Medical Social Worker jobs at Central Vermont Home Health & Hospice

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Alignment Health is seeking a social worker to join the Care Anywhere team to conduct home visits in the Sacramento, Placer, and Yolo county areas (4 home visits per day with mileage reimbursement.) The Social Worker assess' and evaluates members' needs and requirements to achieve and/or maintain their health. Guides members and their families toward and facilitate interaction with resources appropriate for their care and well-being. Works in collaboration with a multi-disciplinary teams, employing a variety of strategies, approaches and techniques to enable a member to manage their physical, environmental and psycho-social health issues. Schedule: Monday - Friday, 8:00 AM - 5:00 PM GENERAL DUTIES/RESPONSIBILITIES 1. Conducts telephonic outreach to assigned members to assess health, environment, nutrition, and psycho-social areas of concerns using a variety of assessments. a. In response to assessments, coaches and problem solves with member to identify and address specific goal(s) to support health and behavior change. b. Provides appropriate interventions to optimize health and well-being. Interventions may include education, the coordination of community-based support services, and other resources. c. Charts member's treatments and progress in accordance with state regulations and department procedures. d. Makes referrals to case manager, as appropriate, and/or refers member's family to community support services and resources. 2. Provides home assessment to high-risk members and develop an individual care plan 3. Collaborates with physicians in screening and evaluating members for psychotropic medications. 4. To better serve members and implement the model of care, understands the clinical program design, program monitoring and reporting. 5. Practices as an interdependent member of the health team and provides important components of primary health care through direct social work services, consultation, collaboration, referral, teaching, and advocacy. 6. Assess' and treats 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. 7. Conducts psychosocial assessments to determine patient needs and resources (both family support and community support). Provides counseling to patient and family in matters directly related to patients' limitation, adjustment to medical condition, and ongoing treatment. Develops and implements discharge plans, follow-up care, and transfers to other health care facilities (e.g., nursing homes, rehabilitation hospitals, etc.) 8. Provides consultation services to medical, nursing, and ancillary hospital staff regarding psychosocial issues, discharge plans, and follow-up care for patients and families. 9. Provides crisis intervention services. 10. Responds 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. 11. Consults with Hospital administration, and Plan supplying information and feedback regarding procedures and services provided by the Psychology Division. 12. Develops and maintains 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. 13. Interfaces with the RN Case Manager(s) and the Interdisciplinary Team (IDT) in the development and implementation of the Case Management Program (CMP). 14. Integrates social work case management and nurse case management as a team. Job Requirements: Experience: • Required: Minimum 5 years of experience in care management, assessment, long term member/patient care management or community based resource delivery. 2 year experience with vulnerable adults or older adult population. 1 year experience with motivational interviewing-Ability to apply Motivational Interviewing and Appreciative Inquiry. Education: • Required: Master's Degree in Social Work (MSW) Training: • Preferred: Crisis intervention training Specialized Skills: • Required: Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Intermediate to advanced computer skills and experience with Microsoft Word and Excel. Skill to understand current and potential needs of members to take appropriate action in order to support member in health and well-being changes. Skill in building trust in partnership with member/client/patient. Basic knowledge of complex care management and care management principles. Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution. Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. Report Analysis Skills: Comprehend and analyze statistical reports. Licensure: Required: Current, valid, unrestricted California Driver's License and reliable transportation. Preferred: Valid unrestricted Social Worker license (LCSW) 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. 1 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. 2 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. Pay Range: $77,905.00 - $116,858.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.

Under the leadership of the department director of Behavioral Health Services and the assistant director of Garden Pavilion, the social worker is responsible for completing psychosocial assessments and participating in ongoing treatment planning for patients on the acute psychiatric inpatient unit. The social worker is a member of the multi-disciplinary treatment team responsible for planning and implementing a program of group and individual treatment modalities including discharge. Must demonstrate critical thinking, problem solving, decision-making ability and ability to work both independently and as part of a multi-disciplinary team. Experience Experience in an acute care hospital or inpatient psychiatric unit and knowledge of community resources are preferred. Education Master's degree in social work required. Must pass orientation and initial competency assessment and pass all annual competencies. Licensure/Certifications Current license to practice in the State of California LCSW, MSW or actively obtaining hours towards LCSW preferred. Current BLS certification from the American Heart Association (AHA). **Licensed Clinical Social Workers (LCSW) are provided a pay range of $49.77 to $66.56 Assigned Work Hours: varied shifts Monday to Friday Position Type: Temporary Pay Range (based on years of applicable experience): $47.40 to $63.39 The hours employees work determine when a shift differential is paid. Hourly Evening Shift Differential: $3.39Hourly Night Shift Differential: $5.09

