Temp Social Work Case Manager

Conduct, review and document comprehensive psychosocial assessments for assets and deficits and on-going follow-up interventions to measure progress towards meeting goals as they relate to a member's physical, psychosocial, environmental, safety, developmental, cultural and linguistic needs.

Maintain case files by ensuring that they are documented timely in accordance with SCFHP policies and procedures, state and federal requirements and organized in a manner that adheres to standards for audit requirements.

Facilitate involvement of the member and/or family/responsible party for development and implementation of a member specific care plan which includes individualized prioritized goals. Provide appropriate social work interventions to members and/or family/responsible party with related psychosocial process teaching and information.

Coordinate member's care with primary care providers, specialists, behavioral health providers, Long Term Services and Supports providers, public services, community providers, and vendors as necessary and appropriate to assist member to achieve and maintain optimal level of functional independence to reside in the most appropriate level of care.

Communicate and coordinate member's psychosocial and behavioral health needs with member's interdisciplinary care team including SCFHP internal staff, as well as the member's providers, specialists, public services, community agencies and vendors to ensure appropriate care plan development and successful coordination of benefits and services aligned with the member's preferences.

Assist member's interdisciplinary care team in understanding social and emotional factors related to health condition and potential barriers and coping mechanism to accessing care.

Provides guidance, education and referrals to help members seek solutions to specific social, cultural, or financial problems that impact their ability to manage their health care needs.

Conduct telephonic and in-person interview, baseline assessments, survey, assess self-care ability, assess knowledge and adherence, comprehensive clinical assessments as indicated, and developing member centric plan in the office, home, facilities, clinics, or community settings.

Collaborate with team members on cross-departmental improvement efforts, organizational and departmental objectives, quality improvement projects, optimization of utilization management, and improvement of member satisfaction.

Attend and actively participate in Health Services meetings, operational meetings, training and coaching sessions, including off-site meetings as needed.

Perform other duties as required or assigned.

Master s Degree in Social Work, or related field. (R)

Certified Case Manager (CCM). (D)

Active California registered Licensed Clinical Social Worker (LCSW) without restriction. (R)

Minimum three years of experience in social work, behavioral health, or case management, or education or certifications, or equivalent experience. (R)

Knowledge of social case management and conflict resolution. (R)

Knowledge of long-term services and supports, behavioral health and/or relevant public services and community resources. (R)

Ability to consistently meet accuracy and timeline requirements to maintain regulatory compliance. (R)

Spanish, Vietnamese, Chinese, or Tagalog language bi-lingual skills. (D)

Experience working with designated member population (e.g. behavioral health, seniors and persons with disabilities, children). (D)

Ability to work within an…