Job Summary Axzons is seeking a dynamic and experienced Licensed Clinical Social Worker (LCSW) to support patient intake, care coordination, and referral development . This role is both clinical and growth-oriented , focusing on: Building referral relationships Supporting Medicaid / MLTC enrollment Ensuring high-quality patient care coordination The ideal candidate is proactive, relationship-driven, and experienced in New York home care or MLTC environments . Responsibilities 1. Patient Intake & Care Coordination Conduct comprehensive psychosocial assessments for new patients 2. Referral Development & Outreach (CRITICAL) Build and maintain relationships with: Hospitals & discharge planners Rehabilitation centers Nursing homes Physicians & clinics Community organizations Represent Axzons in the community to generate new patient referrals Conduct facility visits and outreach meetings regularly 3. Medicaid & MLTC Support Assist patients and families with: Medicaid application and eligibility guidance MLTC plan selection and enrollment Coordinate with MLTC plans such as: Centers Plan VNS Health Fidelis MetroPlus Ensure timely submission of required documentation 4. Case Management & Retention Provide ongoing emotional, social, and resource support to patients Resolve patient/family issues to ensure high satisfaction and retention Act as key liaison between: Patient Family Agency MLTC plan 5. Rapid Intake & Service Activation Ensure fast onboarding (within 24-48 hours) for new cases Collaborate with scheduling team to ensure caregiver placement Support urgent and high-priority cases 6. Compliance & Documentation Maintain accurate and compliant documentation Ensure adherence to: NY DOH regulations Agency policies MLTC requirements

Qualifications Required:

Active New York LCSW license Minimum 2+ years experience in: Home care / MLTC / hospital discharge Strong knowledge of: Medicaid MLTC plans in NY Excellent interpersonal & communication skills Ability to travel locally (field visits)

Preferred:

Existing relationships with hospitals or community providers Bilingual (Spanish, Russian, Hindi, etc.) Develop and implement individualized care plans Coordinate care with: Nurses (RN/DON) Caregivers MLTC care managers Monitor patient progress and adjust services as needed At Axzons this is NOT a back-office role.

You will:

Directly impact business growth Build referral networks Help expand a growing home care organization This role is ideal for someone who: Wants ownership and visibility Enjoys both clinical work and relationship-building Is motivated by growth + incentives Submit resume along with a brief summary of: Your experience with MLTC or home care Any referral relationships you have built "Candidates with proven ability to generate referrals or community relationships will be given priority consideration." Join our team dedicated to delivering exceptional home health services through compassionate care and innovative treatment approaches that make a meaningful difference in our patients' lives!

Pay:

From $75,000.00 per year

Work Location:

In person