20 Social Care jobs in Oakland

Summary

Job Summary : Restores patients to optimum health and social adjustment, while facilitating a positive impact on the hospital transition of care; informs the health care team of the patient’s social, emotional, environmental, and financial
needs and resources that may influence their treatment options and discharge plan; assists case manager
nurses with complex social situations and discharge planning.

DUTIES & ESSENTIAL JOB FUNCTIONS : NOTE: The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.

1.  Collaborates with Care Transition team and Health Advocates for high risk patients for timely follow-up appointments and confirms prior to discharge that complex patients are appropriately linked to community services.

2.  Coordinates patient care activities with other members of the healthcare team, the patient, the patient’s representatives, and community partners and makes referrals as appropriate.

3.  Effectively intervenes in suspected abuse/neglect cases and in complex or high risk situations as requested; is competent to identify and intervene with high risk behaviors, responding to traumas.

4.  Identifies and mobilizes patients and family strengths to optimize use of healthcare and community resources; in coordination with patient and family wishes, guide/assist in securing needed post discharge services which may require negotiating for services covered but not readily available; provides consultation and education to team members regarding patient/family (psychosocial and discharge planning) issues and community resources.

5.  Identifies potential problems prevents and or resolves variances to the care management plan; assesses and coordinates family and community resources to meet identified needs to support the discharge plan.

6.  Intervene with patients and patient’s representatives regarding emotional, behavioral, and financial barriers to current illness and/or disability.

7.  Leads patient centered conferences to meet needs and desires of the patients.

8.  Maintains patient records including patient assessments, plans interventions, patient/family involvement, outside agency communications and interdisciplinary contacts.

9.  Participates in discharge planning activities; effectively identifies and intervenes with high risk discharge planning issues with psychosocial complexity; whether referred by other healthcare providers or identified through assessment. Assists Care Management Nurse with discharge planning efforts as requested; obtains or coordinates referrals for post-discharge service needs, if required; mobilize resources to affect rapid and timely movement of the patient through system to achieve targeted discharge times established by AHS.

10. Performs psychosocial assessment interview with patients and/or families and records this assessment in the patient’s medical record. Assesses patient’s level of functioning, environment, appropriateness and adequacy of support system related to illness and ability to cope; reassesses the patient’s condition when changes occur and revises the care plan when appropriate. Performs rapid assessments and developing crisis management plans for referral, evaluation and admission.

11. Provides patient advocacy including primary responsibility for initiating processes regarding capacity determinations, grief counseling, and conservatorship/guardianship; takes advocacy leadership role regarding adoption/surrogacy cases.

12. Refers and assists patients/families in applying for appropriate financial programs (CCS, SDI, SSI, SSD, private pensions) and legal instruments as needed.

13. Screen for any barriers to care such as substance abuse, neglect, financial limitations or housing.

14. Serves a resource and provides counseling and treatment related to palliative care or end of life planning.
 

Qualifications

Preferred Education: Master's degree in social work/welfare issued by a school accredited by the Counsel of
Social Work

Education with Required Experience : Two years of Social work or Case Management experience in an acute setting or protective services.

Preferred Licenses/Certifications : Active certification in Case Management (ACM or CCMC), Current and valid license as a Clinical Social Worker issued by the State of California Board of Behavior Science Examiners. Bilingual preferred.

Required Education : Master's degree in social work/welfare issued by a school accredited by the Counsel of
Social Work Education.

Additional Information

A Community Hospital in Alameda County . and so much more For generations, Alameda residents have found friendly, familiar faces and dedicated medical attention at their local hospital. Now, more and more individuals in Oakland and throughout the East Bay are turning to Alameda Hospital for quality care. We welcome all patients seeking an Alameda County Hospital or Bay Area Hospital who value a state-of-the-art medical facility, with a human touch. Alameda Hospital. We care.

Alameda Hospital
AH Social Work
Services As Needed / Per Diem
Day
Care Management
FTE: 0.01

Summary

SUMMARY : Restores patients to optimum health and social adjustment, while facilitating a positive impact on the hospital transition of care; informs the health care team of the patient’s social, emotional, environmental, and financial needs and resources that may influence their treatment options and discharge plan; assists case manager nurses with complex social situations and discharge planning.

