The Regal North Social Worker is responsible for assessing and providing social work services to members and their families, and is capable of independent decision-making within their Scope of Practice and duties outlined in this job description.

A. Essential duties and responsibilities include the following:

1. Work with healthcare providers, case management, administrators, and other individuals involved in member care to promote appropriate social services and medical care coordination.

2. Provide psychosocial assessment of Regal North members through home-, community- and facility-based visits, as appropriate.

3. Consult upon requests and/or accept social work referrals from the regional medical directors, case management, pharmacy team or PCP offices, regarding social service resources or information.

4. Provide community resources related to food, housing/homeless prevention, limited financial resources, fall risk preventions, transportation, and utilities assistance.

5. Provide other resources, when appropriate, related to: family/social support; parenting/educational skills, domestic violence, elder care, caregiver resources, and respite.

6. Assist members and/or their families in introducing and/or transitioning to palliative or hospice care, when appropriate.

7. Assist members with advanced care planning, including providing education and discussion of end of life care options.

8. Collaborate with regional teams, medical management, case management, and other professionals to identify and mitigate social drivers of poor health outcomes and preventable acute care utilization.

9. Participate in the implementation of psychosocial and health management interventions for members, as appropriate and as outlined by department protocols.

10. Attend and contribute to Interdisciplinary Care Team meetings regarding care to/for specific member, including interpreting psychosocial implications of illness, as needed.

11. Assist with referrals to behavioral health services, including: individual therapy, family therapy, group therapy, anger management, behavior management, suicide prevention, and alcohol/substance abuse.

12. Function as liaison between administration, patients, physicians, and other healthcare providers, when appropriate, while interacting professionally and keeping parties informed.

13. Identify and respond to psychosocial, cultural, ethnic, and religious/spiritual needs of members and their families, ensuring to treat them with respect and dignity.

14. Protect privacy for both members and employees; ensuring all personal health information is kept confidential and in compliance with HIPAA regulations.

15. Appropriately document all pertinent information in the electronic medical documentation system.

16. Maintain accurate data tracking for program and departmental evaluation purposes.

17. Attend and participate in department meetings.

18. Pursue additional education (in-services, seminars, self-study, and formal education programs) to advance skills and knowledge.

19. Assist in educational endeavors of department.

20. Participate in orientation and/or instruction/training of new personnel.

21. Perform other duties as assigned.

Degree Requirements: Master’s Degree in Social Work

Education and/or Experience:

1. Master’s in Social Work (required)

2. Minimum 2 years of professional experience providing social work services

3. High level knowledge of Case Management processes and principles.

4. Knowledge of Medi-Cal, Medicare and Cal Medi-Connect covered services.

5. Knowledge of HMOs and managed care highly preferred.

6. Must have experience working with a diverse member population, primarily consisting of senior members.

7. Ability to work with all levels of management.

8. Excellent communication skills, both verbal and written.

9. Excellent organizational skills.

10. Working knowledge of MS Office environment.

11. Bilingual skills in any of the following languages preferred: Armenian, Russian, Cantonese, Mandarin, Farsi, Korean, Spanish, Vietnamese or Cambodian.

Other Requirements:

1. Required to travel for member appointments.

2. Current CA driver’s license and car insurance.