Social Worker WSW

TEEMA; San Francisco (CA); On-site; USD 75,000 - 100,000; Full time

Job summary

TEEMA is seeking a compassionate Social Worker in California to provide comprehensive case management for a panel of patients, with supervision from leadership and coordination with care teams.

You will conduct psychosocial assessments, develop individualized care plans, and deliver counseling to support independence and quality of life, while collaborating with families and community resources.

Qualifications

• Master’s degree in Social Work (MSW) from an accredited institution required.
• Bachelor’s degree in Social Work may be considered with relevant experience and language proficiency.
• Minimum of one (1) 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.
• Skilled in collaborative teamwork and interdisciplinary care coordination.
• Strong interpersonal skills with the ability to build trust and rapport with patients, caregivers, and colleagues.
• Highly organized with the ability to prioritize, manage multiple tasks, and follow up thoroughly.
• Excellent verbal and written communication skills.
• Proficient in Microsoft Office and comfortable using electronic documentation systems.
• Bilingual ability may be required for specific assignments.
• Strong foundation in clinical practices and case management principles.

Responsibilities

• Provide psychosocial assessments and care coordination for a panel of patients.
• Deliver individual counseling to patients as needed.
• Collaborate with caregivers and support systems to implement care plans.
• Identify psychosocial risks and advocate for patient needs.
• Coordinate and follow up with community resources and external partners.
• Participate in family conferences and patient/caregiver support groups.
• Engage with the community to access services supporting well-being.
• Discharge planning and coordination for transitions out of the program.
• Adhere to ethical and legal standards of social work practice.
• Complete documentation promptly and accurately.
• Participate in team meetings and contribute to collaborative care planning.

Skills

Case management

Psychosocial assessments

Counseling

Care coordination

Communication

Team collaboration

Documentation

Ethics & confidentiality

Bilingual ability

Education

MSW

BA in Social Work (if relevant experience)

Tools

Microsoft Office

Electronic documentation systems

Job description

Overview:

The Social Worker provides compassionate and comprehensive case management services to patients, empowering them and their families to maintain independence and enhance quality of life. Working under the supervision of the Regional Social Work Manager, with guidance from the Center Director and support from the Social Work Lead, this role is an essential part of the team. The Social Worker delivers psychosocial assessments, care coordination, counseling, and referrals to community resources—ensuring patients receive the individualized support they need to thrive. This is an excellent opportunity for a motivated, empathetic, and organized professional who values teamwork, meaningful connections, and making a direct impact on people’s lives.

What you will be doing:

Clinical Practice & Case Management

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.

What you must have:

Master’s degree in Social Work (MSW) from an accredited institution required.

Bachelor’s degree in Social Work may be considered with relevant experience and language proficiency.

Minimum of one (1) 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.

Skilled in collaborative teamwork and interdisciplinary care coordination.

Strong interpersonal skills with the ability to build trust and rapport with patients, caregivers, and colleagues.

Highly organized with the ability to prioritize, manage multiple tasks, and follow up thoroughly.

Excellent verbal and written communication skills.

Proficient in Microsoft Office and comfortable using electronic documentation systems.

Bilingual ability may be required for specific assignments.

Strong foundation in clinical practices and case management principles.