DUTIES & ESSENTIAL JOB FUNCTIONS : NOTE: Following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. 

1.  Collaborates with Care Transition team and Health Advocates for high risk patients for timely follow-up appointments and confirms prior to discharge that complex patients are appropriately linked to community services.

2.  Coordinates patient care activities with other members of the healthcare team, the patient, the patient’s representatives, and community partners and makes referrals as appropriate.

3.  Effectively intervenes in suspected abuse/neglect cases and in complex or high risk situations as requested; is competent to identify and intervene with high risk behaviors, responding to traumas.

4.  Identifies and mobilizes patients and family strengths to optimize use of healthcare and community resources; in coordination with patient and family wishes, guide/assist in securing needed post discharge services which may require negotiating for services covered but not readily available; provides consultation and education to team members regarding patient/family (psychosocial and discharge planning) issues and community resources.

5.  Identifies potential problems prevents and or resolves variances to the care management plan; assesses and coordinates family and community resources to meet identified needs to support the discharge plan.
 
6.  Intervene with patients and patient’s representatives regarding emotional, behavioral, and financial barriers to current illness and/or disability.

7.  Leads patient centered conferences to meet needs and desires of the patients.

8.  Maintains patient records including patient assessments, plans interventions, patient/family involvement, outside agency communications and interdisciplinary contacts.

9. Participates in discharge planning activities; effectively identifies and intervenes with high risk discharge planning issues with psychosocial complexity; whether referred by other healthcare providers or identified through assessment. Assists Care Management Nurse with discharge planning efforts as requested; obtains or coordinates referrals for post-discharge service needs, if required; mobilize resources to affect rapid and timely movement of the patient through system to achieve targeted discharge times established by AHS.

10. Performs psychosocial assessment interview with patients and/or families and records this assessment in the patient’s medical record. Assesses patient’s level of functioning, environment, appropriateness and adequacy of support system related to illness and ability to cope; reassesses the patient’s condition when changes occur and revises the care plan when appropriate. Performs rapid assessments and developing crisis management plans for referral, evaluation and admission.

11. Provides patient advocacy including primary responsibility for initiating processes regarding capacity determinations, grief counseling, and conservatorship/guardianship; takes advocacy leadership role regarding adoption/surrogacy cases.

12. Refers and assists patients/families in applying for appropriate financial programs (CCS, SDI, SSI, SSD, private pensions) and legal instruments as needed.

13. Screen for any barriers to care such as substance abuse, neglect, financial limitations or housing.

14. Serves a resource and provides counseling and treatment related to palliative care or end of life planning.

MINIMUM QUALIFICATIONS :
Required Experience : Two years of Social work or Case Management experience in an acute setting or protective services.

Preferred Licenses/Certifications : Active certification in Case Management (ACM or CCMC), Current and valid license as a Clinical Social Worker issued by the State of California Board of Behavior Science Examiners. Bilingual preferred.

Required Education : Master's degree in social work/welfare issued by a school accredited by the Counsel of Social Work Education.

San Leandro Hospital
SLH Social Services
Services As Needed / Per Diem
Day
Care Management
FTE: 0.01

Summary

SUMMARY:   Restores patients to optimum health and social adjustment, while facilitating a positive impact on the hospital transition of care; informs the health care team of the patient's social, emotional, environmental, and financial needs and resources that may influence their treatment options and discharge plan; assists case manager nurses with complex social situations and discharge planning.

DUTIES & ESSENTIAL JOB FUNCTIONS:   NOTE : The following are the duties performed by employees in this classification.  However, employees may perform other related duties at an equivalent level.  Not all duties listed are necessarily performed by each individual in the classification.

1. Collaborates with Care Transition team and Health Advocates for high risk patients for timely follow-up appointments and confirms prior to discharge that complex patients are appropriately linked to community services.

2. Coordinates patient care activities with other members of the healthcare team, the patient, the patient's representatives, and community partners and makes referrals as appropriate.

