Job description

Remote - Field Work Required - Hospice, Geriatric Population - Stockton, CA

General Duties/Responsibilities:

• Work requires driving to field visits where Member is.
• Conduct telephonic Social Work outreach to assigned members to assess health, environment, mental health, nutrition, functionality, decline, and psycho-social areas of concerns by conducting a Social Work assessment.
• Timely documents Social Work Interventions and goals in the EMR.
• Promotes the value of Health Care Advanced Directive and documents discussion of member preferences.
• Provide appropriate interventions to optimize health and well-being. Interventions may include education, the coordination of community- based support services, supportive counseling for mental health conditions, care navigation, advanced care and end of life planning.
• Makes referrals to case manager, as appropriate, and/or refers member's family to community support services and resources.
• Perform a full range of clinical Social Worker procedures in accordance with clinical privileges granted by the Plan and based in accordance with Social Work standards of practice.
• Practice as an interdependent member of the health team.
• Provide direct and indirect services to both inpatients and outpatients in accordance with Social Work standards of practice.
• Conduct psychosocial assessments to determine patient needs and resources (both family support and community support). Provide counseling to patient and family in matters directly related to patient’s limitation, adjustment to medical condition, and ongoing treatment.
• Provide consultation services to medical, nursing, and ancillary hospital staff regarding psychosocial issues, discharge plans, and follow-up care for patients and families.
• Consults with hospitals and plan in the coordination of care regarding the mental health of members.

Minimum Experience:

• 5 years of experience in care management, Medical Social Work, Hospice Social Work, Home Health, assessment, long term member/patient care management or community-based resource delivery.
• Previous work with vulnerable adults or older adult population.
• Basic knowledge of complex care management and care management principles.
• Experience with motivational interviewing-Ability to apply Motivational Interviewing and an Appreciative Inquiry.

Education/Licensure:

• Master’s Degree in Social Work (MSW) required from an accredited School of Social Work by the Council on Social Work Education.
• Unrestricted California Social Work License (LCSW) in good standing.

Job Type: Full-time

Pay: $80,000.00 - $100,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift

Education:

• Master's (Required)

Experience:

• Hospice care: 5 years (Required)
• Geriatric: 5 years (Required)

License/Certification:

• Clinical Social Worker (Required)
• Licensed Certified Social Worker (Required)

Work Location: On the road

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