This job is closed
Applications are no longer available for this announcement. Explore current related opportunities below.
Job description
Social Services Coordinator – Telehealth
Position Summary
The Social Services Coordinator supports patients during the critical weeks after a hospital or facility discharge. Transitional Care Management services will be provided via telehealth by identifying and addressing the social and logistical barriers that affect their health. Working virtually with patients, families, providers, and community organizations, the coordinator connects patients to resources and ensures smooth transitions across care settings. This role helps make virtual care accessible, equitable, and effective.
Key Responsibilities
Resource Navigation, Referrals and Care Coordination
Connect patients with community resources
Maintain an up-to-date directory of local and regional resources
Follow up on referrals to confirm services were received and needs were met
Track patient engagement and follow escalation protocols
Assist with arranging post-acute services
Documentation and Compliance
Maintain patient confidentiality in accordance with HIPAA and organizational policy
Adhere to state telehealth regulations, mandatory reporting requirements, and professional ethics standards
Contribute data for quality improvement, program reporting, and grant or contract requirements
Outreach and Education
Educate patients and families on community services, and self-management resources
Build and maintain relationships with community partners and referral agencies
Participate in outreach or program development initiatives as assigned
Qualifications
Required
2+ years of experience in social services, case management, or care coordination, preferably in a healthcare setting
Knowledge of community resources, public benefit programs, and social determinants of health
Excellent written and verbal communication skills
Proficiency with EHR systems, video conferencing platforms, and standard office software
Ability to work independently and manage a caseload in a remote environment
Preferred
Licensed Clinical Social Worker (LCSW), or state-equivalent licensure
Experience delivering services via telehealth
Bilingual or multilingual abilities
Experience serving Medicaid, Medicare, or other underserved populations
Familiarity with Transitional Care Management and CMS requirements
Experience in transitions of care, hospital discharge planning, or readmission reduction
Working Conditions and Technology
Remote; requires a private, HIPAA-compliant workspace with reliable high-speed internet
Extended time at a computer and on video or phone calls
Flexible scheduling may be needed to accommodate patient availability
Organization-provided laptop and secure software access
Disclaimer
This job description describes the general nature and level of work performed in this position. It is not intended to be an exhaustive list of duties, responsibilities, qualifications, or requirements. Responsibilities may be modified based on organizational needs, patient population, regulatory requirements, and program.
Pay: $30.00 - $33.00 per hour
Expected hours: 40.0 per week
Benefits:
401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance
Location:
California (Required)
Work Location: Remote
#J-18808-Ljbffr
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.