3. Effectively intervenes in suspected abuse/neglect cases and in complex or high risk situations as requested; is competent to identify and intervene with high risk behaviors, responding to traumas.

4. Identifies and mobilizes patients and family strengths to optimize use of healthcare and community resources; in coordination with patient and family wishes, guide/assist in securing needed post discharge services which may require negotiating for services covered but not readily available; provides consultation and education to team members regarding patient/family (psychosocial and discharge planning) issues and community resources.

5. Identifies potential problems prevents and or resolves variances to the care management plan; assesses and coordinates family and community resources to meet identified needs to support the discharge plan.

6. Intervene with patients and patient's representatives regarding emotional, behavioral, and financial barriers to current illness and/or disability.

7. Leads patient centered conferences to meet needs and desires of the patients.

8. Maintains patient records including patient assessments, plans interventions, patient/family involvement, outside agency communications and interdisciplinary contacts.

9. Participates in discharge planning activities; effectively identifies and intervenes with high risk discharge planning issues with psychosocial complexity; whether referred by other healthcare providers or identified through assessment. Assists Care Management Nurse with discharge planning efforts as requested; obtains or coordinates referrals for post-discharge service needs, if required; mobilize resources to affect rapid and timely movement of the patient through system to achieve targeted discharge times established by AHS.

10. Performs psychosocial assessment interview with patients and/or families and records this assessment in the patient's medical record. Assesses patient's level of functioning, environment, appropriateness and adequacy of support system related to illness and ability to cope; reassesses the patient's condition when changes occur and revises the care plan when appropriate. Performs rapid assessments and developing crisis management plans for referral, evaluation and admission.

11. Provides patient advocacy including primary responsibility for initiating processes regarding capacity determinations, grief counseling, and conservatorship/guardianship; takes advocacy leadership role regarding adoption/surrogacy cases.

12. Refers and assists patients/families in applying for appropriate financial programs (CCS, SDI, SSI, SSD, private pensions) and legal instruments as needed.

13. Screen for any barriers to care such as substance abuse, neglect, financial limitations or housing.

14. Serves a resource and provides counseling and treatment related to palliative care or end of life planning.
 

MINIMUM QUALIFICATIONS:

Required Education : Master's degree in social work/welfare issued by a school accredited by the Counsel of Social Work Education.  

Preferred Education : Master's degree in social work/welfare issued by a school accredited by the Counsel of Social Work Education with Required Experience: Two years of Social work or Case Management experience in an acute setting or protective services.

Preferred Licenses/Certifications : Active certification in Case Management (ACM or CCMC), Current and valid license as a Clinical Social Worker issued by the State of California Board of Behavior Science Examiners. Bilingual preferred.

San Leandro Hospital
SLH Social Services
Full Time
Day
Care Management
FTE: 1

Summary

SUMMARY : Restores patients to optimum health and social adjustment, while facilitating a positive impact on the hospital transition of care; informs the health care team of the patient’s social, emotional, environmental, and financial needs and resources that may influence their treatment options and discharge plan; assists case manager nurses with complex social situations and discharge planning.

DUTIES & ESSENTIAL JOB FUNCTIONS : NOTE: Following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. 

1.  Collaborates with Care Transition team and Health Advocates for high risk patients for timely follow-up appointments and confirms prior to discharge that complex patients are appropriately linked to community services.

2.  Coordinates patient care activities with other members of the healthcare team, the patient, the patient’s representatives, and community partners and makes referrals as appropriate.

3.  Effectively intervenes in suspected abuse/neglect cases and in complex or high risk situations as requested; is competent to identify and intervene with high risk behaviors, responding to traumas.

4.  Identifies and mobilizes patients and family strengths to optimize use of healthcare and community resources; in coordination with patient and family wishes, guide/assist in securing needed post discharge services which may require negotiating for services covered but not readily available; provides consultation and education to team members regarding patient/family (psychosocial and discharge planning) issues and community resources.

5.  Identifies potential problems prevents and or resolves variances to the care management plan; assesses and coordinates family and community resources to meet identified needs to support the discharge plan.
 
