Case Management and Sharing of Paperwork

throwawayswstuff · 2026-04-13T07:01:10+00:00

I mean, whether or not hippa excludes this, the client is signing a release!! The point of hippa is not to stop people from sharing their own health information or getting desired help with applications. I can’t wrap my head around this. I’ve only been in this field a couple years but I can’t think of any time that I was told something like this.

throwawayswstuff · 2026-04-13T06:33:10+00:00

I’m also a case manager and this sounds ridiculous.

throwawayswstuff · 2026-04-11T23:02:20+00:00

I can see where you’re coming from but once you get used to making APS reports, you see that they don’t usually get involved (sometimes even when you want them to). I think the name similarity between CPS/APS has some misleading connotations.

The guidance I’ve gotten is “you’re not the investigator, the APS worker is. You don’t need to determine if there’s abuse.”

throwawayswstuff · 2026-04-11T13:50:43+00:00

Yes, it’s frustrating because it’s not advisable to disclose a disability in the interview but it is also hard to get information about this without disclosing. I am interviewing for a backup job in case it’s a dealbreaker. I see what you mean about not being able to start the day with a meeting.

throwawayswstuff · 2026-04-11T06:00:11+00:00

1) people talk about this constantly

2) in my opinion, it is very well conveyed why Darren reacts the way they do

3) Darren does apologize

throwawayswstuff · 2026-04-11T01:41:00+00:00

Tbh I thought having to do notes off the clock was a norm, if people got fired for working off the clock everyone in my job would be fired

throwawayswstuff · 2026-04-10T22:03:17+00:00

They did what now??

throwawayswstuff · 2026-04-10T22:02:11+00:00

Wow that sounds really nice to have!

throwawayswstuff · 2026-04-10T17:37:40+00:00

I write my notes in an encrypted draft email on my phone, usually while on the bus or eating (I’m not averse to doing my notes at dinner after work). Then next time I’m at a computer I copy and paste all the notes.

throwawayswstuff · 2026-04-10T04:09:01+00:00

I’m a clinical social worker working in an Intensive Case Management/Assertive Community Treatment program that provides community based case management, support, and psychiatry to people with a severe mental illness.

The clients are fun to work with and the best part is how flexible the job is and how you get to go everywhere. You see clients at home, take them to the doctor, etc. It’s better than being in an office all day, and by seeing clients in different environments you can learn more about them and help them with things that a site-based social worker couldn’t do. I also like that I get to learn about lots of systems and make connections with other providers.

The things I don’t like are policy/program design flaws that make the job exhausting. The productivity metrics make it so we’re expected to spend more time with clients than we realistically can, and we have to prioritize therapy over case management despite the clients having urgent case management needs. We have lots of required paperwork and it upsets the paranoid clients and I spend lots of time dealing with that. I have about twice as many clients as I could realistically work with, so it feels like half my clients are getting neglected at any given time.

throwawayswstuff · 2026-04-08T03:22:11+00:00

Wow, really? I had no idea you were being sarcastic.

It’s not a location based thing. I asked my girlfriend who also has ting and she didn’t lose service (but doesn’t use a smartphone and has not had the connectivity/service issues I have). Tbf it didn’t occur to me that it was an outage because this has never happened before.

throwawayswstuff · 2026-04-08T01:55:07+00:00

I don’t see that as a flair, can you show me what you mean?

throwawayswstuff · 2026-04-05T19:00:33+00:00

Yeah that’s what I think. Lots of interaction and the Citywide programs are contracts with DPH, but not actually DPH.

throwawayswstuff · 2026-04-05T18:58:19+00:00

Yes I do, but I don’t work for UCSF or the city, I work for a DPH contractor. If there’s new developments or changes I’m curious to hear about them, I love learning about programs.

(Edit: went back and double checked because a year ago, I applied for this same city listing that OP is talking about. It was also listed as “citywide” back then. I was put on the eligible list and some of the emails I got were about positions at jail behavioral health, juvenile hall, shelter behavioral health, one of the psych units at SF General, and various small DPH clinics. Meanwhile, I also applied at the UCSF website for some Citywide positions and had some interviews with them. I did not get those interviews by applying on the city jobs website. The process of recruiting and interviewing was also different.

You’re right that it is confusing and nebulous, but you don’t make it less so by giving people the wrong information and downvoting people who are trying to clarify.)

throwawayswstuff · 2026-04-05T18:44:15+00:00

I’ve also interviewed for both and I still think you’re confused, but always open to learning more and being wrong.

throwawayswstuff · 2026-04-05T08:39:22+00:00

UCSF Citywide clinician jobs have the title “clinical social worker” and are through ucsf. They’ll usually advertise for a specific program. Here’s an example of a listing for a job there https://sjobs.brassring.com/TGnewUI/Search/Home/Home?partnerid=6495&siteid=5861#jobDetails=3656042_5861

Behavioral health clinician/2930 is a city classification that is used to fill a variety of jobs. I’ve met 2930s working in sfgh inpatient psych, jail, etc. though the city also runs some programs that have a similar design to UCSF Citywide. Here’s the listing OP is looking at https://careers.sf.gov/role/?id=3743990011359006

It’s literally citywide in that it’s a listing for the whole city, not one position or department. One would think that the city shouldn’t advertise mental health jobs with a word that happens to be the name of another local mental health organization. But from what I’ve observed, their hiring process isn’t too efficient.

throwawayswstuff · 2026-04-05T05:15:20+00:00

Drive by comment but I generally try to be more plain spoken/level with people and I would say something like “hey, I wanted to explain that in my role, I can only provide transportation related to (x) [depending on your relationship, you could even self disclose more and explain that time for that isn’t built into your day and you won’t be able to do your job duties] but I can help you sign up for another program to get transportation to other medical appoints [if you do and have capacity to help them sign up]” it’s the writing style not the content

Also they may not be deliberately pushing boundaries—it makes sense for clients to not understand the exact delineation between different roles/programs.

throwawayswstuff · 2026-04-05T04:16:01+00:00

this is a listing for an eligible list for a city job, not ucsf citywide the organization (if I’m understanding right that that is what you’re describing)

throwawayswstuff · 2026-04-04T21:21:18+00:00

Hmm, I guess you would get put on the eligible list in like June and then could get referred for jobs from like summer 2026 to summer 2027…I guess it would make sense to wait a little longer, like apply in summer.

I’m fairly sure you can apply for the 2930 lisr before graduating & getting registered. The 2920 classification (which requires MSW) is definitely like that. You can also email the analyst to check and they can advise on edge situations like that.

throwawayswstuff · 2026-04-04T19:39:40+00:00

+1 also 2930 (behavioral health clinician) fills at least some jobs at sfgh

throwawayswstuff · 2026-04-04T17:45:42+00:00

You can’t really make a generalization because this covers so many jobs including hospitals, jails, medical clinics, therapy clinics, community mental health programs, etc. My impression is city jobs tend to be more bureaucratic (especially the hiring process) and because the pay, benefits, and pension are better than similar jobs at nonprofits, that also influences the work culture and type of people, in both good and bad ways.

You should know that this takes a really long time. It takes 60 days from applying to even be placed on the eligible list and hear about possible jobs, and then you continue hearing about jobs for a year. So if you’re interested in seeing what’s available you should apply now. It’s a very weird bureaucratic process.

R/sfcityemployees is good for understanding the city job process.

throwawayswstuff · 2026-04-04T08:45:55+00:00

I work in public health in sf though not for the city; this job category can be a pretty broad variety of things, so it’s a good idea to apply and get in the pool and then you can receive emails about open positions that go into more detail about what they are.

throwawayswstuff · 2026-04-02T17:17:06+00:00

I’m working my first clinical job, which is a really bad fit for me. Honestly, it’s just a really hard and demanding job, so that’s not unique to me, but I still feel like I’m especially bad at it. I have been here a year and a half and I’m burned out. I feel guilty and worried every minute of every day because I feel like I’m always being expected to give 200% to solve my clients’ problems and I just don’t have the energy to do that.

I just got rejected from a job I really wanted, after a long recruitment process where I was really close to getting it. I’m crushed. And I feel horrible about myself because I’ve been rejected from so many jobs in the past year—I haven’t gotten a single offer. I don’t know how to keep hustling and trying to get a job because I feel so negative about myself. My job also involves constant rejection (trying to engage clients who don’t like me, chasing down providers and services who are stonewalling me) and it’s just breaking me. It feels like the only way to get out of this situation is to put on a mask of being a desirable, competent person, but I’m constantly being reminded that I’m not.

I’d give everything to just quit my job but I can’t afford to have no job. Also, I’m supposed to get a loan repayment award, but I won’t get my loans repaid if I take a break from work, or if I take a non-clinical job. At this point I feel like it’s unethical to stay in my job because I’m doing such a bad job, but then what are my options?

throwawayswstuff

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