dashboards, ensuring measurement-based follow-up on every active patient.
• Generate structured chart notes and communicate status changes promptly to the care team.

D. Safety, Compliance & Quality

• Adhere to HIPPAA, CMS documentation and billing requirements, and all VSW clinical SOPs.
• Executive crisis and safety protocols, including, C-SSRS-driven escalation and coordination of urgent care when risk is identified.
• Participate in quality assurance / quality improvement (QA/QI) activities, chart audits, and in-service training.

QUALIFICATIONS

Required Qualifications:

• Master of Social Work (MSW) from a CSWE-accredited program.
• Current, unrestricted, independent-practice Licensed Clinical Social Worker (LCSW) credential.
• Active licensure in at least one VSW service state (IL, IN, WI, HI), with the ability and willingness to obtain additional state licensure as census requires.
• Minimum two (2) years of post-licensure clinical experience, preferably in integrated / primary-care behavioral health.
• Demonstrated proficiency with validated behavioral health screening tools and measurement-based cure.
• Strong EHR and registry documentation skills; comfort working in a remote, technology-enabled care environment.

Preferred Qualifications:

• Direct experience in the Collaborative Care Model (CoCM), telehealth behavioral health, and Medicare populations.
• Formal training in problem-Solving Treatment (PST), Behavioral Activation, Motivational Interviewing (MI), or CBT-informed brief interventions.
• Multi-state licensure or active pursuit thereof; familiarity with cross-state telehealth practice standards.
• Bilingual capability and demonstrated cultural humility with diverse patient populations.

CORE COMPETENCIES:

• Clinical Acumen - Clinical judgement and crisis assessment
• Collaboration - Interdisciplinary teamwork with providers, psychiatry, nursing, and community partners
• Organization - Caseload prioritization and disciplined time tracking across concurrent programs
• Character - Warmth, cultural humility, and heart-led patient advocacy

WORK ENVIRONMENT & PHYSICAL REQUIREMENTS:

Primary remote/telehealth-enabled, supporting patients across Illinois, Indiana, Wisconsin, and Hawaii. Requires a HIPPAA-compliant workplace, reliable high-speed internet, and the ability to work at a computer for extended periods. Occasional coordination with community-based organizations and care-team huddles is expected. Reasonable accommodations will be made to enable qualified individuals to perform the essential functions of the role.

COMPENSATION & BENEFITS:

Competitive compensation commensurate with licensure, experience, and program scope, with details discussed during the interview process. TEAM VSW is an Equal Opportunity Employer committed to a diverse, inclusive, and heart-led workplace.

Pay: $20.00 - $25.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance

Work Location: Hybrid remote in Mount Prospect, IL 60056

Salary : $20 - $25