6.  Intervene with patients and patient’s representatives regarding emotional, behavioral, and financial barriers to current illness and/or disability.

7.  Leads patient centered conferences to meet needs and desires of the patients.

8.  Maintains patient records including patient assessments, plans interventions, patient/family involvement, outside agency communications and interdisciplinary contacts.

9. Participates in discharge planning activities; effectively identifies and intervenes with high risk discharge planning issues with psychosocial complexity; whether referred by other healthcare providers or identified through assessment. Assists Care Management Nurse with discharge planning efforts as requested; obtains or coordinates referrals for post-discharge service needs, if required; mobilize resources to affect rapid and timely movement of the patient through system to achieve targeted discharge times established by AHS.

10. Performs psychosocial assessment interview with patients and/or families and records this assessment in the patient’s medical record. Assesses patient’s level of functioning, environment, appropriateness and adequacy of support system related to illness and ability to cope; reassesses the patient’s condition when changes occur and revises the care plan when appropriate. Performs rapid assessments and developing crisis management plans for referral, evaluation and admission.

11. Provides patient advocacy including primary responsibility for initiating processes regarding capacity determinations, grief counseling, and conservatorship/guardianship; takes advocacy leadership role regarding adoption/surrogacy cases.

12. Refers and assists patients/families in applying for appropriate financial programs (CCS, SDI, SSI, SSD, private pensions) and legal instruments as needed.

13. Screen for any barriers to care such as substance abuse, neglect, financial limitations or housing.

14. Serves a resource and provides counseling and treatment related to palliative care or end of life planning.

MINIMUM QUALIFICATIONS :
Required Experience : Two years of Social work or Case Management experience in an acute setting or protective services.

Preferred Licenses/Certifications : Active certification in Case Management (ACM or CCMC), Current and valid license as a Clinical Social Worker issued by the State of California Board of Behavior Science Examiners. Bilingual preferred.

Required Education : Master's degree in social work/welfare issued by a school accredited by the Counsel of Social Work Education.

San Leandro Hospital
SLH Social Services
Services As Needed / Per Diem
Day
Care Management
FTE: 0.01

