Social Worker

University of California - San Francisco Campus and Health
United States, California, San Francisco
May 23, 2025
Social Worker MED-CORE-GERI Full Time 85039BR Job Summary The Division of Geriatrics seeks to recruit a full-time Clinical Social Worker III (CSW) for Dementia Care Aware San Francisco (DCA SF), a Centers for Medicare & Medicaid Services (CMS) innovation model called GUIDE (Guiding an Improved Dementia Experience) starting at San Francisco Health Network's (SFHN) Department of Geriatric-Neurology Cognitive Clinic (GNCC). GUIDE Model program is an 8-year CMS program that will allow SFHN to provide coordinated dementia care to Medicare patients with dementia. Under general supervision of the Medical Director, the CSW will work closely with an interdisciplinary team including Neurologists and Clinical Patient Navigator/unlicensed Social Worker on this new program focused on improving the quality of life for people with dementia, reducing strain on their unpaid caregivers, and supporting people with dementia to remain in their homes and communities. This position supports the administrative and clinical responsibilities of a specialized social service program. On this team, the CSW will support the interdisciplinary team to complete patient and caregiver assessments, patient alignment, care planning, home safety assessment, ongoing monitoring and supports, care coordination and transitional care management, referral and coordination of services and supports, caregiver education and support, and monitoring respite services. The role includes patient evaluation and care as well as program management and evaluation functions. Specific duties include: conduct initial and annual psychosocial brain health assessment; develop a comprehensive person-centered care plan; serve as primary point of contact for caseload; provide on going monitoring and support for patient and caregiver that maintains a minimum contact frequency to adhere to program requirements; coordinate care and support patients during times of tranition; maintain and manage inventory of local/community services; refer and connect patients and caregivers to community-based services and supports; support and manage outreach and enrollment efforts to enhance program growth; administer a caregiver support training; refer and coordinate in-home respite care; manage and monitor patient alignment through CMS online portal; attend interdisciplinary team meetings; develop and implement tools for clinical care of patients with dementia; collect and collate metrics related to program outcomes and measurements for quality improvement; manage coorespondance with SFHN partner departments and CMS to adhere to all program deliveriables; meet with billing and claims department to ensure accurate billing practices to optimize revenue generation; and help to conduct staff / team meetings and trainings related to dementia assessment and care with regard to social service and behavioral needs. The CSW will provide direction and guidance to Clinical Patient Navigator/unlicensed Social Worker who preform a full range of psychosocial clinical duties. Clinical care will be provided in-person (clinic and in the field) as well as remotely. Some patients also experience chronic illness, have substance use disorders, have had severe trauma, lack a social support system, and struggle to engage in care. Many patients do not speak English as their primary language. Professional development opportunities, such as training and education, will be available to support this position. This is a position that is funded through June 30, 2026 for a rapid implementation of an exciting new program with a dynamic and highly motivated team members who are collectively dedicated to improving clinical care for people living with dementia. The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The salary range for this position is $41.79 - $72.17 (Hourly Rate). To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html Department Description The Division of Geriatrics' work is grounded in a deep commitment to and respect for older persons. We are specialists in aging. Our expertise is in optimizing the health of older individuals. We work in the community and on virtually every UCSF campus - Parnassus, San Francisco Veterans Affairs Medical Center, Zuckerberg San Francisco General Hospital, Mission Bay, and UCSF Center for Geriatric Care. The Division has over 130 employees including faculty, volunteer clinical faculty, fellows, staff, student interns and volunteers. We are deeply committed to, and will champion diversity, equity and inclusion as our core mission and will nurture and grow a culture in which everyone from all backgrounds is welcomed, supported, respected and valued! Dementia Care Aware San Francisco (DCA SF) is a Guiding an Improved Dementia Experience (GUIDE) Model within the San Francisco Health Network. GUIDE is an 8-year CMS innovation program with the goals to improve quality of life for people with dementia, reduce strain on their unpaid caregivers, and support people with dementia to remain in their homes and communities. The GUIDE Model will test an alternative payment methodology for participating dementia care programs to deliver a package of services including care management and coordination, caregiver education and support, and respite services to Medicare beneficiaries with dementia and their caregivers. San Francisco Health Network (SFHN) was selected as one of the few publicly funded integrated health systems in the nation to participate in developing a model. Required Qualifications Master's degree from an accredited school of social work, possession of a clinical social worker license issued by the California Board of Behavioral Science Examiners, and three years of post-master's experience; or an equivalent combination of education and experience; and knowledge and abilities essential to the successful performance of the duties assigned to the position; Demonstrated ability to effectively supervise a team and manage the complex workflow and multiple priorities involved with social work services. Strong knowledge of social work services, and familiarity with case management, home care, and / or managed care. Strong analytical and critical thinking skills, with the ability to quickly analyze problems, determine appropriate level of intervention, and develop and apply effective solutions. Strong interpersonal and communication skills for effective collaborations with all levels of management and staff across clinical disciplines. Knowledge of applicable business software and specialized applications and data management systems. Knowledge of social services for older adults, people living with dementia, caregivers, and for older adults from diverse linguistic and cultural backgrounds. Ability to travel to patients' homes and work in the community Preferred Qualifications Spanish, Mandarin, Taishanese, Cantonese, Vietnamese, or Tagalog language fluency Social Worker in Gerontology or Advanced Social Worker in Gerontology Master's degree in Social Work License/Certification Licensed Clinical Social Worker (LCSW) About UCSF The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world's leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values. In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Organization Campus Job Code and Payroll Title 009313 CLIN SOCIAL WORKER 3 Job Category Social Work and Psychology Bargaining Unit University Professional and Technical Employees - Health Care Professionals Unit (UPTE-HX) Employee Class Limited Appt Percentage 100% Appointment End Date 30-Jun-2026 Location San Francisco, CA Campus Mission Bay (SF), Zuckerberg San Francisco General (ZSFG) Work Style Flexible Shift Days Shift Length 8 Hours Additional Shift Details Monday-Friday, 8AM to 5PM