Clinical Social Worker/Behavioral Health Specialist

POST DATE:   July 1, 2020


RESPONSIBLE TO:  Program Director, Community Health Home

COMMITMENT (HOURS): Full-Time, 40 hours per week

STATUS: Exempt (3 months orientation period)


Family Bridges, Inc., a nonprofit multi-service community based organization located in Oakland Chinatown, is looking for a full-time Clinical Social Worker/Behavioral Health Specialist to join our Community Health Home (CHH) program. CHH is a Community Based Care Management Entity (CB-CME) serving the most vulnerable members of our community. The successful candidate is committed to treating each client with respect and dignity, and instilling hope for their own optimal health and well-being. The successful candidate thrives in a positive, team-driven environment, and is passionate about helping with people facing houselessness, substance abuse, mental health issues; frail older adults; and/or persons with complex chronic medical conditions, disabilities or special needs.

JOB SUMMARY:  The Clinical Social Worker/Behavioral Health Specialist provides social and mental health services through helping the most vulnerable members of our community discover options to a wide range of social determinants toward their health and well-being. The Clinical Social Worker/Behavioral Health Specialist will serve as an integral team member and is responsible for performing psychosocial/ comprehensive risk assessments; developing and implementing client-centered care plans; facilitating access to services and resources; stabilizing and ensuring clients achieve a safe, stable and healthy living environment; and facilitating communication between the client, family, social supports, and other providers and services. Interactions with clients are performed onsite at Family Bridges and/or in clients’ current place of residence, including hospitals, skilled nursing or other care facilities, houseless residence or encampments, and temporary or transitional housing.


  • Provide care management, crisis intervention and support to clients, particularly regarding their behavioral/mental health needs
  • Support clients in identifying their needs, setting goals, and developing structured plan for achieving those goals
  • Meet clients and other service providers in various settings, such as at place of residence (including hospitals, skilled nursing or other care facilities, houseless residence or encampments, and temporary or transitional housing), and public benefits and other community based settings
  • Help clients connect with appropriate social services and support
  • Develop relationships with local social service organizations and agencies, and agency’s partners
  • Serve as a client advocate and liaison between clients, family and/or caregiver, and client’s health plans and other providers
  • Serve as a multidisciplinary team (MDT) member responsible for developing and implementing a comprehensive, integrated plan of care, and monitoring progress toward objectives by evaluating behavioral adjustments and communicating client changes to team members
  • Complete assessments and care plan updates for all clients while continually evaluating behavioral and psychosocial service needs of the clients
  • Advocate for and make referrals to professional services and community resources to to address related client needs as well as to maintain emotional and physical health and well-being
  • Manage an assigned caseload; document encounters with clients and correspondence regarding clients’ care management, and prepare narrative and other reports
  • Develop and maintain working relationships with other agencies, such as Department of Social Services, psychiatric facilities, hospitals, social agencies, housing services, community health clinics, other community partners, and participate in hospital and/or SNF discharge planning
  • Maintain the confidentiality of all company procedures, results and information about clients, clients or families in conformance with HIPAA principles
  • Participate in programmatic internal and external meetings, trainings, and collaborations, including but not limited to preparing and presenting cases during care conferences, as well as contributing to discussions, goal setting and outcomes, and problem solving
  • Provide behavioral health consultancy to other CHH team members regarding clients
  • Engage in professional development to enhance client services and student supervision, as applicable


  • Minimum a Bachelor’s degree in Social Work from an accredited school of social work or Bachelor’s degree in related behavioral/mental health field
  • Minimum of three years community based social work or behavioral/mental health work experience with diverse range of groups, including the houseless, people with serious mental illness or suffering from substance use, persons with complex chronic medical conditions or special needs, formerly incarcerated people, frail older adults, immigrants, non-English speakers, as well as other service providers, government employees, and community partners
  • Proficiency integrating motivational interviewing and trauma informed care practices
  • Excellent oral and written communication skills in English
  • Aptitude to work under pressure in an empathetic and professional manner
  • Strong interpersonal skills, flexibility, and demonstrated ability to work well independently and as part of a team
  • Ability to handle multiple tasks
  • Familiarity and ability to travel locally in Alameda County, and particularly Oakland


  • Masters’ degree in Social Work or related behavioral/mental health field
  • Work experience with providers and community resources in Oakland, CA or Alameda County
  • Familiarity with AC3/Whole Person Care and Health Homes programs and Community Based Care Management Entity (CB-CME) program of Alameda Alliance for Health and Anthem Blue Cross.


  • Ability to communicate clearly with others
  • Ability to see and hear in order to interact with others
  • Ability to use a computer as well as a smartphone and/or tablet (e.g. iPad)
  • Ability to travel locally and perform responsibilities in various environments multiple times a day
  • To lift a minimum of 20 lbs

SALARY RANGE:  Salary range depending on qualifications and experience, plus benefits.

TO APPLY: Send, fax or e-mail resume and cover letter to: Human Resources, Family Bridges, Inc.,
168 – 11th Street,  Oakland,   CA 94607,    Fax: (510) 839-2435

Family Bridges, Inc. is a non-profit multi-services community based organization that has been serving the Asian American communities in the East Bay for more than 50 years.  Family Bridges is an equal opportunity employer regardless of race, color, religion, sex, national origin, marital status, sexual orientation, age or disability.