Under the direct supervision of the Social Work Supervisor, the BSW In-Home Assessment Social Worker will be responsible for completing In-Home Assessments (IHA), providing case management services, counseling and referral. In addition, provides such social services support as participant screening, counseling and referral. Follow all policies and procedures of the Day Center, applicable laws and licensing requirements at all times.

Essential Functions of the Job:

• Provides in-home assessments for all participants. Completes social service assessments on all participants as needed.
• Coordinates 24 hour care delivery.
• Provides individual and family counseling, develops and leads group counseling and activities.
• Responsible for coordinating with Masters Level Social Workers (MSW’s), Social Work Supervisor, and Admissions Manager regarding Adult Protective Services and all other applicable mandated reporting.
• Refers participants and families to appropriate community agencies or facilities, acts as liaison with such organizations and as advocate for participants.
• Encourages effective relationships among staff geared to team building and maintenance of a cohesive team.
• Consults with and advises 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.
• Participates in Program and Policy development of Social Work component.
• Documents participant changes appropriately in the medical record.
• Actively participates as a member of the Interdisciplinary Team. Attends staff meetings and takes part in participant care planning.
• Maintains a working knowledge of facility service areas including transportation, community characteristics and geography.
• Maintains a networking liaison with other organizations in the eldercare field.
• May be requested to represent the agency in contact with human service, health care, and community organization groups and individuals.

• Maintains established departmental policies and procedures, objectives quality assurance program, safety and environmental.
• Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops.
• Attends meetings as required and participates in committees as directed.
• Performs other related duties as assigned or requested.
• Adheres to and models SYHC’s core values and behaviors of Excellence, Empowerment, Integrity and Respect.
• Adheres to SYHC and PACE attendance and punctuality policies and practices.
• Assists participants to fill out Adult Meal Benefit, HIPAA, Consents, and any required

Job Requirements

Education Required:
Bachelor’s Degree in either Social Work or Psychology

Experience and Required Skills:
Proficient in Microsoft applications and use of electronic health data systems.
Good computer literacy, including internet navigation and research skills.
Demonstrates ability to be culturally sensitive and respect diversity, work effectively with
Individuals of different cultures and socio-economic backgrounds.
Passion for service, self-starter, and highly organized.
Ability to prioritize and complete a large volume of work within strict time deadlines.
Provide prompt, efficient, and responsive customer service.

Certifications/Licenses Required:
Valid California Driver’s license. Access to an insured vehicle; travel throughout the county is required.
CPR Certification within 6 months of hire.

Equipment Used:
Computers, phones, personal vehicles, copy machines and fax machines and other office equipment.

Working Conditions and Physical Requirements:
Requires a blend of onsite visits, working remotely and visits to participants’ homes (subject to change in order to meet operational needs).
Home visits are required for all pre-enrollment/admission assessments. May be required to work to work outside of normal business hours.

Universal Requirements
Pre employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre employment PPDs. Compliance with all mandated vaccinations and all boosters is a term and condition of employment.

About Us San Ysidro Health is a Federally Qualified Health Care organization committed to providing high quality, compassionate, accessible and affordable healthcare services for the entire family. The organization was founded by seven women in search of medical services for their families and community. Almost 50 years later, San Ysidro Health now provides innovative care to over 108,000 patients through a vast and integrated network of 47 program sites across the county. San Ysidro Health could not serve our patients without the dedication of our passionate and hardworking employees. Apply today and become a part of our mission-driven team! San Ysidro Health has a long-standing commitment to equal employment opportunity for all applicants for employment. Employment decisions including, but not limited to, those such as employee selection, performance evaluation, administration of benefits, working conditions, employee programs, transfers, position changes, training, disciplinary action, compensation, and separations are made without regard to race, color, religion (including religious dress and grooming), creed, national origin, nationality, citizenship status, domestic partnership status, ancestry, gender, affectional or sexual orientation, gender identity or expression, marital status, civil union status, family status, age, mental or physical disability (including AIDS or HIV-related status), atypical heredity cellular or blood trait of an individual, genetic information or refusal to submit to a genetic test or make available the results of a genetic test, military status, veteran status, or any other characteristic protected by applicable federal, state, or local laws.