Master of Social Worker

Location: San Jose, California

Schedule: Onsite in San Jose clinic Monday thru Friday, 8 am to 4:30 pm 

Pay: $43/hour

Requirements: Master’s Degree in Social Work (MSW) required

Job Type: Full time 3 month contract

Role Summary:
The Social Worker is responsible for managing a caseload of participants working in close coordination with the Interdisciplinary Team (IDT). In addition to delivering standard social work services such as psychosocial assessments, care planning, counseling and case management, the Social Worker functions as a liaison between the participants, their family members, the IDT, and other members of the participants. support network, as appropriate. Collaborates effectively with colleagues and stakeholders to promote the core values, team culture and mission.

Responsibilities:

• Conduct Social Work assessments to determine the psychosocial needs, preferences and goals of the participants and actively participate in IDT meetings to develop participant care plans.


• Deliver and document social work interventions as agreed upon in the participants’ care plans including but not limited to arranging necessary resources and services, assisting with care transitions, providing individual and group counseling and case management.


• Work with the Physician and other members of the IDT to support smooth care transitions between settings (e.g., hospitals, skilled nursing facilities, home, etc.).


• Initiate and facilitate care conference meetings to ensure the highest level of care coordination among IDT members. participants and other people within the participants’ support network (family, informal caregivers etc.)


• Provides discharge planning when participants disenroll from the program.


• Provides educational in-services to staff, participants, and caregivers/families regarding psychosocial aspects of aging and related issues.


• Participate in end-of-life care coordination and support.


• Conduct home visits, as necessary. Must have reliable transportation to travel to participants' homes within assigned territory is required.


• Be legally authorized to perform in position location, required. Only act within the scope of his or her authority to perform. An unlicensed Social Worker shall only provide those social work services for which no license is required under Business and Professions Code section 4996.


• Must be willing and have the ability to work a varied schedule that may include evening nights, weekends.


• Complete all required documentation in a timely and accurate manner.

Education/Training/Certifications:
• Master’s Degree in Social Work (MSW) required.
• Social Work Licensure preferred.

Skills and Experience:
• Minimum of one year of experience with a frail or elderly population.
• Excellent clinical, organizational, and communication skills in settings with frail, elderly participants, their families, and interdisciplinary team members.
• Experience coordinating and facilitating care conference meetings.
• Experience supporting individuals with behavioral health and substance abuse issues, preferred.
• Ability to facilitate problem-solving with challenging psychosocial and family situations.
• Highly motivated, self-directed, able to execute tasks in a quickly changing environment and make sound decisions in emergency situations.
• Excellent organizational and communication skills.
• Ability to work independently with minimal supervision.
• Demonstrated ability to prioritize in a fast-paced environment.
• Experience and competency working with people from diverse backgrounds and cultures.
• Commitment to unlocking the full potential of our most vulnerable seniors.

Medical Clearance:
Required that Team Members must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact. Additional screening may be required in order to protect participants and the community from communicable disease outbreaks (e.g., COVID-19).

Regulatory Requirement ongoing:
Must not be on any exclusion or debarment from participation in Federal Health Care Programs at any time and must remain in good standing with government regulators such as the OIG, (Office of the Inspector General), SAM,