AHD Care Management Social Worker
+ Alameda, CA
+ Alameda Hospital
+ AH Social Work
+ Services As Needed / Per Diem - Day
+ Care Management
+ $35.32-58.85/hr
+ Req #:41574-30771
+ FTE:0.01
+ Posted:May 14, 2025
**Summary**
**Job Summary** : Restores patients to optimum health and social adjustment, while facilitating a positive impact on the hospital transition of care; informs the health care team of the patient's social, emotional, environmental, and financial
needs and resources that may influence their treatment options and discharge plan; assists case manager
nurses with complex social situations and discharge planning.
**DUTIES & ESSENTIAL JOB FUNCTIONS** : NOTE: The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.
1. Collaborates with Care Transition team and Health Advocates for high risk patients for timely follow-up appointments and confirms prior to discharge that complex patients are appropriately linked to community services.
2. Coordinates patient care activities with other members of the healthcare team, the patient, the patient's representatives, and community partners and makes referrals as appropriate.
3. Effectively intervenes in suspected abuse/neglect cases and in complex or high risk situations as requested; is competent to identify and intervene with high risk behaviors, responding to traumas.
4. Identifies and mobilizes patients and family strengths to optimize use of healthcare and community resources; in coordination with patient and family wishes, guide/assist in securing needed post discharge services which may require negotiating for services covered but not readily available; provides consultation and education to team members regarding patient/family (psychosocial and discharge planning) issues and community resources.
5. Identifies potential problems prevents and or resolves variances to the care management plan; assesses and coordinates family and community resources to meet identified needs to support the discharge plan.
6. Intervene with patients and patient's representatives regarding emotional, behavioral, and financial barriers to current illness and/or disability.
7. Leads patient centered conferences to meet needs and desires of the patients.
8. Maintains patient records including patient assessments, plans interventions, patient/family involvement, outside agency communications and interdisciplinary contacts.
9. Participates in discharge planning activities; effectively identifies and intervenes with high risk discharge planning issues with psychosocial complexity; whether referred by other healthcare providers or identified through assessment. Assists Care Management Nurse with discharge planning efforts as requested; obtains or coordinates referrals for post-discharge service needs, if required; mobilize resources to affect rapid and timely movement of the patient through system to achieve targeted discharge times established by AHS.
10. Performs psychosocial assessment interview with patients and/or families and records this assessment in the patient's medical record. Assesses patient's level of functioning, environment, appropriateness and adequacy of support system related to illness and ability to cope; reassesses the patient's condition when changes occur and revises the care plan when appropriate. Performs rapid assessments and developing crisis management plans for referral, evaluation and admission.
11. Provides patient advocacy including primary responsibility for initiating processes regarding capacity determinations, grief counseling, and conservatorship/guardianship; takes advocacy leadership role regarding adoption/surrogacy cases.
12. Refers and assists patients/families in applying for appropriate financial programs (CCS, SDI, SSI, SSD, private pensions) and legal instruments as needed.
13. Screen for any barriers to care such as substance abuse, neglect, financial limitations or housing.
14. Serves a resource and provides counseling and treatment related to palliative care or end of life planning.
**Qualifications**
Preferred Education:Master's degree in social work/welfare issued by a school accredited by the Counsel of
Social Work
Education with Required Experience: Two years of Social work or Case Management experience in an acute setting or protective services.
Preferred Licenses/Certifications: Active certification in Case Management (ACM or CCMC), Current and valid license as a Clinical Social Worker issued by the State of California Board of Behavior Science Examiners. Bilingual preferred.
Required Education: Master's degree in social work/welfare issued by a school accredited by the Counsel of
Social Work Education.
**Additional Information**
A Community Hospital in Alameda County . and so much more For generations, Alameda residents have found friendly, familiar faces and dedicated medical attention at their local hospital. Now, more and more individuals in Oakland and throughout the East Bay are turning to Alameda Hospital for quality care. We welcome all patients seeking an Alameda County Hospital or Bay Area Hospital who value a state-of-the-art medical facility, with a human touch. Alameda Hospital. We care.
Alameda Health System is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military background.

SLH Care Management Social Worker
+ San Leandro, CA
+ San Leandro Hospital
+ SLH Social Services
+ Services As Needed / Per Diem - Day
+ Care Management
+ $35.32 - $58.85
+ Req #:39616-29138
+ FTE:0.01
+ Posted:May 15, 2025
**Summary**
**SUMMARY** : Restores patients to optimum health and social adjustment, while facilitating a positive impact on the hospital transition of care; informs the health care team of the patient's social, emotional, environmental, and financial needs and resources that may influence their treatment options and discharge plan; assists case manager nurses with complex social situations and discharge planning.
**DUTIES & ESSENTIAL JOB FUNCTIONS** : NOTE: Following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.
1. Collaborates with Care Transition team and Health Advocates for high risk patients for timely follow-up appointments and confirms prior to discharge that complex patients are appropriately linked to community services.
2. Coordinates patient care activities with other members of the healthcare team, the patient, the patient's representatives, and community partners and makes referrals as appropriate.
3. Effectively intervenes in suspected abuse/neglect cases and in complex or high risk situations as requested; is competent to identify and intervene with high risk behaviors, responding to traumas.
4. Identifies and mobilizes patients and family strengths to optimize use of healthcare and community resources; in coordination with patient and family wishes, guide/assist in securing needed post discharge services which may require negotiating for services covered but not readily available; provides consultation and education to team members regarding patient/family (psychosocial and discharge planning) issues and community resources.
5. Identifies potential problems prevents and or resolves variances to the care management plan; assesses and coordinates family and community resources to meet identified needs to support the discharge plan.
6. Intervene with patients and patient's representatives regarding emotional, behavioral, and financial barriers to current illness and/or disability.
7. Leads patient centered conferences to meet needs and desires of the patients.
8. Maintains patient records including patient assessments, plans interventions, patient/family involvement, outside agency communications and interdisciplinary contacts.
9. Participates in discharge planning activities; effectively identifies and intervenes with high risk discharge planning issues with psychosocial complexity; whether referred by other healthcare providers or identified through assessment. Assists Care Management Nurse with discharge planning efforts as requested; obtains or coordinates referrals for post-discharge service needs, if required; mobilize resources to affect rapid and timely movement of the patient through system to achieve targeted discharge times established by AHS.
10. Performs psychosocial assessment interview with patients and/or families and records this assessment in the patient's medical record. Assesses patient's level of functioning, environment, appropriateness and adequacy of support system related to illness and ability to cope; reassesses the patient's condition when changes occur and revises the care plan when appropriate. Performs rapid assessments and developing crisis management plans for referral, evaluation and admission.
11. Provides patient advocacy including primary responsibility for initiating processes regarding capacity determinations, grief counseling, and conservatorship/guardianship; takes advocacy leadership role regarding adoption/surrogacy cases.
12. Refers and assists patients/families in applying for appropriate financial programs (CCS, SDI, SSI, SSD, private pensions) and legal instruments as needed.
13. Screen for any barriers to care such as substance abuse, neglect, financial limitations or housing.
14. Serves a resource and provides counseling and treatment related to palliative care or end of life planning.
**MINIMUM QUALIFICATIONS** :
Required Experience: Two years of Social work or Case Management experience in an acute setting or protective services.
Preferred Licenses/Certifications: Active certification in Case Management (ACM or CCMC), Current and valid license as a Clinical Social Worker issued by the State of California Board of Behavior Science Examiners. Bilingual preferred.
Required Education: Master's degree in social work/welfare issued by a school accredited by the Counsel of Social Work Education.
Alameda Health System is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military background.

