Marin Community Clinics

Complex Care Case Manager, LCSW (Bilingual)

Regular Full-Time
US-CA-San Rafael
Behavioral Health


The Complex Care Case Manager provides ongoing case management for MCC patients living with HIV/AIDs and other complex medical conditions and psychosocial needs. The case manager provides comprehensive support to his/her identified panel of patients with the goals of minimizing barriers to care, improving health outcomes, and helping patients develop the ability to manage their needs with greater independence. Working collaboratively with primary care, behavioral health, nursing and members of the care navigator team, the complex care case manager works as a member of an integrated team of professionals to provide patient-centered, outcome driven care in the context of the MCC medical home.


Must be able to conduct clinical assessment interviews and case management interventions with patients in Spanish.




  • Provide psychosocial assessment and case management services to MCC patients with HIV/AIDs and other complex medical conditions and psychosocial needs;
  • Maintain and track services for panel of identified patients;
  • Ability to complete psychosocial needs assessment and subsequent treatment plan;
  • Provide crisis intervention as indicated.
  • Provide consultation to medical providers regarding the psychosocial components of a patient’s presentation. Develop collaborative plans to address psychosocial needs.
  • Work with patients in their preferred language (primarily English and Spanish), using a language line as needed.
  • Use the “warm hand off” method (immediate brief assessment and intervention) for assisting patients who have identified psychosocial needs at the time of their medical visit.
  • Experience with or a willingness to acquire specific knowledge HIV/AIDs and other chronic health conditions;
  • Demonstrate a willingness to acquire general knowledge of psychopharmacology, and engage in ongoing learning about new medications and treatments commonly used for mental disorders, substance abuse, and general health problems.
  • Use the Clinic’s electronic health record (EHR) to document clinical work, produce billing, collect service data, and maintain a schedule, as well as to communicate information to other clinic providers.
  • Work closely with behavioral health, care navigation MAs, nursing and medical providers.
  • Attend behavioral health meetings, care navigation meetings, medical provider meetings, all-staff meetings, as scheduled. May be asked to participate in County-wide “Whole Person Health” initiatives.
  • Provide frank and considered opinions regarding case management services and quality improvement measures. May be asked to consult with junior care navigators about care navigation activities.
  • Provide services to satellite clinics as needed; may be asked to work variable schedule during extended-hour clinics (e.g., 10am-7pm on one or more days).
  • Other duties may be assigned.


Education and/or Experience:                                           

Licensed Clinical Social Worker (LCSW). The successful applicant will demonstrate a commitment to providing case management services to medically complex/vulnerable populations. Experience working with individuals living with HIV/AIDS and/or substance-using individuals highly preferable. Knowledge of state regulations and standards related to client treatment, patient rights, and client/patient confidentiality required. 1-2 years of clinical or behavioral health experience in a health care setting caring highly desirable. Experience with & commitment to motivational interviewing required. Commitment to cultural humility required. Demonstrated ability to work effectively on a team, preferably in a primary care environment. Expereince with homeless population preferred.

Language Skills:

Must be fluent in English with the ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports and business correspondence in English. Must have the ability to effectively present information and respond to questions from clients, customers, and the general public in Spanish. Must be able to conduct clinical assessment interviews and case management interventions with patients in Spanish.


Computer Skills:                                                     

To perform this job successfully, an individual must be computer literate and knowledgeable in Microsoft Office software programs, and how to conduct searches on the Internet.

 Certificates, Licenses, Registrations:

Licensed Clinical Social Worker (LCSW)

CPR Training Current

Valid Driver’s License


Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed