Masters Level Social Worker

myPlace Health•East Compton, CA

9d•$74,000 - $90,000•Onsite

About The Position

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, youâll plan, organize, and deliver social work services tailored to the unique needs of each individual. In this role, youâll 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, youâll foster meaningful relationships that support seniors in continuing to live independently at home. If youâre driven to empower older adults to thrive within their communities, weâd love to have you on our team!

Requirements

Advanced training in social work: Masterâs degree in Social Work (MSW) from an accredited university.
Safety first mindset: CPR and First Aid certification required (or willingness to obtain within 30 days of hire).
Hands-on clinical experience: At least 2 years providing psychosocial assessments, care planning, and case management support.
Heart for older adults: Minimum 2 years working with frail or elderly populations, with a clear passion for protecting their dignity and well-being.
Ready to hit the road: Current California Driverâs License, personal automobile insurance (as required by State law).
Comfort with technology: Experience documenting in EMR/EHR systems preferred.
Team player by nature: Prior experience working with multidisciplinary or medical teams to coordinate care is a strong plus.
Language skills that make a difference: Bilingual abilities in English and Spanish, Cantonese, Mandarin, or Vietnamese are a big plus and warmly welcomed.
Ability to support participants physically: Able to lift, carry, or move items up to 25 pounds, as needed, to support participant care and comfort.

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.