Social Worker (Care Manager)
Job Description
Department(s): Multipurpose Senior Services Program (MSSP)
Reports to: Supervisor MSSP
FLSA status: Non-Exempt
Salary Grade: J – $65,000 – $106,106
Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is on Thursday, October 19, 2023 at 11:59 PM. Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date.
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!
About the Position
This Social Worker (Care Manager) will assess prospective members for the various programs available. The incumbent will be responsible for developing, implementing, monitoring, modifying and documenting care plans. The incumbent will accept referrals for case management and will make recommendations for the appropriate level of care and measures needed to successfully manage care.
Duties & Responsibilities:
• Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
• Collaborates with an interdisciplinary team to identify and work toward timely resolution of issues related to psychosocial needs, including assistance with financial issues, transportation and community support services.
• Assists in the coordination of the member’s identified psychosocial needs, utilizing community resources and support when appropriate.
• Works with external utilization management personnel and the community in identifying members who could benefit from case management services and to actualize service plans.
• Provides social work consultation and education to members and their families and acts as an advocate as needed.
• Develops and maintains a network of current community resources and services where members can be referred for assistance.
• Analyzes assessments to identify individual needs and resources that are most appropriate to meet the member’s needs.
• Monitors all services provided to members and ensures necessary and available resources are being utilized.
• Evaluates and anticipates members’ needs, provides support, and maintains a role as the members’ liaison while forecasting independence and decision-making on their part.
• Provides referrals based on the members’ assessed needs.
• Partners and communicates with the members, family members, significant other(s), physicians and other health care providers to accomplish goals identified on the care plan.
• Participates in proactive identification of members appropriate care management.
• Initiates appropriate follow-up care and develops individual care management service/care plans incorporating assessment, education, resource planning and coordination of services of those patients accepted for case management.
• Accepts referrals for case management and serves as CalOptima Health’s liaison to community agencies, organizations and State of California personnel.
• Maintains documentation of case management plans/interventions and statistics required to demonstrate the impact of case management or quality, cost effective care.
• Initiates case conferences as needed.
• Completes other projects and duties as assigned.
Experience & Education:
• 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.
• An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.
• Valid driver’s license and vehicle or other approved means of transportation, an acceptable driving record and current auto insurance will be 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).
Physical Demands and Work Environment:
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Physical demands: While performing duties of job, employee is required to move about the organization and to and from the office. Must be able to reach with hands and arms and must be able to lift and carry up to 25 pounds to transport laptop and other material. Employee must be able to communicate, particularly for regular phone use and face-to-face interaction. Employee must have means of transportation to and from multiple locations during a workday.
• Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures. Off-site visit environment is equivalent to a client’s home.
About our Benefits & Wellness options:
At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options.
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 employment 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 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.
Job Location: Orange, California
Position Type:
To apply, visit https://apptrkr.com/4789476
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