SLH Care Management Social Worker
+ San Leandro, CA
+ San Leandro Hospital
+ SLH Social Services
+ Services As Needed / Per Diem - Day
+ Care Management
+ $35.32 - $58.85
+ Req #:39617-29139
+ FTE:0.01
+ Posted:May 15, 2025
**Summary**
**SUMMARY** : Restores patients to optimum health and social adjustment, while facilitating a positive impact on the hospital transition of care; informs the health care team of the patient's social, emotional, environmental, and financial needs and resources that may influence their treatment options and discharge plan; assists case manager nurses with complex social situations and discharge planning.
**DUTIES & ESSENTIAL JOB FUNCTIONS** : NOTE: Following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.
1. Collaborates with Care Transition team and Health Advocates for high risk patients for timely follow-up appointments and confirms prior to discharge that complex patients are appropriately linked to community services.
2. Coordinates patient care activities with other members of the healthcare team, the patient, the patient's representatives, and community partners and makes referrals as appropriate.
3. Effectively intervenes in suspected abuse/neglect cases and in complex or high risk situations as requested; is competent to identify and intervene with high risk behaviors, responding to traumas.
4. Identifies and mobilizes patients and family strengths to optimize use of healthcare and community resources; in coordination with patient and family wishes, guide/assist in securing needed post discharge services which may require negotiating for services covered but not readily available; provides consultation and education to team members regarding patient/family (psychosocial and discharge planning) issues and community resources.
5. Identifies potential problems prevents and or resolves variances to the care management plan; assesses and coordinates family and community resources to meet identified needs to support the discharge plan.
6. Intervene with patients and patient's representatives regarding emotional, behavioral, and financial barriers to current illness and/or disability.
7. Leads patient centered conferences to meet needs and desires of the patients.
8. Maintains patient records including patient assessments, plans interventions, patient/family involvement, outside agency communications and interdisciplinary contacts.
9. Participates in discharge planning activities; effectively identifies and intervenes with high risk discharge planning issues with psychosocial complexity; whether referred by other healthcare providers or identified through assessment. Assists Care Management Nurse with discharge planning efforts as requested; obtains or coordinates referrals for post-discharge service needs, if required; mobilize resources to affect rapid and timely movement of the patient through system to achieve targeted discharge times established by AHS.
10. Performs psychosocial assessment interview with patients and/or families and records this assessment in the patient's medical record. Assesses patient's level of functioning, environment, appropriateness and adequacy of support system related to illness and ability to cope; reassesses the patient's condition when changes occur and revises the care plan when appropriate. Performs rapid assessments and developing crisis management plans for referral, evaluation and admission.
11. Provides patient advocacy including primary responsibility for initiating processes regarding capacity determinations, grief counseling, and conservatorship/guardianship; takes advocacy leadership role regarding adoption/surrogacy cases.
12. Refers and assists patients/families in applying for appropriate financial programs (CCS, SDI, SSI, SSD, private pensions) and legal instruments as needed.
13. Screen for any barriers to care such as substance abuse, neglect, financial limitations or housing.
14. Serves a resource and provides counseling and treatment related to palliative care or end of life planning.
**MINIMUM QUALIFICATIONS** :
Required Experience: Two years of Social work or Case Management experience in an acute setting or protective services.
Preferred Licenses/Certifications: Active certification in Case Management (ACM or CCMC), Current and valid license as a Clinical Social Worker issued by the State of California Board of Behavior Science Examiners. Bilingual preferred.
Required Education: Master's degree in social work/welfare issued by a school accredited by the Counsel of Social Work Education.
Alameda Health System is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military background.

