About Search Firm

This position is being facilitated by Pathway Talent Solutions Group, a specialized recruitment and talent advisory firm. We partner with organizations to identify, engage, and place exceptional talent. Candidates will be supported throughout the process with clear communication, guidance, and advocacy to ensure the best fit for both client and candidate.

Company Overview – Rooted Life
Rooted Life is seeking a Licensed Clinical Social Worker (LCSW) to provide direct, field-based case management and clinical support to a caseload of up to 60 clients with complex medical, behavioral health, and social needs. This is a fully onsite, community-based role requiring regular in-person engagement with clients in shelters, encampments, homes, and partner sites. The LCSW plays a critical role in delivering trauma-informed care, coordinating services, and supporting clients in achieving stability and improved health outcomes.

Key Responsibilities

Direct Client Care & Case Management

• Manage a caseload of up to 60 clients providing health and housing focused case management 
• Conduct comprehensive biopsychosocial assessments
• Develop and implement individualized care plans aligned with client goals
• Provide ongoing case management, including regular in-person visits

• Deliver crisis intervention and stabilization support as needed

   

Clinical Support & Behavioral Health Integration

• Provide clinical insight and guidance on behavioral health needs
• Support clients with mental health and substance use challenges
• Apply trauma-informed and harm-reduction approaches in all interactions

• Coordinate with psychiatric and medical providers as appropriate

   

Care Coordination & Systems Navigation

• Coordinate services across healthcare, housing, and social service systems
• Facilitate referrals to community-based providers and track follow-through
• Advocate for clients within healthcare and benefits systems
• Support transitions of care (e.g., hospital discharge, housing placement)

Documentation & Compliance

• Maintain timely, accurate documentation in the electronic health record (EHR)
• Ensure compliance with Medi-Cal, CalAIM, and ECM program requirements
• Complete assessments, care plans, and progress notes within required timelines
• Participate in audits and quality assurance processes

Team Collaboration

• Collaborate with Care Managers, Community Health Workers, and clinical staff
• Participate in case conferences and multidisciplinary team meetings
• Provide clinical consultation to non-licensed team members when appropriate
• Supervision of Care Management team members

Qualifications

Required

• Active Licensed Clinical Social Worker (LCSW) in the state of California
• Master’s degree in Social Work (MSW) from an accredited program
• Minimum 2–3 years of experience in case management, behavioral health, or community-based care
• Experience working with high-acuity populations, including individuals experiencing homelessness
• Strong knowledge of trauma-informed care and harm reduction practices
• Ability to work onsite and in community-based settings daily

Preferred

• Experience with Recuperative Care, Enhanced Care Management (ECM) and other CalAIM programs
• Familiarity with Medi-Cal documentation and billing requirements
• Experience using EHR systems (e.g., Ritten or similar platforms)
• Bilingual (Spanish or other languages commonly spoken in the community)

Key Attributes

Successful candidates will demonstrate:

• Strong clinical judgment and assessment skills
• Relationship-building and client engagement
• Systems thinking and care coordination
• Documentation accuracy and compliance discipline
• Adaptability in fast-paced, field-based environments

Compensation & Benefits

• Competitive salary (Target Range: $90,000 – $110,000)
• Health, dental, and vision insurance
• Paid time off and holidays
• Opportunities for professional growth and development

Work Environment
This position operates in a fast-paced, mission-driven healthcare and housing services environment supporting staff who work directly with vulnerable populations. 

• Fully onsite, field-based role
• Daily travel within the service area required
• Work conducted in community settings including shelters, encampments, clinics, and client residences

Why Join Rooted Life
At Rooted Life, you’ll be part of a mission-driven team working at the forefront of whole-person care. This role offers the opportunity to make a direct, tangible impact in the lives of individuals who need it most—while helping shape innovative care models that are transforming the system.

Equal Opportunity Employer
Rooted Life is an equal opportunity employer and is committed to building a diverse and inclusive workforce. We encourage candidates from all backgrounds and experiences to apply.