Social Work Case Manager

Innovative Integrated Health; Fresno (CA); On-site; USD 27,552 - 34,440; Full time

Benefits offered by this job

401(k)

Dental insurance

Health insurance

Paid time off

Vision insurance

Job summary

Innovative Integrated Health is seeking a Social Work Case Manager in Fresno, CA. The role focuses on providing case management services for elderly participants to ensure their health and well-being at home.

The ideal candidate will have a Bachelor’s degree in social work or a related field, along with experience in community-based settings and knowledge of social service principles. This full-time position offers a supportive environment dedicated to quality care.

Qualifications

• One year of experience with frail or elderly population required.
• Experience in a community-based setting preferred.
• Knowledge of financing mechanisms such as Medicare and Medicaid.

Responsibilities

• Provide direct social work case management services to participants.
• Coordinate discharge planning for participants returning home.
• Maintain confidentiality of participant information.

Skills

Experience and knowledge of social service principles

Knowledge of psychosocial needs of the elderly

Effective oral and written communication skills

Ability to work in an interdisciplinary team

Computer skills

Education

Bachelor’s degree in social work or related field

CPR with First Aid certification

Job description

Job Details

Level: Experienced
Job Location: Fresno - Fresno, CA 93721
Position Type: Full Time
Salary Range: $20.00 - $25.00 Hourly
Job Shift: Day
Job Category: Professional Services

Who We Are

To empower our senior participants to age at home with dignity through personalized, comprehensive care plans that deliver high-quality health and human services along with strong community support.

Benefits

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid sick time
• Paid time off
• Referral program
• Retirement plan
• Vision insurance

Job Summary

The Social Work Case Manager is responsible for providing direct social work case management services to participants.

Essential Job Functions

• Follow social work directives from interdisciplinary team (IDT) and meet with family members and other community members/agencies as needed.
• Coordinate ongoing family meetings, as needed.
• Provide ongoing case management and advocacy as required.
• In conjunction with the interdisciplinary team, coordinate discharge planning for participants returning home from hospital or nursing facility.
• Maintain current, written case management records, including ongoing documentation of services provided, and participants expressed wishes.
• Act as liaison between the participant and other agencies such as Department of Aging, Social Security Administration, Medicaid, etc.
• Participate in participant-related meetings with external agencies and conferences in the community as needed.
• Assist with ongoing government program financial eligibility applications for participants, including recertification as needed.
• Identify housing resources for participants offered by the community/county. Assist participants with housing resources such as eligibility forms, applications, and navigating various housing options.
• Conduct home visits, as needed.
• Assist in connecting with hard-to-reach participants.
• Maintain confidentiality of participant information.
• Attend and participate in staff meetings, in‑services, projects, and committees as assigned.
• Adhere to and support the center’s practices, procedures, and policies including assigned break times and attendance.
• Accept assigned duties in a cooperative manner; and perform all other related duties as assigned.
• Be flexible in schedule of hours worked.
• May require use of personal vehicle.

Qualifications, Knowledge, Skills, and Abilities

• Interest in the risk‑based long-term care program to serve frail elderly in a community‑based setting.
• Experience and thorough knowledge of social service principles and practices.
• Knowledge of psychosocial, behavioral, and family needs of the elderly population.
• Knowledge of financing mechanisms such as Medicare, Medicaid, and Prospective Payment Systems.
• Knowledge of the local and social service delivery systems and aging network.
• Proven ability to work in an interdisciplinary team.
• Ability to work effectively and harmoniously with the staff, the elderly, and providers of services, public, and private agencies.
• Energetic, dependable, resourceful, and flexible.
• Effective oral and written communication skills.
• Computer skills required.

Working Conditions and Physical Demands

The working conditions and physical demands 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.

• Ability to access all areas of the center throughout the workday.
• Ability to lift up to 35 pounds occasionally, 15 pounds frequently, and 7 pounds constantly; required to obtain assistance of another qualified employee when attempting to lift or transfer objects over 25 pounds.
• Requires constant hand grasp and finger dexterity; frequent sitting, standing, walking, and repetitive leg and arm movements, occasional bending, reaching forward and overhead; squatting and kneeling.
• Ability to communicate verbally with an excellent comprehension of the English language.
• Work is generally performed in an indoor, well‑lighted, well‑ventilated, heated, and air‑conditioned environment.

Experience

• Preferred one (1) year of documented experience in working with a frail or elderly population required.
• Prefer experience in a community‑based setting or geriatric program.

Education and Certification

• Bachelor’s degree in social work or related field required.
• CPR with First Aid certification.
• Is medically cleared for communicable diseases and has all immunizations up‑to‑date before engaging in direct participant contact.

Core Values

• CARE is central to what we do, prioritizing the well-being, dignity, and independence of our senior participants.
• COMPASSION in every interaction, ensuring kindness, empathy, and understanding guide our care.
• CULTURE that reflects the diverse backgrounds of those we serve and fosters a workplace where every team member feels supported, valued, and empowered to grow.
• COMMUNITY that fosters connection, belonging, and support for participants and their families.
• COMMITMENT to quality improvement, innovation, and delivering healthier outcomes.

Equal Opportunity Employer

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.