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Social Worker

2 months ago


Orange, California, United States Equiliem Full time
About the Role

We are seeking a highly motivated and experienced Social Worker to join our team at CalOptima Health. As a Social Worker, you will play a critical role in assessing prospective members for various programs and developing, implementing, and monitoring care plans.

Key Responsibilities
  • Assess prospective members for various programs and develop, implement, and monitor care plans.
  • Collaborate with an interdisciplinary team to identify and work toward timely resolution of issues related to psychosocial needs.
  • Assist in the coordination of members' identified psychosocial needs, utilizing community resources and support when appropriate.
  • Work with external utilization management personnel and the community to identify members who could benefit from case management services and actualize service plans.
  • Provide social work consultation and education to members and their families and act as an advocate as needed.
  • Analyze assessments to identify individual needs and resources that are most appropriate to meet the member's needs.
  • Monitor all services provided to members and ensure necessary and available resources are being utilized.
  • Evaluate and anticipate members' needs, provide support, and maintain a role as the members' liaison while forecasting independence and decision-making on their part.
  • Provide referrals based on the members' assessed needs.
  • Partner and communicate with members, family members, significant other(s), physicians, and other healthcare providers to accomplish goals identified on the care plan.
  • Participate in proactive identification of members appropriate for care management.
  • Initiate appropriate follow-up care and develop individual care management service/care plans incorporating assessment, education, resource planning, and coordination of services for those patients accepted for case management.
  • Accept referrals for case management and serve as CalOptima Health's liaison to community agencies, organizations, and State of California personnel.
  • Maintain documentation of case management plans/interventions and statistics required to demonstrate the impact of case management or quality, cost-effective care.
  • Initiate case conferences as needed.
Requirements
  • Master's degree in social work required.
  • 2 years of experience working with the gerontology population required.
  • Experience with behavioral health, health facility, health plans, counseling, case management, home health, or hospice required.
  • Valid driver's license and vehicle or other approved means of transportation, an acceptable driving record, and current auto insurance required for work away from the primary office 50% of the time or more.
Preferred Qualifications
  • Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese).
About CalOptima Health

CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity, and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health.

We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring.

CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization.

It is why people choose to work here and why they choose to stay CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives.

Our organization strives to create and maintain a workplace environment that is inclusive, equitable, and welcoming so we can truly be Better Together.

CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position.

CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws.

CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.

If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability.