PACE Social Worker

Job Description

Job Description

Care with Heart. Work with Purpose.

Join Senior Community Care of Colorado PACE as a Social Worker in Eckert, CO. This is more than a job! It’s a paid opportunity to serve others, live our mission, and make a meaningful impact. As a compassionate organization, we’re dedicated to serving others and fostering an environment where both our residents and team members thrive. If you’re ready to grow your career while making a difference, we’d love to connect with you.

Senior Community Care of Colorado PACE is a community of Volunteers of America National Services, a subsidiary of the Volunteers of America parent organization. Proudly Great Place to Work® Certified for 8 consecutive years .

Salary Range:

• $70k - $89k annually as MSW with intent to pursue licensure, CSW or LSW.
• $90k - $110k annually with LCSW
• Relocation Assistance offered!

Schedule:  Monday-Friday 8am-5pm

Why You’ll Love It Here

• Supportive, caring leadership that truly values your voice
• A positive, team-oriented environment where you can rely on one another
• A beautiful, welcoming campus you’ll enjoy coming to each day
• Opportunities for career growth and ongoing development
• Purpose-driven work that makes a meaningful difference every day

What We Offer

• Medical, Dental & Vision Insurance
• 403(b) with discretionary contribution
• Paid Time Off + Personal Days
• Life Insurance & Short-Term Disability
• Employee Assistance Program
• Wellness incentives (earn up to $350)
• Get paid early (access up to 50% of earnings)
• Referral bonuses & scholarship opportunities

What You Bring (Requirements)

• Master’s degree in social work from an accredited school required.
• Be legally authorized, currently licensed, registered or certified with the state of Colorado as a SW-C or LSW, OR be licensed in the state of Colorado as a LCSW.
• Must have current Cardiopulmonary Resuscitation (CPR) certification
• Must have a valid driver’s license, proof of insurance and have means of transportation.
• A minimum of one year’s experience working with frail or elderly population required. Experience working on a multi-disciplinary team in a hospital, nursing home or community-based setting is preferable.

What You’ll Be Responsible For

The Social Worker  Routinely assesses the needs of participants and families and determines the most appropriate and effective social services interventions to meet participant goals. Based on the assessment and/or evaluation of the participant, the Social Worker works in coordination with the IDT, Behavioral Health Specialist, Chaplain, contracted providers, and others to implement the plan of care and to provide psych/social interventions. The Social Worker acts as an education resource for the PACE team and supports the organizations goal to provide high-quality, person-centered care to all participants.

• Performs in person initial assessments for enrollment of potential Senior CommUnity Care participants to obtain a complete psychosocial history, which may include descriptions of cognitive status, social supports, family dynamics mental health and substance dependency and other issues and needs. Coordinates with the Interdisciplinary Team to develop a comprehensive plan of care for each participant.
• Conducts in person re-assessment of enrolled participants every six (6) months and as needed.
• Functions as a member of the Interdisciplinary Team. Maintains regular attendance at and participates in Interdisciplinary Team meetings; communicates participant changes, collaborates on plan of care decisions and coordination for twenty-four (24) hour care delivery.
• Provides ongoing support, counsel, and education to participants and family regarding a variety of issues, including but not limited to: the aging process, dementia, grief and loss, end of life, disease processes, difficult family dynamics and changing roles, PACE model and PACE health services.
• Presents requests to Interdisciplinary Team for and coordinates admission/discharge to contracted facilities for temporary respites and permanent placement.
• Acts as facilitator for meetings with participant, family, caregivers, and community agencies to clarify, or problem solves issues regarding the plan of care. Mediates discussions between all parties.
• If hospice care is appropriate actively provides emotional support, grief work, education and funeral/financial planning referral. Facilitates hospice or nursing home placement as needed. Initiate referrals to external resources with community agencies such as Adult Protective Services, Housing Authority, or public utility companies. Advocates with these entities for purposes of maintaining community stability.
• Assists participants and caregivers to complete Medical Durable Power Of Attorney (MDPOA) Proxy, and Do Not Resuscitate (DNR) directives as needed.
• Attends and actively participates in a variety of organizational meetings related to participant care, including but not limited to: Morning Meeting, Intake and Assessment Meeting, various in-services and community agency meetings.
• Acts as a resource to other team members and day center staff regarding topics such as dementia, difficult behaviors, and difficult personalities.
• Completes and ensures completion of documentation of clinical service, in participant’s medical records including initial assessments, re-assessments, change of status, temporary or permanent placements, hospital admissions and discharges, home and nursing home visits and other significant events according to Senior CommUnity Care documentation requirements.
• Assists participants and caregivers in filing grievances.
• Acts within scope of his or her authority to practice.
• Follow all Senior CommUnity Care policies and procedures and Occupational Safety and Health Administration (OSHA) safety guidelines.
• Protects privacy and maintains confidentiality of all company procedures, results and information about employees, participants, and families.
• Maintains safe working environment. Follows Senior CommUnity Care Safety policies and procedures.
• Participates in and supports Quality Improvement Initiatives.
• Participates in continuing education classes and any required staff and training meetings. Maintains professional affiliations and any required certifications.
• Performs other duties as required.

About Us
Senior Community Care of Colorado PACE (Eckert) provides healthcare and supportive services for individuals age 55 and older, helping them live safely, comfortably, and independently in their own homes and communities. As a Program of All-Inclusive Care for the Elderly (PACE) provider and the first of its kind in Western Colorado, our interdisciplinary teams deliver personalized, comprehensive care tailored to each participant’s needs. Nestled at the base of Grand Mesa in beautiful Delta County, our location provides a peaceful, small-town setting surrounded by orchards, scenic byways, and easy access to outdoor recreation, local farms, and the charm of nearby communities.  

At VOANS , we celebrate sharing, encouraging and embracing diversity. Equal employment opportunities are available to all without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, parental status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations’ shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best.