Job detail

Licensed Clinical Social Worker (LCSW) / Professional Counselor (LCPC) - Behavioral Health

Avail Health

#Behavioral Health #Care Coordination #Medicare #EHR #Telehealth #LCSW #Value-Based Care #Geriatric Care #Dementia Care

Quick overview

Deliver evidence-based psychotherapy and behavioral health care management for adult and geriatric Medicare patients via telehealth. Coordinate post-discharge stabilization and dementia care support within an interdisciplinary virtual care team.

Requirements summary

Requires an MSW and an active, unrestricted LCSW license in Maryland with 3-5 years of post-licensure clinical experience. Must have expertise in treating SMI, cognitive impairment, and managing transitions from inpatient to community care.

postgraduate degreeCase ManagementClinical DocumentationPatient EngagementInterdisciplinary CollaborationPsychosocial AssessmentTelehealthCrisis StabilizationEHR ProficiencyPsychotherapyCaregiver SupportDementia CareBehavioral Health Care Management

Job description

Role Overview Avail Health is building a behavioral health and dementia care program supporting Medicare patients with serious mental illness, cognitive impairment, and complex psychosocial needs. The Licensed Clinical Social Worker (LCSW) / Licensed Clinical Professional Counselor (LCPC) is a fully remote clinical role that blends psychotherapy, behavioral health care management, post-discharge stabilization, dementia care integration, and caregiver support within a highly coordinated virtual care environment.

You'll work closely with the Psychiatric Mental Health Nurse Practitioner, Dementia Care Navigator, Care Coordinator, and interdisciplinary clinical leadership to support patients across longitudinal behavioral health management and post-acute transitional stabilization. Your focus is on proactive patient engagement, continuity of care, and reducing avoidable decompensation and utilization.

This is a foundational role in a newly launching program. The position ramps gradually with patient volume, with the opportunity to transition into a permanent long-term role as the Maryland behavioral health program expands.

What You'll Own
Delivery of evidence-based psychotherapy and behavioral health care management for adult and geriatric Medicare patients
Post-discharge stabilization outreach and continuity of care for high-risk behavioral health patients
Caregiver counseling, psychosocial assessment, and dementia care support within CMS GUIDE-aligned care models

What You'll Do
Provide evidence-based psychotherapy via telehealth to patients with SMI, depression, anxiety, trauma-related conditions, adjustment disorders, grief, and complex psychosocial needs
Conduct proactive outreach and follow-up for high-risk patients, including post-discharge stabilization following inpatient psychiatric, medical, or post-acute admissions
Identify and address psychosocial barriers impacting recovery, medication adherence, housing stability, caregiver support, and outpatient follow-through
Support dementia care management activities including caregiver assessments, behavioral symptom support, psychosocial evaluations, and interdisciplinary care planning
Participate in interdisciplinary case review and care planning discussions with the PMHNP, Dementia Care Navigator, Care Coordinator, and clinical leadership
Escalate urgent psychiatric, behavioral, cognitive, or safety concerns appropriately to the PMHNP and care team
Contribute frontline clinical insight to support workflow refinement, documentation standards, and scalable behavioral health infrastructure as the program grows

Licensed Clinical Social Worker (LCSW) / Professional Counselor (LCPC) - Behavioral Health

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What You Bring Required

Preferred

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