Under general direction, the Licensed Social Worker is responsible for providing intervention services to assist members and their families in coping with complex social problems that accompany medical conditions or inhibit recovery in a manner that supports quality, cost effective care, and is consistent with department objectives and applicable regulations. Work is varied and moderately complex and requires a moderate degree of discretion and independent judgment.
WHAT YOU'LL DO:
- Conducts initial review for selected members; triages as
- Assesses psychosocial factors that may influence health or recovery for identified
- Develops social service care plans in partnership with member, his/her provider, and HPSJ
- Collaborates with member, his/her family, caregiver, and internal and external resources to ensure understanding of and compliance with care
- Provides and coordinates resource contacts, and/or referrals to appropriate professional or community
- Monitors and evaluates progress at appropriate intervals; conducts appropriate
- Assists RN case managers and concurrent review nurses with case management, discharge planning and other member transition needs.
- Assists CM & CCRN in assessing members for Mental Health/Behavioral needs and refers to appropriate resources to meet
- Performs community outreach for selected members as
- Supports and advises member on self-advocacy
- Documents activities in appropriate HPSJ system(s) according to standards; maintains records according to
- Tracks data as required; compiles data for, produces and submits routine
Required Skills
WHAT YOU'LL NEED:
- Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and meeting deadlines.
- Ability to apply clinical judgment to complex medical situations and make timely decisions.
- Strong psychosocial assessment
- Strong knowledge of prevention, treatment and rehabilitation techniques used in the identification and treatment of mental illness and emotional disorders.
- Strong knowledge of federal, state and local laws, rules and regulations associated with mental health treatment and education programs.
- In depth understanding of the treatment of mental illness, including wellness and recovery as well as strength-based approaches for individuals and their families.
- In depth knowledge of chronic and acute disease and how they impact health conditions and social
- Strong knowledge of and proficient skills in administering
- In-depth knowledge of community resources related to
- In-depth knowledge of medical policy benefits and
- Ability to read, interpret and apply complex written regulations, guidelines and other materials; ability to read and interpret basic clinical
- Strong analytical and assessment
- Strong problem-solving
- Basic negotiation
- Produces work that is accurate and
- Produces the appropriate amount of
- Actively learns through experimentation when tackling new problems, using both successes and failures to
- Rebounds from setbacks and adversity when facing difficult situations.
- Knows the most effective and efficient process to get things done, with a focus on continuous improvement.
- Interpersonal skills - interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people.
- Ability to use tact and diplomacy to diffuse emotional situations.
- Strong oral and written communication skills, with the ability to communicate professionally to diverse individuals inside and outside of HPSJ, effectively explain complex information and document according to standards.
- Strong customer service skills.
- Ability to work independently and as part of a team.
- Time management and organizational skills. Uses time effectively and efficiently. Values time. Concentrates his/her efforts on the more important priorities. Can attend to a broader range of activities. Meets deadlines
- Basic skills in Word and Excel.
- Ability to enter data into and navigate through multiple databases.
- Ability to speak and be understood in English.
- Ability to handle confidential information with appropriate discretion.
Preferred
- Proficient (as defined by HPSJ’s Cultural and Linguistics Program) in one of HPSJ’s threshold languages.
- Basic knowledge of the principles, practices and regulatory requirements of managed care.
- Knowledge of Medi-Cal or other government sponsored programs and regulations as they apply to social work.
Required Experience
What you'll need:
- Licensed Clinical Social Worker, Marriage and Family Therapist or Professional Clinical Counselor license; and
- At least three years as a social worker in a health care
Preferred
- Experience working with Medi-Cal and other government sponsored
- Experience working in a managed care
LICENSES, CERTIFICATIONS
Required
- Current Clinical Social Worker (LCSW)License, Marriage and Family Therapist (MFT) License, or Licensed Professional Clinical Counselor (LPCC) issued by the California State Board of Behavioral Science Examiners.
- Valid California driver license and reliable transportation, or the ability to obtain transportation on demand in the counties served by HPSJ if prohibited from getting a driver license due to a medically documented