SLH Care Management Social Worker
+ San Leandro, CA
+ San Leandro Hospital
+ SLH Social Services
+ Full Time - Day
+ Care Management
+ $35.32 - $58.85
+ Req #:39208-28787
+ FTE:1
+ Posted:May 15, 2025
**Summary**
**SUMMARY:** Restores patients to optimum health and social adjustment, while facilitating a positive impact on the hospital transition of care; informs the health care team of the patient's social, emotional, environmental, and financial needs and resources that may influence their treatment options and discharge plan; assists case manager nurses with complex social situations and discharge planning.
**DUTIES & ESSENTIAL JOB FUNCTIONS:** NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.
1. Collaborates with Care Transition team and Health Advocates for high risk patients for timely follow-up appointments and confirms prior to discharge that complex patients are appropriately linked to community services.
2. Coordinates patient care activities with other members of the healthcare team, the patient, the patient's representatives, and community partners and makes referrals as appropriate.
3. Effectively intervenes in suspected abuse/neglect cases and in complex or high risk situations as requested; is competent to identify and intervene with high risk behaviors, responding to traumas.
4. Identifies and mobilizes patients and family strengths to optimize use of healthcare and community resources; in coordination with patient and family wishes, guide/assist in securing needed post discharge services which may require negotiating for services covered but not readily available; provides consultation and education to team members regarding patient/family (psychosocial and discharge planning) issues and community resources.
5. Identifies potential problems prevents and or resolves variances to the care management plan; assesses and coordinates family and community resources to meet identified needs to support the discharge plan.
6. Intervene with patients and patient's representatives regarding emotional, behavioral, and financial barriers to current illness and/or disability.
7. Leads patient centered conferences to meet needs and desires of the patients.
8. Maintains patient records including patient assessments, plans interventions, patient/family involvement, outside agency communications and interdisciplinary contacts.
9. Participates in discharge planning activities; effectively identifies and intervenes with high risk discharge planning issues with psychosocial complexity; whether referred by other healthcare providers or identified through assessment. Assists Care Management Nurse with discharge planning efforts as requested; obtains or coordinates referrals for post-discharge service needs, if required; mobilize resources to affect rapid and timely movement of the patient through system to achieve targeted discharge times established by AHS.
10. Performs psychosocial assessment interview with patients and/or families and records this assessment in the patient's medical record. Assesses patient's level of functioning, environment, appropriateness and adequacy of support system related to illness and ability to cope; reassesses the patient's condition when changes occur and revises the care plan when appropriate. Performs rapid assessments and developing crisis management plans for referral, evaluation and admission.
11. Provides patient advocacy including primary responsibility for initiating processes regarding capacity determinations, grief counseling, and conservatorship/guardianship; takes advocacy leadership role regarding adoption/surrogacy cases.
12. Refers and assists patients/families in applying for appropriate financial programs (CCS, SDI, SSI, SSD, private pensions) and legal instruments as needed.
13. Screen for any barriers to care such as substance abuse, neglect, financial limitations or housing.
14. Serves a resource and provides counseling and treatment related to palliative care or end of life planning.
**MINIMUM QUALIFICATIONS:**
Required Education: Master's degree in social work/welfare issued by a school accredited by the Counsel of Social Work Education.
Preferred Education: Master's degree in social work/welfare issued by a school accredited by the Counsel of Social Work Education with Required Experience: Two years of Social work or Case Management experience in an acute setting or protective services.
Preferred Licenses/Certifications: Active certification in Case Management (ACM or CCMC), Current and valid license as a Clinical Social Worker issued by the State of California Board of Behavior Science Examiners. Bilingual preferred.
Alameda Health System is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military background.