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Alignment health is seeking a bilingual Spanish social worker (Masters of Social Work required) to join the interdisciplinary Care Anywhere team in West / Downtown Los Angeles, California. The Social Worker assess' and evaluates members' needs and requirements to achieve and/or maintain their health. Guides members and their families toward and facilitate interaction with resources appropriate for their care and well-being. Works in collaboration with a multi-disciplinary teams, employing a variety of strategies, approaches and techniques to enable a member to manage their physical, environmental and psycho-social health issues. Schedule: - Monday - Friday, 8:00 AM - 5:00 PM Pacific Time (Required) - (4) Home visits per day (mileage reimbursement provided.) GENERAL DUTIES/RESPONSIBILITIES 1. Conducts telephonic outreach to assigned members to assess health, environment, nutrition, and psycho-social areas of concerns using a variety of assessments. a. In response to assessments, coaches and problem solves with member to identify and address specific goal(s) to support health and behavior change. b. Provides appropriate interventions to optimize health and well-being. Interventions may include education, the coordination of community-based support services, and other resources. c. Charts member's treatments and progress in accordance with state regulations and department procedures. d. Makes referrals to case manager, as appropriate, and/or refers member's family to community support services and resources. 2. Provides home assessment to high-risk members and develop an individual care plan 3. Collaborates with physicians in screening and evaluating members for psychotropic medications. 4. To better serve members and implement the model of care, understands the clinical program design, program monitoring and reporting. 5. Practices as an interdependent member of the health team and provides important components of primary health care through direct social work services, consultation, collaboration, referral, teaching, and advocacy. 6. Assess' and treats 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. 7. Conducts psychosocial assessments to determine patient needs and resources (both family support and community support). Provides counseling to patient and family in matters directly related to patients' limitation, adjustment to medical condition, and ongoing treatment. Develops and implements discharge plans, follow-up care, and transfers to other health care facilities (e.g., nursing homes, rehabilitation hospitals, etc.) 8. Provides consultation services to medical, nursing, and ancillary hospital staff regarding psychosocial issues, discharge plans, and follow-up care for patients and families. 9. Provides crisis intervention services. 10. Responds 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. 11. Consults with Hospital administration, and Plan supplying information and feedback regarding procedures and services provided by the Psychology Division. 12. Develops and maintains 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. 13. Interfaces with the RN Case Manager(s) and the Interdisciplinary Team (IDT) in the development and implementation of the Case Management Program (CMP). 14. Integrates social work case management and nurse case management as a team. Job Requirements: Experience: • Required: Minimum 5 years of experience in care management, assessment, long term member/patient care management or community based resource delivery. 2 year experience with vulnerable adults or older adult population. 1 year experience with motivational interviewing-Ability to apply Motivational Interviewing and Appreciative Inquiry. Education: • Required: Master's Degree in Social Work (MSW) Training: • Preferred: Crisis intervention training Specialized Skills: • Required: Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Intermediate to advanced computer skills and experience with Microsoft Word and Excel. Skill to understand current and potential needs of members to take appropriate action in order to support member in health and well-being changes. Skill in building trust in partnership with member/client/patient. Basic knowledge of complex care management and care management principles. Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution. Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. Report Analysis Skills: Comprehend and analyze statistical reports. Licensure: Required: Current, valid, unrestricted California Driver's License and reliable transportation. Preferred: Valid unrestricted Social Worker license (LCSW) 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. 1 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. 2 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. Pay Range: $77,905.00 - $116,858.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Remote CA-Based Candidates Only Full-Time Regular Employee MSW Required Spanish or Vietnamese Bilingual Preferred Make a Difference. Advocate for Health. Empower Lives. Are you a compassionate, licensed Social Worker ready to make a meaningful impact on vulnerable populations? Join Alignment Health as a Bilingual Social Worker, Case Management - SNP, and help improve the lives of seniors and individuals with complex health conditions. This is your opportunity to work at the intersection of healthcare, mental wellness, and social advocacy-all from a remote setting. What You'll DoAs a core member of our interdisciplinary team, you'll: Conduct virtual, telephonic, and in-home assessments to evaluate members' physical, mental, and social needs Create individualized care plans that address social determinants of health, barriers to care, and wellness goals Provide supportive counseling, care navigation, and referrals to community, and behavioral health resources Coordinate Medicaid benefits for members Promote Advance Care Planning and end-of-life care discussions Document all interventions with timeliness and accuracy Partner closely with RN Case Managers and the full Interdisciplinary Care Team (ICT) Act as a liaison between members, families, providers, and community agencies Support members during major transitions, including hospital discharges, home health referrals, and hospice What You Bring Master's Degree in Social Work (MSW) from an accredited program (required) 2+ years of relevant experience (e.g., Medical Social Work, Hospice, Home Health, Care Management) Experience working with Medicare or vulnerable populations Knowledge of community resources, behavioral health systems, and long-term care Proficiency in motivational interviewing and holistic approach Excellent communication, documentation, and problem-solving skills Bilingual in Spanish or Vietnamese strongly preferred Other Requirements Must be willing and able to travel for field visits (mileage reimbursed) Comfortable with Microsoft Office Willing to obtain additional state licensure Why You'll Love Working at Alignment HealthAt Alignment Health, we're reimagining how care is delivered to those who need it most. Our care model centers around connection, compassion, and coordination. As part of our team, you'll enjoy: A remote role with the ability to engage directly in the community A collaborative and inclusive culture where your voice matters The opportunity to change lives through whole-person care Ready to Join Us?Apply today to become part of a team that values your clinical expertise, compassion, and drive to serve.Apply Now: *********************************** Careers | Alignment HealthAt Alignment Health, we are redefining senior health care with a commitment to compassion, innovation, and accessibility-anywhere, anytime. Join us in shaping the future of care! Work Environment: The work environment characteristics described here are representative of those 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. If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact ****************** Pay Range: $70,823.00 - $106,234.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.

Compensation Salary Range: $39.40 - $45.00 / hour The pay range above represents the lowest possible rate for the position and the highest possible rate. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. If you are viewing this posting on a job site, please visit our company page and search for the opportunity to view the pay range: ************************************ Responsibilities Position Overview: Community Memorial Healthcare is hiring full-time master level behavioral health staff with excellent communication skills, clinical acumen, and passion for working with youth and their families. These positions play a key role in addressing behavioral health needs in primary care settings, improving access to services for children and their caregivers, and reducing health disparities among pediatric and vulnerable populations. The Pediatric Behavioral Health Interventionist (BHI) supports the implementation and coordination of the Collaborative Care for Youth Innovation grant. This position operates within a Collaborative Care Model (CoCM) and Primary Care Behavioral Model (PCBH), integrating behavioral health into pediatric and young adult primary care settings. The staff provides screening, assessment, brief intervention, care coordination, and referral for patients with behavioral, developmental, or psychosocial needs. The role emphasizes early identification, family-centered support, and seamless transitions to appropriate care across child, adolescent, and young adult populations (ages 0-26 years). The BHI staff is a core member of the collaborative care team. As a member of this team, you will work closely with primary care providers (PCPs), medical staff, psychiatric Interventionists, and other behavioral health professionals at Community Memorial Health to deliver comprehensive care that integrates mental and physical health. This position is based in Community Memorial Healthcare's outpatient primary care clinics and does not include hospital or inpatient responsibilities. We are looking for clinicians who thrive in dynamic environments and demonstrate flexibility in meeting the needs of both patients and medical providers. If you are passionate about delivering person-centered care, enjoy variety in your daily work, and are committed to improving patient outcomes through team-based care, this position is ideal for you. Training and supervision hours for licensing may be available. This is a grant-funded position with a three-year term with possibility of extension. Qualifications Required * Master's Degree in Social Work, Counseling, Psychology, or Marriage and Family Therapy * One (1) year of experience working with children, adolescents and/or adults in a healthcare, behavioral, mental health, or social services setting * Current and ongoing Motor Vehicle Report (MVR) considered insurable under CMH insurance coverage * Current California Driver's License Preferred: * Two (2) years of experience working with children and youth, ages 0-18 * Bilingual in Spanish and English * Basic knowledge of pharmacotherapy * Strong organizational, communication, and documentation skills * Proficiency in electronic health records and data tracking systems * Training in evidence-based interventions (COCM, PCBH, CBT, MI, PST, or trauma-focused models) * Ability to manage multiple priorities and maintain professional composure in a fast-paced environment * Demonstrated ability to work collaboratively with multidisciplinary teams in primary care settings Overview When it comes to quality, we're 5 Star! Community Memorial Health System was established in 2005 when Community Memorial Hospital in Ventura merged with Ojai Valley Community Hospital. It is comprised of these two hospitals along with a network of primary and specialty care health centers serving various communities across west Ventura County. Our health system is a community-owned, not-for-profit organization. As such, we are not backed by a corporate or government entity, nor do we answer to shareholders. We depend on - and answer to - the communities we serve. Community Memorial Hospital - Ventura has been awarded a prestigious five-star rating by the Centers for Medicare & Medicaid Services (CMS)! This achievement represents thousands of people going the extra mile every day for our patients, and we are the ONLY hospital in Ventura County to earn this distinction! Community Memorial Healthcare Benefits To help heal, comfort, and promote health for the communities we serve, Community Memorial Healthcare takes care of our community of employees so our local community can be cared for. That's why we provide competitive benefits, along with great career choices, training, and leadership development. Our total rewards package provides benefits that support you and your family's health and wellness in all aspects of life. From our top tier insurance plans to our employee assistance program, take advantage of what CMH has to offer so you and your loved ones can have peace of mind now and for years to come. CMH is here for you and your family every step of the way. * Competitive Pay * Shift Differentials * In-House Registry Rates * Fidelity 403(b) Retirement Plan * Paid Time Off * Medical (EPO/PPO), Dental, & Vision Insurance Coverage * Voluntary Worksite Benefits * Employee Assistance Program Available 24/7 (EAP) * Tuition Reimbursement * Public Service Loan Forgiveness (PSLF) * Recognition programs * Employee service recognition events * Home, Retail, Travel & Entertainment Discounts * National Hospital Week and National Nurses Week celebrations Community Memorial Healthcare is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. We strive to promote an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work in our community. "We are an AA/EEO/Veterans/Disabled Employer"

Job Title:Case Manager/Adoption Social Worker Department:Foster Family Agency Status:Full-Time, Exempt/Non-Exempt Hours:40 Hours per week Salary:$72,072.00 Annually / Additional Differentials Must Qualify Open Date:November 17, 2025 Close Date:Open Until Filled Pay Differentials Offered (must qualify through testing or verification): Language Translation - Bi-cultural Spanish: $1.00 per hour Bimodal Bilingualism - ASL Sign Language: $1.00 per hour Bimodal Multilingualism - ASL Sign Language: $2.00 per hour Overview: Supports resource parents in meeting the needs of youth placed in their care by providing guidance, assistance, and ongoing case support. Delivers permanency-focused services to both families and youth, helping ensure stability, well-being, and successful long-term outcomes. Essential Duties and Responsibilities include the following. Other duties may be assigned. Support and implement therapeutic interventions and structured activities for youth and families. Conduct SAFE home studies and complete required monthly in-home visits, as well as monthly out-of-home visits for youth ages six and older. Maintain accurate youth and resource parent records within the electronic database. Connect youth and resource parents with appropriate community resources based on identified needs. Assist in evaluating and developing resource family homes, including assessing environmental factors and personal characteristics to determine suitability. Promote and help maintain each youths stability within the resource family home, ensuring safety and overall well-being. Collaborate with youth and resource parents to address concerns related to adjustment, care planning, social functioning, behavioral modification, and rehabilitation services when applicable. Assist in coordinating respite care services, including scheduling respite days and nights for youth and resource parents. Maintain detailed, dated, and signed case records and reports in accordance with agency policies and procedures. Education and/or Experience Masters Degree in Social Work is required. Conditions of Employment: Must possess a valid CA Drivers License, current auto insurance, and a clean DMV printout (no more than 3 points). Must pass a clear background check with CACI, DOJ & FBI. CPR and First Aid Certified. TB Exam and Physical at the time of employment. Driving Requirement: This position requires the use of a personal vehicle for business purposes and on-call rotation. Driving is a required function of this position. Employees must use a personal vehicle that meet all agency requirements, including maintaining liability insurance that meets or exceeds state requirements. Employees are responsible for ensuring the timely renewal of their vehicle insurance policies and providing updated documentation to the agency to remain in good standing and compliant with position requirements. Training: RCS provides an in-depth onboarding and training orientation, which includes CPR/First Aid, Crisis Communication/Pro-ACT, Trauma-Informed Care, Motivational Interviewing, Collaborative Problem Solving, introductions to all RCS departments, and other valuable trainings. Benefits: Comprehensive benefits package available. To Apply: Please visit our website at Redwood Community Servicesto apply or learn more about our values and services. Redwood Community Services, Inc. is an Equal Opportunity Employer and values diversity at all levels of its workforce.

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day. Job Overview Responsible for AltaMed Managed Care participants assigned to the team. This position works closely with providers and nurses to coordinate services and advocate for participants. Responsibilities include, but are not limited to; daily notes, conducting family conferences, assisting with community referrals, regular contacts with participants, and incident reporting. Minimum Requirements * Bachelors' or master's degree in social work from an accredited university required. * Minimum of 2 years of experience in case management and social advocacy required. * Licensed Clinical Social Worker also accepted. * Homeless population experience strongly preferred. * Managed Care Experience preferred. * Bilingual English/Spanish strongly preferred. Compensation $26.78 - $32.48 hourly Compensation Disclaimer Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives. Benefits & Career Development * Medical, Dental and Vision insurance * 403(b) Retirement savings plans with employer matching contributions * Flexible Spending Accounts * Commuter Flexible Spending * Career Advancement & Development opportunities * Paid Time Off & Holidays * Paid CME Days * Malpractice insurance and tail coverage * Tuition Reimbursement Program * Corporate Employee Discounts * Employee Referral Bonus Program * Pet Care Insurance Job Advertisement & Application Compliance Statement AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

Scripps Memorial Hospital La Jolla has served the greater San Diego community since 1924. For more than a century, we continue to provide distinguished care, including several nationally ranked specialty programs. Scripps La Jolla was the first in San Diego to be designated a Magnet Hospital by the American Nursing Association. Scripps La Jolla shares a campus with the Barbey Family Emergency and Trauma Center, a Level I Trauma Center, and the renowned Prebys Cardiovascular Institute. We're also home to notable specialty programs, including cancer care, heart surgery, orthopedic surgery, labor and delivery services (including a Level III neonatal intensive care unit) and a nationally designated Comprehensive Stroke Center. This is a full time position at Scripps Memorial Hospital in La Jolla. Join the Scripps Health team to work with dedicated caregivers and deliver patient-centered care, while building a rewarding career with one of the nation's most respected healthcare organizations. Why join Scripps Health? AWARD-WINNING WORKPLACE: At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Beckers Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Our diverse team is dedicated to serving the community with the highest quality of care. The primary focus is assessment and discharge planning, complex case/care coordination and provision of individual and group psychoeducational counseling. New employees will experience a friendly and supportive environment where a positive attitude and teamwork are valued. Our leadership is hands-on and very engaged with our staff and patients. #LI-EE1 Required: * Master's degree in Social Work, OR Master's in Marriage & Family Therapy (MSW or MFT). * 1-3 recent (within the last 3 years) of experience in a healthcare setting removing psychological barriers to improve client health * Content knowledge of LPS processes including involuntary detainment and the mental health conservatorship processes is required. * Licensed by the California Board of Behavioral Science as an LCSW OR LMFT * BLS (American Heart Assoc.) * Discharge experience Preferred: * Bilingual and proficient in electronic health record. * Trauma and Mental Health experience * 3-5 years experience in healthcare setting * Discharge planning experience with knowledge of local resources to ensure safe discharges * Completion of Supervision Training for ASW At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential. Position Pay Range: $46.85-$67.94/hour

Centered in beautiful Southern California, Adventist Health Simi Valley has been one of the area's leading healthcare providers since 1965. We are comprised of a 144-bed hospital, home care services and a vast scope of award-winning services located throughout Ventura County. Simi Valley is a suburban area nestled between an urban oasis and the stunning shores of the Pacific Ocean. Bordering Los Angeles allows hiking in the morning and attending film premieres in the evening. Job Summary: Provides services to patients and their families to deal with needs incidental to their hospitalization. Provides counseling, support and assistance in making transition plans. Provides direction for routine aspects of non-medical problems of patients and their families. Assists with the planning and post-discharge of patients with outside agencies, nursing staff, and relatives. Job Requirements: Education and Work Experience: * Master's Degree in social work: Required in CA and HI * One year experience in an acute or long term medical setting: Required * Two years' experience in an acute or long term medical setting: Preferred Essential Functions: * Collaborates and facilitates patient discharge plans for those requiring post Hospice or post inpatient care. * Assists patient/family/caregiver in determining appropriate level of Hospice care. Refers to outpatient resources as appropriate. * Initiates a plan of care and appropriate patient teaching. Reassesses plan of care according to the physical and emotional needs of patient. * Develops Plan of Care (POC) based on patient assessment including, psychosocial factors that would impede the POC, clinical knowledge of appropriate theories of stages of human development, the impact of terminal illness, mental status and family dynamics. * Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

This is a per diem/on call inpatient position supporting patients in Santa Rosa Hospital but will be supporting Healdsburg and Petaluma Valley as needed. This position provides psychosocial assessment, delivery of short-term counseling and emotional support, goals of care conversation and advance care planning to patients with serious or life limiting illness and their families. Works within an interprofessional team to identify problems and assist patient/family members in exploring realistic options, decision making and problem solving. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: + Master's Degree in Social Work. + 1 year of experience in healthcare (hospice, palliative care, and/or acute care preferred). Preferred Qualifications: + Coursework/Training: Master's Degree in Social Work. + Upon hire: Social Worker License Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence Home and Community Care (HCC) is a service line within Providence with over 8,000 caregivers and 2,000 volunteers serving nearly 200,000 people a year, in their homes, in clinics and in a variety of congregate living ministries across our seven-state footprint. HCC provides a full range of services and support for people of all ages, especially those facing chronic or life-limiting illnesses. Our core competencies include restorative care, longitudinal care and care through the end of life. Our service lines include assisted living/skilled nursing/rehabilitation, home health, home infusion/pharmacy services, home medical equipment, hospice and palliative care, Program of All-Inclusive Care for the Elderly (PACE), personal home services/private duty care and supportive housing. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 375751 Company: Providence Jobs Job Category: Social Services Job Function: Clinical Care Job Schedule: Per-Diem Job Shift: Day Career Track: Clinical Professional Department: 7830 PALLIATIVE CARE CA SONOMA PALLIATIVE Address: CA Santa Rosa 1165 Montgomery Dr Work Location: Santa Rosa Memorial Hospital Workplace Type: On-site Pay Range: $41.30 - $64.11 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Nestled on the Central California Coast, Adventist Health Sierra Vista has been providing care to our community since 1959. Our 162-bed acute care facility includes a Level III Neonatal Intensive Care Unit and county designated trauma center. San Luis Obispo offers the excitement of a lively community while being a fifteen-minute drive from the serenity of Avila Beach, known for their natural hot springs, and Pismo Beach, known for their sand dunes and eucalyptus trees. Featuring a charming downtown, comfortable coastal weather, idyllic views, and an active lifestyle San Luis Obispo offers much to be had. Job Summary: Provides psychosocial assessments, diagnosis, and treatment, as well as discharge planning to and consultation about patients and families to assist them and the health care team in coping with patient's hospitalization, illness, diagnosis, treatment, and/or life situation, including emotional, mental, and substance abuse disorders. Functions in a supervisory role as a team leader. This position is represented by SEIU. Job Requirements: Education and Work Experience: * Master's Degree in social work: Required * One year experience in an acute or long term medical setting: Required * Two years' experience in an acute or long term medical setting: Preferred Licenses/Certifications: * Licensed Clinical Social Worker (LCSW) in state of practice: Required Essential Functions: * Collaborates and facilitates patient discharge plans for those requiring post Hospice or post inpatient care, ensuring that the required paperwork is completed. * Assists patient/family/caregiver in determining appropriate level of Hospice care. * Initiates a plan of care and appropriate patient teaching. Reassesses plan of care according to the physical and emotional needs of patient. * Develops social work Plan of Care (POC) based on patient assessment including, psychosocial factors that would impede the POC, clinical knowledge of appropriate theories of stages of human development, the impact of terminal illness, mental status and family dynamics. Documents relevant data accurately and in compliance with laws and regulations. * Actively participates in training and/or cross-training of duties. * Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Central to all that California has to offer, Adventist Health Bakersfield has been providing an extraordinary team of world-class physicians, top-notch medical technology, caring professionals and award-winning quality since 1910. We are comprised of a 254-bed acute care hospital and 20 primary and specialty care medical offices. As one of America's