Social Worker MSW

What you will be doing

Clinical Practice & Case Management

• Exercise independent judgment to provide case management services for a panel of patients.
• Conduct comprehensive initial and routine psychosocial assessments to develop, implement, and update individualized care plans.
• Collaborate with caregivers and support systems to establish and deliver coordinated care plans.
• Identify psychosocial risks, challenges, and service needs; advocate, refer, coordinate, and follow up on patient support in a timely manner.
• Provide individual counseling to patients as needed.
• Facilitate family conferences and patient/caregiver support groups.
• Engage with the community to identify and access services that support patient well-being.
• Conduct discharge planning and coordination when a patient transitions out of the program.
• Participate in special events such as caregiver workshops and educational sessions.
• May review and verify assessments completed by other social work staff.
• Serve as a primary liaison between patients, caregivers, the team, and community partners.
• Collaborate with external agencies such as healthcare plans, community-based organizations, and care facilities.
• Adhere to ethical and legal standards of social work practice.
• Comply with all organizational policies and procedures, including safety and confidentiality regulations.
• Complete all documentation promptly and accurately.
• Actively participate in team meetings, advocate for patient and caregiver needs, and contribute to collaborative care planning.
• Support continuous improvement efforts to enhance service quality and operational efficiency.
• Deliver 5-star service guided by compassion, respect, and professionalism.
• Perform other related duties as assigned.

• Master’s degree in Social Work (MSW) from an accredited institution required.
• Bachelor’s degree in Social Work may be considered with relevant experience and language proficiency.
• Minimum of one (1) year of experience working with frail or elderly populations.
• Valid Social Worker license in the state of California (MSW – Medical Social Worker).
• Experience and ability to work effectively with diverse populations.
• Skilled in collaborative teamwork and interdisciplinary care coordination.
• Strong interpersonal skills with the ability to build trust and rapport with patients, caregivers, and colleagues.
• Highly organized with the ability to prioritize, manage multiple tasks, and follow up thoroughly.
• Excellent verbal and written communication skills.
• Proficient in Microsoft Office and comfortable using electronic documentation systems.
• Bilingual ability may be required for specific assignments.
• Strong foundation in clinical practices and case management principles.

• One (1) year or more of post-MSW experience.
• Prior experience in case management or healthcare settings.
• Familiarity with electronic health record (EHR) systems.