MSW Social Worker

Job Description

Job Description

**This is a full-time onsite position at our PACE center in Los Angeles, CA 90057**

Are you passionate about making a difference in the lives of seniors? This is an exciting opportunity to join the Program of All-Inclusive Care for the Elderly (PACE) and play a vital role in supporting participants and their families. As an MSW, you’ll plan, organize, and deliver social work services tailored to the unique needs of each individual.

In this MSW role, you’ll maintain a caseload of participants , collaborating closely with the Interdisciplinary Team (IDT) to ensure seamless, person-centered care. Acting as a trusted liaison between the PACE program and participants, families, and caregivers , you’ll foster meaningful relationships that support seniors in continuing to live independently at home . If you’re driven to empower older adults to thrive within their communities, we’d love to have you on our team!

Responsibilities:

• Engage in daily IDT meetings to ensure participants' voices are heard, conducting psychosocial assessments and developing care plans during initial, semi-annual, annual, or emergency reviews.
• Present assessments at care plan conferences , laying the foundation for collaborative care plans crafted by the IDT team.
• Collaborate seamlessly with the IDT to guide participants through smooth care transitions between settings, such as hospitals, homes, and long-term or short-term care facilities.
• Connect participants, families, and caregivers with community resources and provide ongoing support tailored to their unique needs.
• Facilitate transitions between home and other placements , ensuring participants feel safe, supported, and empowered throughout the process.
• Support participants with Medi-Cal applications , staying up to date with changing regulations and coordinating communications with government agencies to ease the process.
• Coordinate advanced care planning in partnership with providers, ensuring participants' goals of care are thoughtfully addressed.
• Design and lead group counseling sessions and activities to promote emotional well-being, personal growth, and social engagement.
• Document care plans and interactions accurately and promptly in the EMR, ensuring smooth coordination across the care team.
• Provide discharge planning support when participants transition out of the program, helping them navigate the next steps with confidence and care.
• Embrace flexibility and teamwork by taking on other meaningful duties as assigned to enhance participant well-being and team success.
• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
• Actively support the achievement of SCAN's Vision and Goals.
• Other duties as assigned.

Qualifications and experience:

• Master’s degree in Social Work (MSW) from an accredited university.
• CPR and First Aid certification required (or must be obtained within 30 days of hire).
• 2 years of experience conducting psychosocial assessments, care planning, and case management.
• 2 years of experience working with frail or elderly populations , demonstrating a passion for supporting their well-being.
• Current California Driver's License with a clean driving record and personal automobile insurance (required by State law).
• Proficiency in EMR/EHR documentation preferred.
• Experience collaborating with multidisciplinary or medical teams preferred, ensuring smooth coordination of care.
• Bilingual abilities in English and Spanish, Cantonese, Mandarin, or Vietnamese are a plus and warmly welcomed.
• Ability to lift and carry, or move items weighing up to 25 pounds to support participant needs when necessary.
• Schedule is Monday - Friday 8am-5pm ONSITE at our center in Los Angeles, CA 90057

Tuberculosis Screening Policy

To ensure the health and safety of our members, if you are selected for this position, your job offer with SCAN will be contingent on providing proof of Tuberculosis screening upon hire or providing proof of a negative screening within the last year. If you have a disability/medical reason or sincerely held religious belief that prevents you to provide information required in this policy, SCAN will initiate and engage in the interactive process to evaluate what, if any, reasonable accommodations may be available.

What's in it for you?

• Base salary range: $71,700 to $103,732 per year
• Work Mode: Onsite
• An annual employee bonus program
• Medical, Dental, Vision coverage
• Generous paid-time-off (PTO)
• 11 paid holidays per year, plus 1 additional floating holiday
• Excellent 401(k) Retirement Saving Plan with employer match.
• Robust employee recognition program
• Robust Wellness Program
• An opportunity to become part of a team that makes a difference to our members and our community every day!

Through the Program of All-Inclusive Care for the Elderly (PACE), we provide comprehensive, coordinated care, including medical services, therapies, medications, transportation, and nutrition support, all managed by one dedicated team. Instead of navigating multiple doctors and insurance plans, participants receive all-inclusive care designed to help them avoid unnecessary nursing home placement. For eligible individuals, these services are available at no cost.

Company Description

Through the Program of All-Inclusive Care for the Elderly (PACE), we provide comprehensive, coordinated care, including medical services, therapies, medications, transportation, and nutrition support, all managed by one dedicated team. Instead of navigating multiple doctors and insurance plans, participants receive all-inclusive care designed to help them avoid unnecessary nursing home placement. For eligible individuals, these services are available at no cost.