Licensed Clinical Social Worker (LCSW)

Role OverviewAvail 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) 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 patientsPost-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 modelsWhat You'll DoProvide 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 admissionsIdentify 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 planningParticipate 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 teamContribute frontline clinical insight to support workflow refinement, documentation standards, and scalable behavioral health infrastructure as the program grows

  Maintain timely, accurate, and compliant documentation within the EHR in accordance with organizational, payer, and regulatory requirementsWhat Success Looks LikePatients with SMI, cognitive impairment, and complex psychosocial needs consistently engaged, stabilized, and supported across the care continuum

  Post-discharge behavioral health outreach completed within program timelines with strong patient engagement and continuityCaregiver counseling and dementia care support delivered in coordination with the interdisciplinary team, with clear documentation and care planning

  Documentation completed accurately and on time, meeting all compliance and billing requirementsFunctioning as a reliable, collaborative behavioral health member of the interdisciplinary team with responsive communication and integrated workflowsWhat You BringRequired:

  MSW from an accredited programActive, unrestricted LCSW licensure in the State of Maryland in good standing

  Minimum 3–5 years of post-licensure clinical experience in behavioral health assessment, psychotherapy, psychosocial stabilization, and care coordination across adult and geriatric populationsClinical experience with SMI, mood disorders, anxiety, trauma-related conditions, substance use disorders, cognitive impairment, and complex psychosocial needs

  Experience supporting patients with dementia and related behavioral or psychosocial concerns, including caregiver support and interdisciplinary care planningExperience supporting patients transitioning from inpatient psychiatric, medical, or post-acute settings to community-based care

  Proficiency with EHRs, telehealth platforms, and technology-enabled clinical workflowsReliable high-speed internet and a dedicated, HIPAA-compliant home workspacePreferred:

  Fluency or conversational proficiency in SpanishFamiliarity with Medicare Advantage, TCM, longitudinal care management, or value-based care models

  Familiarity with the CMS GUIDE model or other dementia-focused care navigation programsExperience with ambient AI scribe tools or other technology-enabled clinical workflow platformsExperience working within startup healthcare organizations, new program launches, or rapidly scaling care environmentsSchedule and Work StyleWork Type: Fully remote - virtual telehealth deliverySchedule: Monday–Friday, standard business hours ETTravel: None requiredAutonomy: High - functions independently as the behavioral health clinician within an interdisciplinary virtual care team

Compensation and Perks

Compensation and Perks

Salary Range: $95,000–$115,000 annually, commensurate with experience.

Key Benefits:

• Medical, dental, and vision insurance; 100% employee premium coverage with DPC model
• HSA contributions | Life & disability insurance
• 401(k) with 2% employer match
• 15 days PTO (increasing with tenure) | 8 + 1 floating holidays
• Discretionary performance bonus | Annual compensation review
• All devices and ambient AI scribe tools provided

About Avail HealthAvail Health is a Nurse Practitioner–founded organization delivering mobile and virtual care to Medicare-age patients. We combine technology, operational rigor, and clinical excellence to improve outcomes for complex populations. For more visit www.availhealthcare.co

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