MSW Social Worker: Elder Care Case Manager

TEEMA; San Francisco (CA); On-site; USD 65,000 - 85,000; Full time

Job summary

TEEMA in San Francisco is seeking a dedicated Social Work Case Manager to provide comprehensive psychosocial assessments, develop individualized care plans, and coordinate services with caregivers and community partners. You will advocate for patients, conduct discharge planning, lead family conferences, and ensure timely documentation while maintaining confidentiality and ethical standards.

This role requires an MSW, California licensure, at least one year serving frail or elderly populations,

Qualifications

• MSW from an accredited institution required.
• Bachelor's in Social Work may be considered with relevant experience and language proficiency.
• Minimum of one year of experience working with frail or elderly populations.
• Valid Social Worker license in the state of California (MSW - Medical Social Worker).
• Experience and ability to work effectively with diverse populations.
• Strong interpersonal skills with the ability to build trust and rapport with patients, caregivers, and colleagues.

Responsibilities

• Exercise independent judgment to provide case management services for a panel of patients.
• Conduct comprehensive initial and routine psychosocial assessments to develop, implement, and update individualized care plans.
• Collaborate with caregivers and support systems to establish and deliver coordinated care plans.
• Identify psychosocial risks, challenges, and service needs; advocate, refer, coordinate, and follow up on patient support in a timely manner.
• Provide individual counseling to patients as needed.
• Facilitate family conferences and patient/caregiver support groups.
• Engage with the community to identify and access services that support patient well-being.
• Conduct discharge planning and coordination when a patient transitions out of the program.
• Participate in special events such as caregiver workshops and educational sessions.
• May review and verify assessments completed by other social work staff.
• Serve as a primary liaison between patients, caregivers, the team, and community partners.
• Collaborate with external agencies such as healthcare plans, community-based organizations, and care facilities.
• Adhere to ethical and legal standards of social work practice.
• Comply with all organizational policies and procedures, including safety and confidentiality regulations.
• Complete all documentation promptly and accurately.
• Actively participate in team meetings, advocate for patient and caregiver needs, and contribute to collaborative care planning.
• Support continuous improvement efforts to enhance service quality and operational efficiency.
• Deliver 5-star service guided by compassion, respect, and professionalism.
• Perform other related duties as assigned.

Skills

Interpersonal skills

Team collaboration

Documentation skills

Bilingual ability (optional)

Education

Master's degree in Social Work (MSW)

Bachelor's degree in Social Work

Tools

Microsoft Office

Electronic health record (EHR) systems

Job description

TEEMA in San Francisco is seeking a dedicated Social Work Case Manager to provide comprehensive psychosocial assessments, develop individualized care plans, and coordinate services with caregivers and community partners. You will advocate for patients, conduct discharge planning, lead family conferences, and ensure timely documentation while maintaining confidentiality and ethical standards.

This role requires an MSW, California licensure, at least one year serving frail or elderly populations,