BSW Social Worker / Case Manager

Access TLC; Orange (CA); Hybrid; USD 33,000 - 34,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Paid Time Off (PTO)

Retirement Plan

Bilingual Vietnamese/English bonus

Job summary

Access TLC is seeking a BSW Social Worker/Case Manager to support HCBA participants in accessing healthcare and long-term supports. The role requires strong communication, organization and documentation skills, and work with a multidisciplinary team to coordinate services in participants' community settings.

The position, though remote, includes regular field visits to participant homes and community locations.

Qualifications

• BSW or related degree (Social Work, Psychology, Counseling, Rehabilitation, Gerontology or Sociology)
• Strong organizational and time-management skills with attention to detail
• Experience in social services, case management, care coordination, healthcare, or related field preferred
• Proficiency with Microsoft Office and learning EHR/case management systems

Responsibilities

• Collaborate with nurses, staff and management to ensure DHCS compliance and HCBA program requirements
• Engage HCBA participants, families and providers to educate, support, advocate and coordinate resources
• Conduct psychosocial and needs-based assessments and identify barriers to health and independence
• Develop and update individualized goals and connect participants with community services
• Coordinate with healthcare and social service agencies to enable timely services
• Maintain case notes, assessments and documentation in MedCompass
• Monitor changes in participant needs and communicate concerns to the care team
• Complete APS referrals and other mandated reports when required

Skills

Communication

Case management

Time management

Documentation

Education

Bachelor's Degree in Social Work or related field

Tools

MedCompass

Microsoft Outlook

Microsoft Excel

Job description

Description

Job Type: Full-Time
Schedule: Monday-Friday, 8-hour shift
Pay: $24.00-$25.00 per hour, depending on experience

About Access TLC

Access TLC is a Home and Community-Based Alternatives (HCBA) Waiver Agency contracted with the Department of Health Care Services (DHCS). The HCBA Waiver Program provides comprehensive care management services to individuals at risk of nursing home or institutional placement.

Our multidisciplinary care management team, comprised of a Registered Nurse and Social Worker, coordinates Waiver and State Plan services, including medical care, home health, In-Home Supportive Services (IHSS), and other long-term supports. Services are provided in the participant's community-based residence, which may be privately owned, leased, or a family member's home.

Important Information for Applicants

This is a remote position; however, regular field visits are an essential part of the job. The BSW Social Worker/Case Manager will be required to travel to participant homes and community locations for in-person visits as part of their case management responsibilities. Field visits may vary in distance/radius depending on participant assignments and program needs. Applicants must be comfortable with local travel and working in the field when required.

This position does not provide clinical hours toward licensure. If you are seeking supervised clinical hours to meet licensing requirements, this position will not fulfill those requirements.

Position Summary

The BSW Social Worker/Case Manager works as part of a multidisciplinary care management team to support HCBA participants in accessing appropriate healthcare, social services, community resources, and long-term supports. The position requires strong communication, organization, documentation, and case management skills, as well as the ability to work independently while collaborating closely with Registered Nurses, participants, families, providers, and community agencies.

Key Duties and Responsibilities

• Collaborate with Registered Nurses, staff, and management to ensure compliance with DHCS rules, regulations, and HCBA program requirements.
• Work directly with HCBA participants, legal representatives, family members, support systems, and healthcare providers to provide education, support, advocacy, and resource coordination.
• Conduct psychosocial and needs-based assessments and identify barriers affecting the participant's health, safety, independence, and overall well-being.
• Develop individualized goals based on participant needs and assist participants in connecting with appropriate community and social service resources.
• Partner with the Registered Nurse to develop and implement a Plan of Treatment (POT) based on identified needs, concerns, and interventions.
• Coordinate with healthcare providers, social service agencies, home health providers, IHSS, and other community resources to facilitate timely and effective services.
• Conduct monthly case management calls to monitor the participant's health status, mood, social integration, functional abilities, living situation, and overall well-being.
• Maintain accurate and timely case notes, assessments, care coordination documentation, and utilization management entries in the MedCompass health management system.
• Monitor participant needs and changes in circumstances and communicate concerns to the appropriate members of the care team.
• Complete Adult Protective Services (APS) referrals and other mandated reports when required.
• Follow up on concerns involving abuse, neglect, exploitation, changes in condition, or safety risks.
• Advocate for participants' needs and assist with identifying resources that promote community living and prevent unnecessary institutionalization.
• Maintain confidentiality and comply with applicable privacy, documentation, and regulatory requirements.
• Perform other case management and administrative duties as assigned.

Required Qualifications

• Bachelor's Degree in Social Work (BSW), Psychology, Counseling, Rehabilitation, Gerontology or Sociology
• Strong understanding of social, emotional, and functional issues affecting older adults, individuals with disabilities, and individuals with complex medical needs.
• Previous experience in social services, case management, care coordination, healthcare, or a related field preferred.
• Strong organizational and time-management skills with the ability to prioritize multiple cases and responsibilities.
• Excellent attention to detail and documentation skills.
• Strong problem-solving and critical-thinking abilities.
• Excellent verbal and written communication skills.
• Ability to work independently and effectively as part of a multidisciplinary team.
• Proficiency with Microsoft Office, including Outlook and Excel.
• Ability to learn and effectively use electronic health records and case management systems.

Preferred Qualifications

• Experience working with individuals with complex medical conditions, disabilities, mental health or behavioral health needs, and/or substance use disorders.
• Experience with care coordination, case management, community-based services, or long-term care.
• Knowledge of community resources and social service programs.
• Experience working with older adults and/or individuals at risk of institutional placement.
• Bilingual Vietnamese/English strongly preferred.
• Ability to travel to participant homes and community locations as required.

Compensation & Benefits

• $24.00-$25.00 per hour, depending on experience
• Bilingual Vietnamese/English bonus available upon successful completion of the introductory period
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Paid Time Off (PTO)
• Retirement Plan