Social Worker LCSW Home Visit Program

Job Number:1986

Position Title:Social Worker

External Description:

Alignment Healthcare was founded with a mission to revolutionize health carewitha serving heart culture. Through its unique integrated care delivery models deep physician partnerships and use of proprietary technologies Alignment is committed to transforming health care one person at a time.

By becoming a part of the Alignment Healthcare team you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fastgrowing company you will find ample room for growth and innovation alongside the Alignment community.

Position Summary:

In this role you will assess and evaluate members needs and requirements to achieve and/or maintain their health. You will guide members and their families toward and facilitate interaction with resources appropriate for their care and wellbeing. You will also work in collaboration with a multidisciplinary team employing a variety of strategies approaches and techniques to enable a member to manage their physical environmental and psychosocial health issues.

General Duties/Responsibilities:

(May include but are not limited to)

• Conduct telephonic and in person home visits to assigned members to assess health environment nutrition and psychosocial areas of concerns using a variety of assessments.
• In response to assessments coach and problem solve with member to identify and address specific goal(s) to support health and behavior change.
• Provide appropriate interventions to optimize health and wellbeing. Interventions may include education the coordination of community based support services and other resources.
• Collaborate with other members of the interdisciplinary team.
• Charts members treatments and progress in accordance with state regulations and department procedures.
• Makes referrals to case manager as appropriate and/or refers members family to community support services and resources.
• Provide home assessment to high risk members and develop an individual care plan.
• To better serve members and implement the model of care will understand the clinical program design program monitoring and reporting.
• Perform a full range of clinical social worker procedures in accordance with clinical privileges granted by the Plan and based in accordance with social work standards of practice.
• Practice as an interdependent member of the health team and provide important components of primary health care through direct social work services consultation collaboration referral teaching and advocacy.
• Provide direct and indirect services to both inpatients and outpatients in accordance with social work standards of practice.
• Assess and treat outpatients in individual and family modalities exercising mature professional judgment and using a wide range of social work skills to include individual and family counseling to assist patients and their families in dealing with chronic and acute diseases/injuries.
• Conduct psychosocial assessments to determine patient needs and resources (both family support and community support). Provide counseling to patient and family in matters directly related to patients limitation adjustment to medical condition and ongoing treatment. Develop and implement discharge plans followup care and transfers to other health care facilities (e.g. nursing homes rehabilitation hospitals etc.
• Plan and maintain referral and coordination services of services with other agencies to provide optimal patient care.
• Provide consultation services to medical nursing and ancillary hospital staff regarding psychosocial issues discharge plans and followup care for patients and families.
• Provide crisis intervention services.
• Respond independently and with various media to appropriate community requests. Take the initiative in seeking out opportunities to present programs to meet the needs of patients/members and their families.
• Consults with hospitals and plan in the coordination of care regarding the mental health of members. Develop and maintain working relationships with community resources. Coordinate with physicians and representatives of their service disciplines for the benefit of the member and their families. Take initiative in identifying and assessing the needs of the community and organize responses to address those needs.
• Act as a human services agent using clinical judgment and knowledge of area resources to provide information and referrals to patients and other care providers.
• Interface with the RN Case Manager(s) and the Interdisciplinary Team (IDT) in the development and implementation of the Case Management Program (CMP).
• Integrate social work case management and nurse case management as a team.

Supervisory Responsibilities:

• None

Minimum Requirements:

• To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Experience:

• 5 years of experience in care management assessment long term member/patient care management or communitybased resource delivery.
• Ability to interact effectively with multidisciplinary team members.
• Previous work with vulnerable adults or older adult population.
• Skill to understand current and potential needs of members to take appropriate action in order to support member in health and wellbeing changes.
• Skill in building trust in partnership with member/client/patient.
• Basic knowledge of complex care management and care management principles.
• Experience with motivational interviewingAbility to apply Motivational Interviewing and Appreciative Inquiry.

Education/Licensure:

• Masters Degree in Social Work (MSW) required.
• Valid unrestricted Social Worker license (LCSW) preferred.

Other:

• Work requires willingness to work a flexible schedule.
• Intermediate to advanced computer skills and experience with Microsoft Word and Excel.
• Ability to use a variety of electronic information applications/software programs.
• Demonstrated skill in problem solving.
• Ability to communicate clearly and professionally in both written and oral communication.

Work Environment:

• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job the employee is regularly required to talk or hear. The employee regularly is required to stand walk sit use hand to finger handle or feel objects tools or controls; and reach with hands and arms.
• The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

City:San Jose

State:California

Location City:San Jose

Schedule:Full Time

Location State:California

Community / Marketing Title:Social Worker / LCSW (Home Visit Program)

Company Profile:

Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models deep physician partnerships and use of proprietary technologies Alignment is committed to transforming health care one person at a time.

By becoming a part of the Alignment Healthcare team you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fastgrowing company you will find ample room for growth and innovation alongside the Alignment community.

EEO Employer Verbiage:

On August 17 2021 Alignment implemented a policy requiring all new hires to receive the COVID19 vaccine. Proof of vaccination will be required as a condition of employment subject to applicable laws concerning exemptions/accommodations. This policy is part of Alignments ongoing efforts to ensure the safety and wellbeing of our staff and community and to support public health efforts. Alignment Healthcare LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran. If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application interviewing completing any preemployment testing or otherwise participating in the employee selection process please contact