PSS Social Worker

APLA Health; Long Beach (CA); On-site; USD 50,000 - 63,000; Full time

Job summary

APLA Health is seeking a PSS Social Worker to coordinate care for patients with psychosocial stressors affecting HIV care. The role focuses on engagement, case planning, and connection to housing, benefits, and support services, both in clinics and in the community.

You will document activities in EHRs, collaborate with medical and behavioral health teams, and ensure HIPAA compliance while delivering trauma-informed care to diverse populations in the Los Angeles area.

Qualifications

• Master’s Degree in Social Work from an accredited program.
• At least one year of care coordination or case management experience in clinical or community settings.
• Experience working with people living with HIV/AIDS preferred.

Responsibilities

• Navigate and link patients to APLA Health resources (Benefits, Housing, HIV+ support).
• Provide referrals, advocacy, and service information as needed.
• Use the Transtheoretical model to support engagement, treatment, and retention.

Skills

Interviewing

Crisis management

Data management

HIV/AIDS knowledge

Health education

Program evaluation

Outreach

Engagement

Spanish language

Education

Master's in Social Work

Tools

MS Office

eClinicalWorks

e2LA

Job description

PSS Social Worker# PSS Social WorkerHybrid • APLA Health Center Long Beach - Long Beach, CA 90813; APLA Health Center CDU MLK Medical Campus - Los Angeles, CA 90059## OverviewSalary Range$36.04 - $45.62 HourlyPosition TypeFull TimeJob ShiftDay: 8am - 5pmEducation LevelMA - Master's DegreeCategoryNonprofit - Social Services## Description**POSITION SUMMARY:**Under the direction of the Program Manager, PSS/MCC, the Patient Support Services (PSS) Social Worker will provide the appropriate level of coordinated health care services for patients of APLA Health & Wellness. This position will focus on especially on APLA Health patients that have difficulty staying engaged in primary and HIV medical care due to psychosocial stressors including homelessness, post-traumatic response and other mental health challenges, and/or complicated medical co-morbidities. The PSS Social Worker will connect and engage patients primarily in clinical settings or, as needed, in their homes or elsewhere in the community. Using a Trauma-Informed lens, the PSS Social Worker will outreach and engage patients, complete screenings, link to APLA Health resources that patients may be eligible for and, as necessary, provide on-going assessment, case planning, and direct case management. The PSS Social Worker will provide services through the Division of HIV and STD prevention.**ESSENTIAL DUTIES AND RESPONSIBILITIES:*** Help impacted patients navigate and link to APLA Health resources that they may be eligible for including, Benefits, Housing, and other HIV+ support services.* Provide referrals, advocacy, and service information to patients, as needed.* Use the Transtheoretical model of behavior change to support improved health outcomes for patients including treatment engagement and retention, medication adherence, risk reduction, and health provider communication.* Maintain ongoing contact with patients and monitor progress related to goals set in the intervention plan.* Coordinate and communicate among members of the patient’s care team including medical providers, mental health/addiction providers, allied health, community resources, and other team members. Participate in interdisciplinary case conferences for assigned case management patients.* Document services in eClinicalWorks, e2LA, and/or other charting and data collection systems as appropriate. Documentation will be performed in a timely and accurate fashion in accordance with program policies and professional standards of care.* Adhere to all applicable professional, legal, and ethical standards of behavioral health practice in the provision of services, including but not limited to: mandated reporting, provision of effective services, case documentation, patient confidentiality/HIPAA regulations, ensuring patient safety, and maintaining professional boundaries.* Attend trainings and case conference meetings as required.* Prepare monthly reports and statistics as requested.* Effectively communicate with clients/patients in English and Spanish as required per aforementioned job duties. OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.## Qualifications**REQUIREMENTS:**Training and Experience:* A Master’s Degree in Social Work, Counseling, Psychology, or related field from an accredited social work program.* At least one year of experience providing care coordination or case management in either a clinical or a community-based setting.* Specific training/experience working with people living with HIV/AIDS preferred.* Experience in working with culturally diverse communities with the ability to be culturally sensitive and appropriate.* Strong interpersonal skills and the ability to relate to individuals who may not share basic commonalities, including value systems and behavior norms.* Ability to provide service to individuals with diverse economic, social, racial, and cultural backgroundsKnowledge of:* Interviewing and crisis management techniques* Psychosocial and mental health factors affecting quality of life* Data management;* HIV/AIDS prevention, care and treatment, and substance use disorders* Health education principles and program evaluation.Ability to:* Identify and implement outreach and engagement strategies* Respond effectively to client crisis situations* Interview and assess needs of clients* Develop individual service plans aimed toward resolving client needs* Communicate effectively, both written and verbally* Work well under tight deadlines* Coordinate multiple tasks* Learn specific systems quickly and thoroughly* Communicate effectively with a diverse population;* Identify and update community resources;* Proofread, edit and format written materials;* Conduct group presentations, operate standard office equipment including Microsoft Office (Word, Excel, PowerPoint); and meet assigned deadlines.**WORKING CONDITIONS/PHYSICAL REQUIREMENTS:**This is both a clinic-based and field-based position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper. **SPECIAL REQUIREMENTS:**Must possess a valid California driver’s license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes. COVID vaccination and booster or medical/religious exemption.Equal Opportunity Employer.