Quality Management Clinical Outreach Specialist (LMSW/LMHC)
Company: MetroPlusHealth
Location: New York City
Posted on: February 2, 2026
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Job Description:
The OS is responsible for telephonically outreaching members who
were recently discharged from Inpatient Care, Emergency Rooms and
Outpatient Programs with a principal Behavioral Health diagnosis.
The OS will be conducting a bridge visit where they assess the
member’s current state, review their discharge plan and assist in
connecting them to appropriate aftercare services. The OS will also
work collaboratively with other teams, such as Behavioral Health
Case Management, to ensure the needs of our members are met. To
succeed in the role, candidates must be: Self-motivated and able to
work in a fast-paced, dynamic work environment Possess strong
attention to detail and technical abilities Organized and able to
meet deadlines Demonstrate strong communication skills Scope of
Role & Responsabilities: Assists members in accessing
post-discharge aftercare related appointments/rescheduling new
appointments. Interfaces with members and Behavioral Health or
Medical Case Management staff to coordinate aftercare activities.
Delivers crisis and emotional support when needed during telephonic
outreaches. Ability to de-escalate crisis/utilize crisis
intervention techniques and motivational interviewing before
bridging to proper crisis services. Meets the daily expected call
volume and number of bridge visits. Self-monitors productivity and
accepts supervision towards a high level of member care. Maintains
accurate and complete documentation of required information in
compliance with risk management and regulatory requirements. Shares
observations and provides feedback regarding workflow to ensure
continuous quality improvement. Performs other departmental duties
and participates in special/ad-hoc projects as assigned. Required
Education, Training & Professional Experience: Master’s Degree
required. Minimum 3 years of Behavioral Health (Serious Mental
Illness & Substance Use Disorder) experience in managed care
setting. Minimum of 3 years’ post licensing experience working
directly with consumers towards their recovery. Understanding of
Medication Assisted Treatment process. Pharmacy, Psyckes, E-Paces,
HCS (UAS) MAPP knowledge. Working knowledge of current DSM Manual
and understanding of Behavioral Health diagnosis. Knowledge
HEDIS/QARR strongly preferred. Knowledge of quality improvement
methodologies, i.e., PDSA, Six Sigma. Strong technical skills
(Microsoft Office, specifically MS Excel and MS Access; ability to
navigate multiple computer programs and applications). Bilingual
(English/Spanish) strongly preferred. Licensure and/or Certifcation
Required: Valid New York State license and current registration to
practice as Licensed Clinical Social Worker (LCSW), Licensed Master
Social Worker (LMSW), or Licensed Mental Health Counselor (LMHC).
Professional Competencies: Integrity and Trust. Customer Focus.
Demonstrated ability to communicate effectively, problem solve and
work effectively with people. Clear and concise written/oral
communications. Exceptional time management and organizational
skills. Ability to function in a fast-paced, dynamic work
environment. Strong interpersonal skills, the ability to remain
calm and poised with challenging situations. Self-starter who is
able to perform tasks at a high level with minimal supervision.
Ability to work evenings and weekends as needed to meet department
goals. LI-Hybrid MHP50
Keywords: MetroPlusHealth, Lower Merion , Quality Management Clinical Outreach Specialist (LMSW/LMHC), Healthcare , New York City, Pennsylvania
