Care Transition & Housing Coordinator

ADP, Inc.; Ventura (CA); On-site; USD 68,880,000 - 82,656,000; Full time

Job summary

National Health Foundation in Ventura, CA is seeking a Social Services Coordinator to provide post-hospital care services for guests experiencing homelessness transitioning out of acute care. Reporting to the Social Services Manager, you will conduct needs assessments, coordinate referrals for mental health and housing, and support discharge planning.

The role is full-time, non-exempt with Tue-Sat 9:30 AM–6:00 PM shifts.

Qualifications

• Bachelor’s Degree required.
• Master’s degree in social work preferred.
• Minimum of three (3) years relevant experience in healthcare delivery, hospital education, social services, or similar field.
• Excellent communication skills both oral and written.
• Time management and strong organizational skills.
• Computer proficiency in MS Word, Excel, Outlook, PowerPoint, and proficient typing skills.

Responsibilities

• Complete Needs Assessments and Care Plans; coordinate referrals for mental health, housing, etc.
• Facilitate discharge process and locate housing; complete discharge notes and communicate with community partners.
• Maintain up-to-date CRM database and complete HMIS/ CES documents for compliance.
• Provide emergency service referrals and warm handoff referrals when appropriate.
• Attend care coordination meetings and collaborate with nursing team on weekly case conferencing.
• Engage guests daily, build rapport, and manage caseload with flexibility to meet facility needs.

Skills

Communication skills

Time management

Organizational skills

Interpersonal skills

Education

Bachelor’s Degree

Master’s degree in social work preferred

Tools

MS Word

Excel

Outlook

PowerPoint

Typing

Job description

National Health Foundation in Ventura, CA is seeking a Social Services Coordinator to provide post-hospital care services for guests experiencing homelessness transitioning out of acute care. Reporting to the Social Services Manager, you will conduct needs assessments, coordinate referrals for mental health and housing, and support discharge planning.

The role is full-time, non-exempt with Tue-Sat 9:30 AM–6:00 PM shifts.