PACE Social Worker

Tru Community CareLafayette, CO
Onsite

About The Position

The PACE Medical Social Worker plans, organizes and implements social work case management services for PACE participants and families. Social Work case management interventions include psychosocial assessment, resource/referral, coordination and facilitation of family and facility care conferences, discharge planning, long-term care and respite planning, advance care planning, advance directives, mental health / crisis assessment, support and referral, assistance with financials and access to benefits as needed, and pre-enrollment and disenrollment procedures.

Requirements

  • Master’s Degree in Social Work
  • 2+ years relevant experience as a medical social worker

Nice To Haves

  • Experience working with the frail or elderly population preferred
  • Experience working with individuals with mental health needs preferred
  • Experience working within an Interdisciplinary Team (IDT) model preferred

Responsibilities

  • Provides direct medical social work case management to a designated caseload of TRU PACE participants and families.
  • Completes initial and ongoing reassessment of participant and family psychosocial needs based on emotional, environmental, financial, psychological, cognitive, social, cultural and health factors.
  • Collaborates with the interdisciplinary team, participant and family in the development, implementation, evaluation, and revision of the comprehensive care plan.
  • Evaluates quality of psychosocial interventions and adjusts interventions as clinically necessary

Benefits

  • Sign-On Bonus: $6,000 (fully paid within 1 year)
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service