About the Role
As a Clinical Specialist for our Complex Care program, you’ll be doing the important, meaningful work of assessing client clinical needs for higher levels of care, providing in-the-moment phone support to clients with complex behavioral health issues, ensuring client safety, and navigating clients into high quality, evidence-based facilities and programs. This position does not involve providing in-person services or therapy, but instead focuses on supporting clients in connecting to care, exclusively by phone and email, providing longitudinal case management support.
This role may be a good fit if you are dedicated to helping clients with the most complex and high-risk needs get the support they need to successfully access care and remain engaged in life-changing treatment. If you are curious, open to feedback, and adapt quickly to new protocols, we encourage you to apply!
You must be able to work the following shift:
Monday - Friday: 9:00am - 5:30pm PT
Responsibilities:
Independently manage a caseload of complex, multi-need clients, providing collaborative, long term case management
Successfully facilitate ongoing engagement, supporting clients as they move through various levels of care, employing Motivational Interviewing and other strategies to support client readiness for treatment
Skillfully manage client crises, providing brief risk and needs assessments, safety planning, and de-escalation with the goal of connecting the client to treatment
Respond to in-the-moment callers seeking crisis support, offering brief, evidence-based coping skills
Effectively and professionally communicate with clients and providers throughout the process of accessing care, via email, phone, and occasionally text
Creatively troubleshoot roadblocks to offering personalized, high quality clinical care options for our clients
Use Lyra’s proprietary matching software, as well as other methods including facility database, health plan directory, and internet searches to identify treatment options, and connect clients to the best treatment, based on each individual client’s specific needs and preferences
Administer and monitor clients’ self-reported symptoms on PHQ-9, GAD-7, or other measures
Develop personalized care plans with treatment options for clients
Participate in and present cases for discussion at Multidisciplinary Team Meeting
Proactively outreach members who may benefit from additional support and utilize Motivational Interviewing strategies to engage them in the program
Coordinate care and communicate with Preferred Facility Network providers prior to, during, and at the end of treatment including recommendations for level of care, length of stay, treatment modality, and discharge planning
Coordinate care and communicate with clients’ health plans and/or navigators to ensure seamless access to care (e.g. meet weekly with Navigator to discuss mutual clients and ensure accountability for engagement)
Collaborate with billing team and Preferred Facility Network to ensure clients have authorized referral to access treatment paid via Lyra; treatment meets clinical and quality expectations; and any concerns are addressed
Participate in on-call rotation for direct phone line to handle warm referrals from Care Navigator Team, Clinical Care Navigator, or Health Plans
Complete screenings for Lyra’s Dialectical Behavior Therapy (DBT) program
Provide feedback to leadership for continuous program improvement, including suggestions to improve client experience, operational efficiencies, or outcomes
Qualifications:
Master’s degree in clinical social work or equivalent; LCSW or equivalent independent clinical licensure is required (e.g., LMFT, LPC, LPCC, etc.). We’re unable to provide supervised hours toward licensure. Candidates without a state license to deliver mental health services, independently, will not be considered.
Significant experience managing high-risk clinical situations (e.g., suicidality, mandated reporting), navigating health plans, and encouraging client engagement with escalating mental health needs
Proficient in case management and with delivering specialized care for clients with diverse care needs
Knowledge of higher levels of care and of community mental health health resources
Self-directed clinical professional who can work independently in a remote environment and work effectively and collaboratively within a small team of dedicated clinicians
Familiarity with Health Plan procedures, medical necessity criteria, and a passion for helping clients understand their benefits and options for care.
Candidates must be a full time resident of the United States; work cannot be completed from outside the United States.
Bilingual, Spanish-speaking candidates strongly preferred (but not required)