Social Worker I

Catholic Charities•San Francisco, CA

7d•$33 - $34•Onsite

About The Position

The Aging Case Management program in San Francisco assists individuals with transitioning home from the hospital, provide on-going support for someone experiencing an age-related decline in health that needs it, provides connections to community resources and services, such as home delivered meals, patient advocacy, transportation connection, psychological and emotional support and more. Our program is recognized as a not-for-profit, full-service program providing much needed services and empowerment to the aging and impaired adult population to prevent premature facility placement. Primary Responsibility: Under the supervision of the Program Director, the social worker is responsible for carrying a caseload of 35-40, completing comprehensive screenings and assessments and creating client care plans that assist individuals with connecting to community resources and services and document information within 24-48 hours. With the support from the supervisor, the social worker will review cases to ensure best practices and quality of care is implemented and utilized. Conducts and writes comprehensive assessments and on-going re-assessments of assigned clients, including psychosocial, physical and mental health, environmental, and spiritual needs. Creates and initiates a client-centered care plan, provides counseling, monitoring and care plan changes as necessary as outlined in the Case Management Accredited Policy and Procedure Manual. Identifies, arranges for, and monitors appropriate community connections and services, based on knowledge of Medicare, Medi-Cal and other entitlement programs. Establishes and maintains a professional care management relationship with clients and significant others with respect, dignity and support. Provides crisis intervention, advocacy, problem solving and therapeutic interventions. Meets with clients at least quarterly or more as needed. Calls clients monthly for follow-up and check-ins. Reviews and modifies client Care Plan on an ongoing basis. Progress notes include the care activity and discussion with clients; referring to the identified goal in the care plan is completed within 24-48 hours, adding new goals to the service plan as needed. Maintains required paperwork and follows a clear, concise and consistent system of charting to allow for continuity of care. Educates clients and significant others about resources and, when possible, trains them to advocate for themselves in time of need. Establishes and manages open and effective communication with community providers, including physicians and other health care and social service workers. Provides appropriate information on all significant aspects of the individual client care and program operations while maintaining confidentiality. Collaborate with the team, continuously evaluating clients’ ability to remain living safely at home or coordinating placement options as appropriate. In collaboration with the client, caregiver and involved services, case manager discharges clients from services when appropriate and documents the process as required. Maintains accurate, current, and complete client files and completes all required data collection forms and reports. Maintains appropriate records for monthly reports. Data entry into Catholic Charities -CARES Data Systems and completion of monthly reports. Participate in staff meetings, client peer reviews, in services and other training courses as required. Participates in research studies and promotes ongoing efforts towards Continuous Quality Improvement. Actively participates in team and program meetings, activities, and problem-solving endeavors; contributes to open lines of communication within the team. Utilizes supervision appropriately, maintaining open lines of communication and providing updates on caseload activity. Implements the ethical standards of the National Association of Social Workers in all aspects of interactions with others. Implements regulatory and procedural requirements of Catholic Charities policies and procedures. Attend continuing education classes and/or in-service training to increase knowledge, skills and attitudes related to case management, gerontology, family, community systems and other relevant areas. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.

Requirements

Master’s degree in social work or in another related field required, and at least 3 years of relevant experience related to the job description.
Minimum two years of experience providing client case management services with the aging population and/or in service programs.
Exceptional communication and presentation skills relating to the frail elderly, functionally impaired adults, their support systems and teams of health professionals.
Demonstrates case management skills and experience in the community health care delivery system.
Detail oriented with good problem-solving skills and the ability to prioritize multiple tasks.
Knowledge of community resources.
Desire to work with and sensitivity to the aging population and diverse cultures.
Computer literacy (Required).
Ability to perform duties with minimal supervision.
Ability to communicate clearly in both verbal and written forms.
Desire to promote a positive, professional and organizational image in the community.
Sensitivity to seniors and their needs.
Sensitivity in handling complex/confidential information.
Ability to work under pressure.
Ability to work as a member of a team.
Certified in Red Cross, First Aid and CPR required. Ability to be obtained within 30 days of hire.
Demonstrates the necessary attitudes, knowledge and skills to deliver culturally competent services and work effectively in cross-cultural situations.
Fingerprinting Clearance: Required
TB Screening - Negative Tuberculosis Test: Required
First Aid Certificate: Required

Nice To Haves

Bi-lingual in Mandarin/Cantonese, Tagalog, Spanish, or other language capacity (Highly Desirable)

Responsibilities

Under the supervision of the Program Director, the social worker is responsible for carrying a caseload of 35-40, completing comprehensive screenings and assessments and creating client care plans that assist individuals with connecting to community resources and services and document information within 24-48 hours.
Conducts and writes comprehensive assessments and on-going re-assessments of assigned clients, including psychosocial, physical and mental health, environmental, and spiritual needs.
Creates and initiates a client-centered care plan, provides counseling, monitoring and care plan changes as necessary as outlined in the Case Management Accredited Policy and Procedure Manual.
Identifies, arranges for, and monitors appropriate community connections and services, based on knowledge of Medicare, Medi-Cal and other entitlement programs.
Establishes and maintains a professional care management relationship with clients and significant others with respect, dignity and support.
Provides crisis intervention, advocacy, problem solving and therapeutic interventions.
Meets with clients at least quarterly or more as needed.
Calls clients monthly for follow-up and check-ins.
Reviews and modifies client Care Plan on an ongoing basis.
Progress notes include the care activity and discussion with clients; referring to the identified goal in the care plan is completed within 24-48 hours, adding new goals to the service plan as needed.
Maintains required paperwork and follows a clear, concise and consistent system of charting to allow for continuity of care.
Educates clients and significant others about resources and, when possible, trains them to advocate for themselves in time of need.
Establishes and manages open and effective communication with community providers, including physicians and other health care and social service workers.
Provides appropriate information on all significant aspects of the individual client care and program operations while maintaining confidentiality.
Collaborate with the team, continuously evaluating clients’ ability to remain living safely at home or coordinating placement options as appropriate.
In collaboration with the client, caregiver and involved services, case manager discharges clients from services when appropriate and documents the process as required.
Maintains accurate, current, and complete client files and completes all required data collection forms and reports.
Maintains appropriate records for monthly reports.
Data entry into Catholic Charities -CARES Data Systems and completion of monthly reports.
Participate in staff meetings, client peer reviews, in services and other training courses as required.
Participates in research studies and promotes ongoing efforts towards Continuous Quality Improvement.
Actively participates in team and program meetings, activities, and problem-solving endeavors; contributes to open lines of communication within the team.
Utilizes supervision appropriately, maintaining open lines of communication and providing updates on caseload activity.
Implements the ethical standards of the National Association of Social Workers in all aspects of interactions with others.
Implements regulatory and procedural requirements of Catholic Charities policies and procedures.
Attend continuing education classes and/or in-service training to increase knowledge, skills and attitudes related to case management, gerontology, family, community systems and other relevant areas.