Y AS NEEDED - Social Worker (MSSP)

Position Information:

• Department: MSSP - Direct Support
• Salary Grade: 309 - $68,015 - $108,824 ($32.70 - $52.3192)
• Work Arrangement: Full Telework 
• Work Schedule: Monday through Friday; 8:00 a.m. to 5:00 p.m.
• Expected Assignment Duration: up to six (6) months 
  
  

Submission Information:

• The deadline to be guaranteed full review of your submission is due by August 7, 2026 by 9:00 p.m. PST.  This position will remain open for a minimum of seven (7) days, but may be extended if a lack of qualified applicants are received or if we are hiring multiple positions.

Duties & Responsibilities:

• 90% - Care and Support Services
  • Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
  • Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
  • Provides social work consultation and education to members and families and acts as an advocate as needed.
  • Analyzes assessments to identify individual needs and the resources most appropriate to meet the member’s needs.
  • Collaborates with an interdisciplinary team to identify and work toward timely resolution of issues related to psychosocial needs, including assistance with financial issues, transportation and community support services.
  • Assists in the coordination of the member’s identified psychosocial needs, utilizing community resources and support when appropriate.
  • Works with external utilization management personnel and the community in identifying members who could benefit from case management services and to actualize service plans.
  • Monitors all services provided to members and ensures necessary and available resources are being utilized. \
  • Evaluates and anticipates members’ needs, provides support and maintains a role as the members’ liaison while forecasting independence and decision-making on their part.
  • Provides referrals based on the members’ assessed needs.
  • Provides an ongoing evaluation of the members’ progress, the effectiveness of the service plan, as well as the efficacy and appropriateness of the services provided.
  • Partners and communicate with the members, family members, significant other(s), physicians and other health care providers to accomplish goals identified on the care plan.
  • Initiates appropriate follow-up care and develops individual care management services/care plans incorporating assessment, education, resource planning and coordination of services for members accepted for case management.
  • Accepts referrals for case management and serves as CalOptima Health’s liaison to community agencies, organizations and State of California personnel.
  • Maintains documentation of case management plans/interventions and statistics required to demonstrate the impact of case management or quality, cost effective care.
  • Initiates case conferences as needed.
  • Develops and maintains a network of current community resources and services where members can be referred for assistance.
    
    
• 10% - Other
  • Completes other projects and duties as assigned.

Minimum Qualifications:

• Master’s degree in social work PLUS 2 years of experience working with the gerontology population required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
  
• Experience with behavioral health, health facility, health plans, counseling, case management, home health or hospice required.
  
• Valid driver’s license and vehicle, an acceptable driving record and current auto insurance or other approved means of transportation will be required for work away from the primary office 50% of the time or more.

Preferred Qualifications:

• Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Russian, Spanish, Vietnamese).

Required Licensure / Certifications:

• N/A

Knowledge & Abilities:

• Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds.  
• Work independently and exercise sound judgment.
• Communicate clearly and concisely, both orally and in writing.
• Work a flexible schedule; available to participate in evening and weekend events.
• Organize, be analytical, problem-solve and possess project management skills.
• Work in a fast-paced environment and in an efficient manner.
• Manage multiple projects and identify opportunities for internal and external collaboration.
• Motivate and lead multi-program teams and external committees/coalitions.
• Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.

Physical Requirements (With or Without Accommodations):

• Ability to visually read information from computer screens, forms and other printed materials and information.
• Ability to speak (enunciate) clearly in conversation and general communication.
• Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.
• Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.
• Lifting and moving objects, patients and/or equipment 10 to 25 pounds

Work Environment:

If located at the 500, 505 Building or a remote work location:

• Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.
• There are no harmful environmental conditions present for this job.
• The noise level in this work environment is usually moderate.

If located at PACE:

• Work is typically indoors in a clinical setting serving the frail and elderly.
• There may be harmful or hazardous environmental conditions present for this job.
• The noise level in this work environment is usually moderate to loud.

If located in the Community:

• Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. 
• Employee will occasionally work outdoors in varied temperatures.
• There may be harmful or hazardous environmental conditions present for this job.
• The noise level in this work environment is usually moderate to loud.

CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. 

If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability.