SLH Care Management Social Worker

Join to apply for the SLH Care Management Social Worker role at Alameda Health System . Overview Restores patients to optimum health and social adjustment, while facilitating a positive impact on the hospital transition of care. Informs the healthcare team of the patient’s social, emotional, environmental, and financial needs and resources that may influence their treatment options and discharge plan; assists case manager nurses with complex social situations and discharge planning. Responsibilities Collaborate with the Care Transition team and Health Advocates for high-risk patients to ensure timely follow-up appointments and confirm that complex patients are linked to community services prior to discharge. Co‑ordinate patient care activities with other healthcare team members, the patient, the patient’s representatives, and community partners, making referrals as appropriate. Effectively intervene in suspected abuse/neglect cases and in complex or high‑risk situations, identifying and intervening with high‑risk behaviors and responding to traumas. Identify and mobilize patient and family strengths to optimize healthcare and community resources; guide/assist in securing needed post‑discharge services, negotiating for coverage when necessary. Identify potential problems, prevent or resolve variances to the care management plan, and coordinate family and community resources to support the discharge plan. Intervene with patients and representatives regarding emotional, behavioral, and financial barriers to current illness or disability. Lead patient‑centered conferences to meet the needs and desires of patients. Maintain patient records, including assessments, plans, interventions, patient/family involvement, outside agency communications, and interdisciplinary contacts. Participate in discharge planning activities; identify and intervene with high‑risk psychosocial issues, coordinate referrals for post‑discharge services, and mobilize resources to achieve targeted discharge times. Perform psychosocial assessment interviews, record assessments, reassess when changes occur, and revise care plans. Provide rapid assessments and develop crisis management plans for referral, evaluation, and admission. Advocate for patients, initiating processes for capacity determinations, grief counseling, and conservatorship/guardianship; lead in adoption/surrogacy cases. Refer and assist patients/families in applying for financial programs (CCS, SDI, SSI, SSD, private pensions) and legal instruments as needed. Screen for barriers to care such as substance abuse, neglect, financial limitations, or housing. Provide resources and counseling related to palliative care or end‑of‑life planning. Qualifications Master’s degree in Social Work or Welfare issued by a school accredited by the Council of Social Work Education. Two years of Social Work or Case Management experience in an acute setting or protective services. Active certification in Case Management (ACM or CCMC) and a current, valid license as a Clinical Social Worker issued by the State of California Board of Behavioral Science Examiners. Bilingual preferred. Pay Range $53.13 per hour The pay range for this position reflects the base pay scale for the role at Alameda Health System. Final compensation will be determined based on several factors, including but not limited to a candidate’s experience, education, skills, licensure, and certifications, departmental equity, applicable collective bargaining agreements, and operational needs of the organization. Alameda Health System also offers eligible positions a generous comprehensive benefits program. Seniority Level Entry level Employment Type Full-time Job Function Other Industries Hospitals and Health Care #J-18808-Ljbffr Alameda Health System