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Social Services Professional
2 months ago
We are seeking a highly motivated and experienced Social Worker to join our team at CalOptima Health. As a key member of our interdisciplinary team, you will play a vital role in assessing prospective members for various programs and developing, implementing, and monitoring care plans.
Key Responsibilities- Collaborate with an interdisciplinary team to identify and address psychosocial needs, including financial issues, transportation, and community support services.
- Assist in the coordination of member 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.
- 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.
- Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese).
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 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.
