Job Description:Within Hill Physicians' care coordination framework, provide telephonic psychosocial assessments and interventions to assist patients and caregivers in making care transitions and coping with their illness, diagnosis, treatment, and/or life situation, including emotional, mental, and substance abuse disorders.
Job Responsibilities- Coordinating appropriate services, such as Home Health or Hospice care, appropriate other levels of care such as SNF, Board and Care, Care Givers at home.
- Education of patients, family members, and care givers around issues related to adaptation to the patient's diagnosis, illness, treatment and or life situation.
- Participation in multi-disciplinary health care teams
- Assist in advance care planning and completion of Advance Directives and POLST. Coordinate symptom management and/or end-of-life services.
- Assessment and referral for Medi-Cal and/or other insurance eligibility based on new entitlements and referral for SSI and or SSDI as needed or within scope of care definitions as indicated.
Required Experience- LCSW
- 2-4 years social work experience within the last 5 years (MSW fieldwork not included), preferably in a managed care environment
Additional InformationSalary: $110,000 - $123,000 Annual 
