County of Alameda

Medical Social Worker II (#6415)

Bargaining Unit: SEIU 1021 - Social Workers (005)
$45.75-$50.14 Hourly / $3,431.25-$3,760.50 BiWeekly /
$7,434.38-$8,147.75 Monthly / $89,212.50-$97,773.00 Yearly

Under close supervision at the I level, to provide social casework services for clients in County public health programs; to assist staff in evaluating the social implications of illness; to assist clients in adjusting to hospitalization and to aid them in discharge planning; and to do related work as needed.

Under general supervision at the II level, to provide medical social casework, discharge and planning and goals for clients in public health programs; participates in client care planning in cooperation with other members of multi-disciplinary health care teams; and perform other related duties as needed.

Medical Social Worker II:

This is the second level in the medical social work series. Assignments in the Health Care Services Agency require an incumbent to provide a full range of casework, counseling, crisis intervention, discharge and treatment planning and goals, consultative services, and independent judgment in client-care related matters.

Medical Social Worker II's screen and assess referrals for medical social services intervention and develop treatment plans accordingly with other members of the health care team.

Incumbents in the I/II levels report to a Health Care Program Administrator I or Senior Program Specialist.

NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed.

1. Receives referrals on an assigned medical service; reviews medical and social information; makes assessment and documents findings in client’s case record.
2. Interviews clients and their families for social study; analyzes background data to determine the factors involved in the clients’ emotional problems; develops a plan of treatment and sets treatment goals; obtains psychiatric evaluation and diagnosis where necessary.
3. Conducts needs assessment with clients and their families; analyzes assessment findings to determine the factors involved in clients’ health problems; develops treatment plan; and obtains relevant health information including, but not limited to psychiatric evaluation and diagnosis and general medical records where necessary.
4. Meets with selected clients individually or in groups for regular interviews; guides the client in understanding the nature of his illness; confers with clients and their families to prepare for the client’s discharge and/or transition; encourages clients to develop realistic plans and advises on community resources and facilities; makes referrals and other arrangements for housing and general medical after-care; acts as liaison between the department and public and private agencies.
5. Interprets the social factors affecting clients; consults with individual medical persons to discuss specific clients.
6. In public health programs, reviews past health and medical records; assesses client's needs including social, physical status and medical care, living arrangements and vocational assessments; identifies individuals who meet program eligibility criteria at various points of entry, such as clinics, hospitals, treatment centers, etc.
7. Develops individual care plans; encourages participation in health care system through education; assesses and helps remove barriers to client's utilization of health services; refers client to community resources; monitors and tracks client status; represents the client's needs and rights to providers and community in a variety of settings; maintains written client record.
8. Attends team meetings to provide case consultation; provides outreach to individual clients and the community which serves the target population.
9. Prepares case reports; documents treatment plan, progress notes and treatment summary related information as required by Medicare, Medi-cal, Title 22 and other mandated regulations according to Department standards; prepares correspondence regarding social evaluation of client, client follow up and related matters; keeps required statistics.
10. Confers with clients to prepare them for discharge or other follow-up treatment plan; advises clients of community resources available and assists them in using such resources; discusses alternative plans with clients and assists them in arriving at decisions; meets with families/friends to advise them of client’s social, mental health and medical needs.
11. Assists in discharge arrangements for clients and in the arrangement for medical follow-up care; calls nursing homes and institutions to arrange for admission and care of clients; acts as liaison between the department, public and/or private social agencies.
12. Works with other program staff as required to assure that client has the necessary equipment, etc., at discharge.
13. Confers with supervisor regarding problem cases; receives guidance and direction in working with clients, in discharge planning, and in writing entries in medical charts.
14. Keeps informed of trends and new developments in the field.

Medical Social Worker II

Either I

The equivalent of one year of full-time experience in the class of Medical Social Worker I in the Alameda County classified service. (Non-classified includes District Attorney’s Office, and the Hospital Authority.)


Possession of a Master's degree in Social Work or Social Behavioral Science awarded by an accredited college or university,


The equivalent of two years’ full-time, post-MSW experience as a medical social worker in a hospital or public health setting. Some positions may require pediatric or adult chronic disease experience.


Certain positions may require possession of California Motor Vehicle Operator's license.

NOTE: The Civil Service Commission may modify the above Minimum Qualifications in the announcement of an examination.

NOTE: The level and scope of the following knowledge and abilities are related to duties listed under the "Examples of Duties" section of this specification.

Knowledge of:

• Theory, principles, and techniques of medical social work.
• Trends, standards and terminology of medical social work.
• Social, emotional, behavioral, and economic implications of disease.
• Normal and abnormal behavior, emotional and social adjustment, and the principles and dynamics of motivation.
• Modern health care organizations and functions.
• General laws relating to health and welfare.

Ability to:

• Apply casework principles and concepts.
• Secure accurate social and personal data and record such data systematically.
• Utilize community resources in a medical care program.
• Establish and maintain effective and professional casework relationships.
• Work effectively with others.
• Communicate effectively, orally and in writing.

RS:bw 1/81
Retyped: 1/85
TMZ:pb Revised: 3/88
Old doc: 0630h
New doc: Jobspecs/6415.doc
CSC Date: 9/28/90
TE:pf Revised 4/21/04
New Doc #: 6405-6415.doc
CSC Date: 3/29/2006


Alameda County offers a comprehensive and competitive benefits package that affords wide-ranging health care options to meet the different needs of a diverse workforce and their families. We also sponsor many different employee discount, fitness and health screening programs focused on overall well being.  These benefits include but are not limited to*:

For your Health & Well-Being

  • Medical – HMO & PPO Plans
  • Dental – HMO & PPO Plans
  • Vision or Vision Reimbursement
  • Share the Savings
  • Basic Life Insurance 
  • Supplemental Life Insurance (with optional dependent coverage for eligible employees) 
  • County Allowance Credit
  • Flexible Spending Accounts - Health FSA, Dependent Care and Adoption Assistance
  • Short-Term Disability Insurance
  • Long-Term Disability Insurance
  • Voluntary Benefits - Accident Insurance, Critical Illness, Hospital Indemnity and Legal Services
  • Employee Assistance Program

For your Financial Future

  • Retirement Plan - (Defined Benefit Pension Plan)
  • Deferred Compensation Plan (457 Plan or Roth Plan)

For your Work/Life Balance

  • 11 paid holidays
  • Floating Holidays
  • Vacation and sick leave accrual
  • Vacation purchase program
  • Catastrophic Sick Leave
  • Group Auto/Home Insurance
  • Pet Insurance
  • Commuter Benefits Program
  • Guaranteed Ride Home
  • Employee Wellness Program (e.g. At Work Fitness, Incentive Based Programs, Gym Membership Discounts)
  • Employee Discount Program (e.g. theme parks, cell phone, etc.)
  • Child Care Resources
  • 1st United Services Credit Union 

*Eligibility is determined by Alameda County and offerings may vary by collective bargaining agreement.  This provides a brief summary of the benefits offered and can be subject to change.