BSW Social Worker​/Case Manager

Description

Job Type: Full-Time
Schedule: Monday-Friday, 8-hour shift
Pay: $24.00-$25.00 per hour, depending on experience

Access TLC is a Home and Community-Based Alternatives (HCBA) Waiver Agency contracted with the Department of Health Care Services (DHCS). The HCBA Waiver Program provides comprehensive care management services to individuals at risk of nursing home or institutional placement.

Our multidisciplinary care management team, comprised of a Registered Nurse and Social Worker, coordinates Waiver and State Plan services, including medical care, home health, In-Home Supportive Services (IHSS), and other long-term supports. Services are provided in the participant's community-based residence, which may be privately owned, leased, or a family member's home.

This is a remote position; however, regular field visits are an essential part of the job. The BSW Social Worker/Case Manager will be required to travel to participant homes and community locations for in-person visits as part of their case management responsibilities. Field visits may vary in distance/radius depending on participant assignments and program needs. Applicants must be comfortable with local travel and working in the field when required.

This position does not provide clinical hours toward licensure
. If you are seeking supervised clinical hours to meet licensing requirements, this position will not fulfill those requirements.

The BSW Social Worker/Case Manager works as part of a multidisciplinary care management team to support HCBA participants in accessing appropriate healthcare, social services, community resources, and long-term supports. The position requires strong communication, organization, documentation, and case management skills, as well as the ability to work independently while collaborating closely with Registered Nurses, participants, families, providers, and community agencies.

• Collaborate with Registered Nurses, staff, and management to ensure compliance with DHCS rules, regulations, and HCBA program requirements.
• Work directly with HCBA participants, legal representatives, family members, support systems, and healthcare providers to provide education, support, advocacy, and resource coordination.
• Conduct psychosocial and needs-based assessments and identify barriers affecting the participant's health, safety, independence, and overall well-being.
• Develop individualized goals based on participant needs and assist participants in connecting with appropriate community and social service resources.
• Partner with the Registered Nurse to develop and implement a Plan of Treatment (POT) based on identified needs, concerns, and interventions.
• Coordinate with healthcare providers, social service agencies, home health providers, IHSS, and other community resources to facilitate timely and effective services.
• Conduct monthly case management calls to monitor the participant's health status, mood, social integration, functional abilities, living situation, and overall well-being.
• Maintain accurate and timely case notes, assessments, care coordination documentation, and utilization management entries in the Med Compass health management system.
• Monitor participant needs and changes in circumstances and communicate concerns to the appropriate members of the care team.
• Complete Adult Protective Services (APS) referrals and other mandated reports when required.
• Follow up on concerns involving abuse, neglect, exploitation, changes in condition, or safety risks.
• Advocate for participants' needs and assist with identifying resources that promote community living and prevent unnecessary institutionalization.
• Maintain confidentiality…