Transitional Care Social Services Coordinator

National Health Foundation; Culver City (CA); On-site; USD 30,000 - 43,000; Full time

Job summary

National Health Foundation in Glendale, CA seeks a Social Service Coordinator to deliver post-hospital care to guests experiencing homelessness transitioning from acute care. You will assess needs, develop care plans, and coordinate services with mental health, housing, and community partners.

The role requires at least a bachelor’s degree, 3 years of relevant experience, strong written and verbal communication, and the ability to manage a caseload of 25+ guests.

Qualifications

• Bachelor’s Degree required; Master’s in social work preferred.
• Minimum of three (3) years relevant experience in healthcare delivery, hospital education, social services, or similar field.
• Ability to effectively present information and respond to questions from directors, case managers and discharge planners in hospitals.
• Excellent communication skills both oral and written.
• Time management and strong organizational skills.
• Reliable transportation.
• Fingerprint live scan /background may be required.

Responsibilities

• Timely complete Needs Assessment and Care Plans. Complete referrals and coordinate services for mental health, housing, etc.
• Facilitate discharge process and locating housing for individuals. Complete discharge notes, communicating to our community partners. Conduct warm hands off for guest when appropriate.
• Maintain up-to-date CRM proprietary database daily and partner contacts. Complete Coordinated Entry System (CES) Documents and all other documents required to maintain compliance. Complete HMIS. Utilize bed board application to determine census capital for operational planning.
• Provide emergency service referrals (e.g., domestic violence, human trafficking & sexual assault) and warm handoff referrals when appropriate.
• Attend care coordination meetings. Collaborate with the nursing team to execute weekly case conferencing for guests.
• Practice harm reduction… while conducting guests searches for contrabands or illegal substances when applicable.
• Engage and conduct daily check-in with guests, build rapport and trust with our guests.
• Ability to adequately manage caseload of a minimum 25 guests with flexibility to manage more to meet the needs of the facility.
• Flexibility to complete home visits when necessary to track post-transition guest progress and/or Rapid Rehousing Housing (RRH) when applicable.
• Must adhere to administrative hours to complete all required documentation.
• Project a positive professional image and adhere to organizational dress code.
• Adhere to all funders and company’s standards procedures of operations, regulations, and best practices to meet compliance.
• Complete additional tasks/duties as assigned to meet the needs of the facility.

Skills

Communication

Time management

Organizational skills

Case management

Harm reduction

Interdisciplinary collaboration

Education

Bachelor’s Degree Required

Master’s in social work preferred

Tools

MS Word

MS Excel

Outlook

PowerPoint

Job description

National Health Foundation in Glendale, CA seeks a Social Service Coordinator to deliver post-hospital care to guests experiencing homelessness transitioning from acute care. You will assess needs, develop care plans, and coordinate services with mental health, housing, and community partners.

The role requires at least a bachelor’s degree, 3 years of relevant experience, strong written and verbal communication, and the ability to manage a caseload of 25+ guests.