Social Worker (MSW or BSW) – Full-Time at Vital Plus Home Health Care Inc – Moorpark, California

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 a Social Worker coordinates Waiver and State Plan services (including medical care, home health, In-Home Supportive Services, 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.

Compensation:

• MSW: $30.00 per hour
• BSW: $24.00–$25.00 per hour (depending on experience)
• Bonus available for bilingual (Vietnamese/English) employees upon successful completion of the introductory period.

Key Duties and Responsibilities

• Collaborate with the Registered Nurse, staff, and management to ensure compliance with DHCS rules and regulations.
• Work closely with HCBA participants, their legal representatives, support systems, and primary care physicians to educate, counsel, and advocate on behalf of participants.
• Complete assessments, case notes, care coordination documentation, and utilization management entries in the MedCompass health management system.
• Develop individualized goals based on assessed needs and circumstances to connect participants with appropriate resources.
• Partner with the RN to develop a Plan of Treatment (POT) identifying areas of concern and intervention.
• Coordinate with service providers and community resources to ensure timely, effective, and efficient delivery of services.
• Conduct monthly case management calls to monitor participants’ health status, mood, social integration, functionality, and overall well-being.
• Complete APS and mandated reports as required and follow up on concerns related to abuse, neglect, or changes in condition.

Required Qualifications

• Bachelor or Masters Degree in Social Work, Psychology, Counseling, Rehabilitation, Gerontology or Sociology
• Experience and understanding of medical and psychosocial issues affecting adults, functionally impaired children, adults with disabilities, and older adults
• Demonstrated case management skills with strong ability to prioritize tasks
• Strong attention to detail and problem-solving skills
• Proficiency in Microsoft Office (Excel, Outlook) and electronic documentation systems

Desired Qualifications

• Experience working with individuals with complex medical conditions, mental health diagnoses, behavioral health challenges, and/or substance use disorders
• Excellent interpersonal, verbal, and written communication skills
• Multilingual abilities preferred (Vietnamese/English strongly encouraged)