fastest growing cities, Bakersfield offers affordable housing on the West Coast, beautiful weather, high-quality education and it is just a few hours away from Yosemite and Sequoia National Parks, the Central California Coast and Southern California's great sports, theaters, concerts and amusement parks. Job Summary: Provides psychosocial assessments, diagnosis, and treatment, as well as discharge planning to and consultation about patients and families to assist them and the health care team in coping with patient's hospitalization, illness, diagnosis, treatment, and/or life situation, including emotional, mental, and substance abuse disorders. Functions in a supervisory role as a team leader. Job Requirements: Education and Work Experience: * Master's Degree in social work: Required * One year experience in an acute or long term medical setting: Required * Two years' experience in an acute or long term medical setting: Preferred Licenses/Certifications: * Licensed Clinical Social Worker (LCSW) in state of practice: Required Essential Functions: * Collaborates and facilitates patient discharge plans for those requiring post Hospice or post inpatient care, ensuring that the required paperwork is completed. * Assists patient/family/caregiver in determining appropriate level of Hospice care. * Initiates a plan of care and appropriate patient teaching. Reassesses plan of care according to the physical and emotional needs of patient. * Develops social work Plan of Care (POC) based on patient assessment including, psychosocial factors that would impede the POC, clinical knowledge of appropriate theories of stages of human development, the impact of terminal illness, mental status and family dynamics. Documents relevant data accurately and in compliance with laws and regulations. * Actively participates in training and/or cross-training of duties. * Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Job Description: Care Manager, Social Worker Monogram Health is looking for skilled Social Worker eager for the opportunity to make a difference in patients' lives. The Care Manager Social Worker is a key member of an integrated Care Team which includes a Nurse Care Manager and an Advanced Practice Provider. The patients we serve often struggle with multiple serious diseases and behavioral health challenges. Social workers can remove the many economic and behavioral barriers to patients, enabling positive health outcomes.  Your Impact The care team works with patients face-to-face, over the phone, and through telehealth to identify and address social determinants of health. The goal is to build a patient's social support network, navigate behavioral challenges, and generally help patients through a traumatic diagnosis and life-changing disease. Your gifts as a healthcare professional are urgently needed. In healthcare systems, the patient has too often become secondary due to processes and incentives that don't positively impact the patient for the long term. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do.  Highlights & Benefits    $90k starting salary Remote opportunity with some occasional local travel The ability to work directly with patients and build meaningful relationships Full benefits package including medical, dental, vision, life insurance, 401(k) plan with matching contributions, paid vacation and holiday time Roles and Responsibilities Perform in-home and telehealth care management visits to assess and determine social and behavioral status  Work closely with Care Team to ensure collaboration and optimal patient outcomes Assess social determinants of health needs and develop a plan for addressing them Identify, vet, and build relationships with local Community-Based Organizations  Educate patients on appropriate resources, assist with referral completion, and follow up for closure outcomes Serve as subject matter expert on social determinants for other members of the Care Team  Complete behavioral, environmental, and social support assessments Deliver individual, family and group education on living with chronic illness  Engage family and social support groups in the education and care of patients  Assess patients and refer to behavioral health specialists if diagnosis and treatment needed  Help patients to understand, accept and follow medical and lifestyle recommendations  Review and document patient updates and progress in care management platform  Position Requirements  This position involves telephonic visits with some car travel to patients' homes  Basic Life Support (BLS) certification is required in this role. The company will support your certification completion through onboarding. Currently licensed as a LCSW or LMSW in the posted state  Master's degree in social work and passed ASWB masters or clinical exam Rare domestic travel may be required to Brentwood, TN  Self-starter with the ability to work independently with minimal supervision  Ability to show empathy and quickly build relationships with patients and local CBOs  Preferred 2+ years previous experience working in care management and/or with chronic illness  Excellent verbal communication skills both in person and on the phone  Familiarity with Microsoft Office and mobile phone and web-based applications  About Monogram Health  Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person's health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient's healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. Monogram Health's personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

Centered in the heart of Yuba-Sutter County, Adventist Health and Rideout has been one of the area's leading healthcare providers since 1907. We are comprised of a 221-bed hospital, 21 physician clinics, home care services, comprehensive cancer care and a vast scope of award-winning services located throughout Marysville and the surrounding areas. The allure of Marysville's community is complimented by its proximity to major metropolitan cities in the Bay Area and Sacramento, as well as just a quick drive to Lake Tahoe. Job Summary: Provides services to patients and their families to deal with needs incidental to their hospitalization. Provides counseling, support and assistance in making transition plans. Provides direction for routine aspects of non-medical problems of patients and their families. Assists with the planning and post-discharge of patients with outside agencies, nursing staff, and relatives. Job Requirements: Education and Work Experience: * Master's Degree in social work: Required in CA and HI * One year experience in an acute or long