PACE Social Worker, MSW (Vista, CA)
About The Position
The PACE Social Worker, MSW provides direct social work case management services to participants in the San Diego PACE program. The role provides screening, case management, counseling, and referral services while following PACE policies and procedures and applicable laws and licensing requirements. The Social Worker participates in interdisciplinary assessments and care planning, completes in-home and social service assessments, maintains case-management documentation, coordinates care, and supports participants and families through counseling, referrals, advocacy, and connections to community resources. The position collaborates with the Interdisciplinary Team and other staff, contributes to social work program and policy development, and maintains knowledge of service areas and community resources.
Requirements
- Master's degree from an accredited School of Social Work.
- Valid California driver's license and access to an insured vehicle.
- Skills in counseling theory and techniques.
- Organization and project management skills.
- Ability to establish and maintain good interpersonal relationships.
- Ability to work independently and meet deadlines.
- Analytical thinking and problem-solving abilities.
- Act only within the scope of authority to practice.
Responsibilities
- Participate in Interdisciplinary Team initial assessments, care planning, and periodic reassessments, at least every six months; complete assessments before scheduled team meetings and communicate participant changes to team members.
- Maintain current written case-management records, including periodic reassessments of program participants.
- Provide in-home assessments and complete social service assessments for all PACE participants.
- Coordinate 24-hour care delivery.
- Provide individual and family counseling and develop and lead group counseling and activities.
- Refer participants and families to appropriate community agencies or facilities, serve as a liaison with those organizations, and advocate for participants.
- Encourage effective staff relationships that support team building and a cohesive team.
- Advise staff about how social, emotional, and cultural factors relate to health and medical care, and about available community social services.
- Participate in development of the Social Work component's programs and policies.
- Document participant changes appropriately in the medical record.
- Participate actively in the Interdisciplinary Team, attend staff meetings, and take part in participant care planning.
- Maintain working knowledge of facility service areas, transportation, community characteristics, and geography.
- Maintain liaison relationships with organizations in the eldercare field and, when requested, represent the agency with human service, health care, and community organizations and individuals.
- Support professional growth through educational programs, current literature, in-service meetings, and workshops.
- Adhere to and model SYHC's core values and behaviors of Excellence, Empowerment, Integrity, and Respect.
- Follow SYHC and PACE attendance and punctuality policies and practices.
- Assist participants with Adult Meal Benefit forms at enrollment and annually.
- Perform other related duties as assigned or requested.
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What This Job Offers
Job Type
Full-time