We are so glad you are interested in joining Sutter Health!
**Organization:**
ABSMC-Alta Bates Summit Med Center
**Position Overview:**
Provides biopsychosocial assessment, crisis intervention, short term counseling, advocacy, and linkage to resources and planning for transitions of care for patients and their families/significant others of all ages in any patient care setting. Provides psycho-education and may facilitate support groups. Provides consultation on psychosocial aspects of care as a member of the interdisciplinary team; serves as a liaison to community programs and collaborates with the multidisciplinary treatment on discharge planning. May provide education to staff and other hospital departments and participates on committees as requested.
**Job Description** :
_These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development). Job Description modifications for union represented position are subject to CBA guidelines._
**EDUCATION:**
Master's: Social Work
**TYPICAL EXPERIENCE:**
2 years recent relevant experience.
**SKILLS AND KNOWLEDGE:**
Clinical skills in biopsychosocial assessment and clinical interventions, including crisis intervention, intervention with patient/family behavioral issues, grief counseling, supportive counseling, adjustment to illness, life review/end of life support, behavioral change therapy, motivational interviewing, short-term family counseling, group facilitation.
Collaboration skills and ability to work effectively on a team.
Skills in patient and family advocacy.
Knowledge of transitions of care and community resources.
Knowledge of post cute levels of care and resource needs for discharge planning
Knowledge of child, elder and dependent adult abuse, crimes against persons reporting requirements, and other significant regulations affecting clinical social work practice (e.g. Tarasoff, patient confidentiality).
Knowledge of behavioral health and the skills to assess mental health functioning, high risk behaviors, depression, anxiety, or other psychiatric conditions impacting hospitalization or transitions of care.
Knowledge of suicidal behavior, and the skills necessary to assess lethality, and to develop and implement an appropriate plan of care.
Knowledge of substance use and the skills to assess level of addiction, motivation for change, and to develop and implement an appropriate plan of care.
Knowledge and understanding of the influence of cultural and spiritual values in social work practice.
Knowledge and skills necessary to provide psychosocial care appropriate to the age-specific needs of newborns, children, adolescents, adults and elders.
Knowledge of palliative care, goals of care discussions, and the psychosocial needs of the patient and family at end-of-life.
Knowledge of bioethics and legal issues impacting patient care.
Demonstrated ability to effectively communicate, both verbally and in writing.
Must demonstrate interpersonal and organizational skills, to work effectively in a fast-paced environment with rapidly changing priorities and competing demands.
Proficient in using a computer to accurately enter and extract data, send and receive email, calendar appointments, and use task lists as will be using a variety of computer software programs.
Knowledge of local county/state/federal resources for at-risk population.
**PHYSICAL ACTIVITIES AND REQUIREMENTS:**
See required physical demands, mental components, visual activities & working conditions at the following link: Job Requirement ( Shift:**
Days
**Schedule:**
Full Time
**Shift Hours:**
8
**Days of the Week:**
Friday, Monday, Thursday, Tuesday
**Weekend Requirements:**
None
**Benefits:**
Yes
**Unions:**
No
**Position Status:**
Non-Exempt
**Weekly Hours:**
32
**Employee Status:**
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $52.00 to $70.20 / hour
_The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package._ _?_