Community Care MSW Supervisor (San Diego, CA - Hybrid)

Position Summary:
Reporting to the Community Care Manager, the Community Care Supervisor is responsible for the supervision Social Workers as well as the professional development of Community Care Registered Nurses and Social Workers under the HCBA Waiver Program. In addition, the Community Care Supervisor, MSW supports the development and monitoring of the plan of treatment for program participants, and provides community-based (in-home and telephonic) evaluation of services to ensure the health, safety, and well-being of vulnerable and high-risk populations, as necessary. This includes supporting transfer coordination, discharge planning, and issuance of all appropriate authorizations for covered services as needed by members. This position provides social services support such as participant screening, case management, counseling and referral.

Essential Functions of the Job:
• Responsible for assisting with the overall operation of the HCBA Waiver program, including implementation of all policies, quality and production metrics and enhanced care management activities, in collaboration with community resources, to ensure continuity of care.
• Responsible for the direct supervision of Social Workers (MSW/BSW), utilizing principles and techniques of supervision relating to training, direction, and evaluation of staff.
• Accurately interpreting and applying relevant data to achieve desired results and focused on achieving HCBA Waiver and SYHealth goals.
• Facilitate comprehensive staff training to develop shared goals, and align staff with their role in accomplishing the program and organizational mission, and compliance with departmental performance standards. This includes conducting competency exams, assessments, quality assurance, and performance reviews, as applicable.
• Responsible for assisting in the proactive care management of HCBA Medi-Cal beneficiaries, with the objective of ensuring the safety and health of eligible clients in the community setting, including acutely/chronically ill patients and disabled persons, through complex care management services and support critical to delivering the participant plan of treatment reflecting a comprehensive needs assessment, intervention development, and services necessary for the client to achieve optimal health outcomes
• Assisting and/or conducting a comprehensive health and psychosocial assessment of participants’ medical needs, diagnosis, functional and cognitive abilities, and environmental and social needs, to determine which service(s) are required to meet participants’ needs and preferences in the community; as necessary and appropriate.
• Working with the participants, their legal representatives, circles of support, and/or primary care physicians and providers to: Develop goals associated with the participant’s assessed needs, individual circumstances, and preferences.
• Mitigate risk and minimize disruptions in services.
• Identify when services identified in the POT are available through friends, family, and/or publically funded programs.
• Assist in the implementation of the POT, which includes identifying service providers and community resources to help assure the timely, effective, and efficient mobilization and allocation of the services.
• Identify (and train, if necessary), backup caregivers who are willing and able to provide unpaid support if and when waiver service providers do not arrive when scheduled.
• Provide information, education, counseling, and advocacy to, and on behalf of, participants.
• Monitoring the delivery of HCBA Waiver services to ensure participants are receiving services as authorized in their POTs.
• Monitoring the quality of the authorized services by maintaining ongoing contact with HCBA Waiver Program participants (including a monthly face-to-face visit or telephone call) to monitor for changes in health, mood, social integration, functionality, and overall well-being.
• Assisting and/or conducting face-to-face visits for HCBA Waiver Program participants, reassessments, and care plan updates; and following up with the participant after Emergency Department and inpatient facility admissions.
• Develop resources and refer patients and families to appropriate community agencies or facilities, acts as liaison with such organizations and as advocate for participants.
• Maintain accurate HCBA Waiver Program case management records and timely documentation standards.
• Consult with and advise staff members as to the relationship of social, emotional and cultural factors to health and medical care, and as to the availability of social services in the community.
• Maintains a working knowledge of facility service areas including transportation community characteristics and geography.
• Maintains a networking liaison with other organizations to address a broad range o