term medical setting: Required * Two years' experience in an acute or long term medical setting: Preferred Essential Functions: * Collaborates and facilitates patient discharge plans for those requiring post Hospice or post inpatient care. * Assists patient/family/caregiver in determining appropriate level of Hospice care. Refers to outpatient resources as appropriate. * Initiates a plan of care and appropriate patient teaching. Reassesses plan of care according to the physical and emotional needs of patient. * Develops Plan of Care (POC) based on patient assessment including, psychosocial factors that would impede the POC, clinical knowledge of appropriate theories of stages of human development, the impact of terminal illness, mental status and family dynamics. * Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Adventist Health Sonora has been one of the area's leading healthcare providers since 1900. We are comprised of a 72-bed hospital, 30 medical offices, comprehensive cancer care and a vast scope of award-winning services located throughout Tuolumne and Calaveras counties and the surrounding areas. Sonora is known for its friendly hometown charm, vast outdoor experiences and lively downtown. The allure of Sonora's close-knit community is complimented by its proximity to Yosemite National Park, as well as just a quick drive to Lake Tahoe. Job Summary: Provides services to patients and their families to deal with needs incidental to their hospitalization. Provides counseling, support and assistance in making transition plans. Provides direction for routine aspects of non-medical problems of patients and their families. Assists with the planning and post-discharge of patients with outside agencies, nursing staff, and relatives. Job Requirements: Education and Work Experience: * Master's Degree in social work: Required in CA and HI * One year experience in an acute or long term medical setting: Required * Two years' experience in an acute or long term medical setting: Preferred Essential Functions: * Collaborates and facilitates patient discharge plans for those requiring post Hospice or post inpatient care. * Assists patient/family/caregiver in determining appropriate level of Hospice care. Refers to outpatient resources as appropriate. * Initiates a plan of care and appropriate patient teaching. Reassesses plan of care according to the physical and emotional needs of patient. * Develops Plan of Care (POC) based on patient assessment including, psychosocial factors that would impede the POC, clinical knowledge of appropriate theories of stages of human development, the impact of terminal illness, mental status and family dynamics. * Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Lying just inland between the State's coastal mountain ranges and the Sierra Nevada Mountains, Adventist Health Reedley has been serving the Central Valley since 2011. We are comprised of a 49-bed acute care hospital and 60 clinics in 27 rural communities with primary and specialty care services. Reedley is a perfect location for outdoor enthusiasts as it is located in the central San Joaquin Valley portion of California, close to Yosemite, Sequoia and Kings Canyon National Parks. In addition to the beautiful landscape, it also offers a great cost of living and close-knit communities. Job Summary: Works as part of a Behavioral Health Services team providing provision of comprehensive outpatient psychotherapeutic services for children, adults and families, including but not limited to, biopsychosocial evaluation and assessment. Uses consistent exercise of discretion and judgment. Exercises discretion and independent judgment with respect to matters of significance, evaluating and comparing possible courses-of-action, and making decisions/recommendations after considering the various possibilities. Job Requirements: Education and Work Experience: * Master's Degree in social work: Required * Three years' technical experience: Preferred * One year of professional social work experience.: Required Licenses/Certifications: * Current LCSW licensure required for LCSW in state of practice. Master's degree in Social Work required for MSW II.: Required * Licensed Clinical Social Worker (LCSW) in state of practice: Required Essential Functions: * Provides resource information to organization in regards to clinical, financial, psychosocial, insurance and continued care issues. Provides written materials, when available, in order to reinforce verbal communication with patients/families. Identifies and assists in the placement and/or or treatment of patients' psychosocial needs in cooperation with the health care team. Interviews patients, family members and others to obtain relevant information to formulate short and long-term goals. * Identifies and evaluates patient and family learning needs, abilities and readiness to learn. Participates within the interdisciplinary team to formulate discharge plan, working collaboratively with all members of the team. Prepares a written evaluation for the patient's chart after initial interview, develops goals and notes addressing functional limitations. Determines need for patient referrals to other agencies or community resources. Exercises independent judgment on moderate to complex cases. * Coordinates collaborative resources such as Home Health and community services, and skilled nursing facility placement, as needed. Refers to health team members as appropriate, i.e., dietitian, physical therapy, pastoral care and financial assistance, etc. Provides clinical care efficiently/effectively using a high level of technical and organizational skills, as well as critical thinking ability. Supports clinical enterprise management in determining methods and procedures for new tasks. * Acts as patient advocate, helping medical personnel understand social and emotional factors underlying patient's health problem. Collaborates with family, physician, Home Health staff and community agencies to restore optimum patient/family, social and health adjustments within patient's capacity. Conducts follow-up monitoring for selected patients. * Assists in making recommendations to management on process improvement, new processes, tools and techniques, or development of new clinical services. Works under minimal supervision, uses independent judgment requiring analysis of variable factors. Serves as technical specialist on daily tasks and cases. Regularly models/mentors and trains staff on technical skills. Provides input into hiring and promotion decisions for staff. * Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.

Centered in the heart of Boyle Heights, Adventist Health White Memorial is one of the area's leading healthcare providers since 1913. We are comprised of a 353-bed hospital, three medical office buildings, residency programs, comprehensive cancer care and a vast scope of services located in the Los Angeles area. In 2019, Adventist Health White Memorial was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. We are proud to promote wellness in the community at the local farmers market and through our community resource center with services for seniors and Spanish-speakers. Los Angeles is known for its art, rich culture, numerous sports teams and world-renowned dining. There is something for everyone in this culturally diverse city. Job Summary: Provides services to patients and their families to deal with needs incidental to their hospitalization. Provides counseling, support and assistance in making transition plans. Provides direction for routine aspects of non-medical problems of patients and their families. Assists with the planning and post-discharge of patients with outside agencies, nursing staff, and relatives. Job Requirements: Education and Work Experience: * Master's Degree in social work: Required in CA and HI * One year experience in an acute or long term medical setting: Required * Two years' experience in an acute or long term medical setting: Preferred Essential Functions: * Collaborates and facilitates patient discharge plans for those requiring post Hospice or post inpatient care. * Assists patient/family/caregiver in determining appropriate level of Hospice care. Refers to outpatient resources as appropriate. * Initiates a plan of care and appropriate patient teaching. Reassesses plan of care according to the physical and emotional needs of patient. * Develops Plan of Care (POC) based on patient assessment including, psychosocial factors that would impede the POC, clinical knowledge of appropriate theories of stages of human development, the impact of terminal illness, mental status and family dynamics. * Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Job Description: Care Manager, Social Worker Monogram Health is looking for skilled Social Worker eager for the opportunity to make a difference in patients' lives. The Care Manager Social Worker is a key member of an integrated Care Team which includes a Nurse Care Manager and an Advanced Practice Provider. The patients we serve often struggle with multiple serious diseases and behavioral health challenges. Social workers can remove the many economic and behavioral barriers to patients, enabling positive health outcomes.  Your Impact The care team works with patients face-to-face, over the phone, and through telehealth to identify and address social determinants of health. The goal is to build a patient's social support network, navigate behavioral challenges, and generally help patients through a traumatic diagnosis and life-changing disease. Your gifts as a healthcare professional are urgently needed. In healthcare systems, the patient has too often become secondary due to processes and incentives that don't positively impact the patient for the long term. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do.  Highlights & Benefits    $80k starting salary Remote opportunity with some occasional local travel The ability to work directly with patients and build meaningful relationships Full benefits package including medical, dental, vision, life insurance, 401(k) plan with matching contributions, paid vacation and holiday time Roles and Responsibilities Perform in-home and telehealth care management visits to assess and determine social and behavioral status  Work closely with Care Team to ensure collaboration and optimal patient outcomes Assess social determinants of health needs and develop a plan for addressing them Identify, vet, and build relationships with local Community-Based Organizations  Educate patients on appropriate resources, assist with referral completion, and follow up for closure outcomes Serve as subject matter expert on social determinants for other members of the Care Team  Complete behavioral, environmental, and social support assessments Deliver individual, family and group education on living with chronic illness  Engage family and social support groups in the education and care of patients  Assess patients and refer to behavioral health specialists if diagnosis and treatment needed  Help patients to understand, accept and follow medical and lifestyle recommendations  Review and document patient updates and progress in care management platform  Position Requirements  This position involves telephonic visits with some car travel to patients' homes  Basic Life Support (BLS) certification is required in this role. The company will support your certification completion through onboarding. Currently licensed as a LCSW or LMSW in the posted state  Master's degree in social work and passed ASWB masters or clinical exam Rare domestic travel may be required to Brentwood, TN  Self-starter with the ability to work independently with minimal supervision  Ability to show empathy and quickly build relationships with patients and local CBOs  Preferred 2+ years previous experience working in care management and/or with chronic illness  Excellent verbal communication skills both in person and on the phone  Familiarity with Microsoft Office and mobile phone and web-based applications  About Monogram Health  Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person's health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient's healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. Monogram Health's personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

Job Description: Care Manager, Social Worker Monogram Health is looking for skilled Social Worker eager for the opportunity to make a difference in patients' lives. The Care Manager Social Worker is a key member of an integrated Care Team which includes a Nurse Care Manager and an Advanced Practice Provider. The patients we serve often struggle with multiple serious diseases and behavioral health challenges. Social workers can remove the many economic and behavioral barriers to patients, enabling positive health outcomes.  Your Impact The care team works with patients face-to-face, over the phone, and through telehealth to identify and address social determinants of health. The goal is to build a patient's social support network, navigate behavioral challenges, and generally help patients through a traumatic diagnosis and life-changing disease. Your gifts as a healthcare professional are urgently needed. In healthcare systems, the patient has too often become secondary due to processes and incentives that don't positively impact the patient for the long term. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do.  Highlights & Benefits    $80k starting salary Remote opportunity with some occasional local travel The ability to work directly with patients and build meaningful relationships Full benefits package including medical, dental, vision, life insurance, 401(k) plan with matching contributions, paid vacation and holiday time Roles and Responsibilities Perform in-home and telehealth care management visits to assess and determine social and behavioral status  Work closely with Care Team to ensure collaboration and optimal patient outcomes Assess social determinants of health needs and develop a plan for addressing them Identify, vet, and build relationships with local Community-Based Organizations  Educate patients on appropriate resources, assist with referral completion, and follow up for closure outcomes Serve as subject matter expert on social determinants for other members of the Care Team  Complete behavioral, environmental, and social support assessments Deliver individual, family and group education on living with chronic illness  Engage family and social support groups in the education and care of patients  Assess patients and refer to behavioral health specialists if diagnosis and treatment needed  Help patients to understand, accept and follow medical and lifestyle recommendations  Review and document patient updates and progress in care management platform  Position Requirements  This position involves telephonic visits with some car travel to patients' homes  Basic Life Support (BLS) certification is required in this role. The company will support your certification completion through onboarding. Currently licensed as a LCSW or LMSW in the posted state  Master's degree in social work and passed ASWB masters or clinical exam Rare domestic travel may be required to Brentwood, TN  Self-starter with the ability to work independently with minimal supervision  Ability to show empathy and quickly build relationships with patients and local CBOs  Preferred 2+ years previous experience working in care management and/or with chronic illness  Excellent verbal communication skills both in person and on the phone  Familiarity with Microsoft Office and mobile phone and web-based applications  About Monogram Health  Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person's health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient's healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. Monogram Health's personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.