Social Services Coordinator

Gary and Mary West PACE • San Marcos, CA

11d • Onsite

About The Position

Gary and Mary West PACE, affiliated with West Health, is a non-profit organization dedicated to providing comprehensive medical, social, and behavioral services to the frail elderly in North County San Diego. This PACE center is entrepreneurial, focusing on innovation within the traditional PACE model. They are seeking passionate healthcare providers committed to enabling seniors to live independently in their communities through compassionate, comprehensive care.

The Social Services Coordinator, under the direction of the Center Director, is responsible for coordinating and supporting all aspects of the Social Services Department. This role involves active participation in the interdisciplinary team (IDT), managing schedules for assessments and care planning meetings, administering psychometric scales, maintaining strong relationships with participants and families, and acting as a liaison with external agencies. The position requires meticulous record-keeping, adherence to policies, and flexibility in work hours, including the use of a personal vehicle.

Requirements

• High School Diploma or GED.
• Current Basic Life Support and CPR certification required.
• Current California Driver's License with proof of auto insurance.
• A minimum of one year of experience working with a frail or elderly population required.
• A minimum of one year of experience working in a behavioral health or social services setting.
• Must maintain excellent written and verbal communication skills and demonstrate the ability to interact clearly and effectively with both internal and external customers as needed for the position.
• Skilled in establishing and maintaining effective working relationships with participants, co-workers, vendors, medical staff, and the public.
• Must be able to demonstrate proficiency in Microsoft computer applications.
• Operates in full compliance with all applicable federal, state, and local fire, health, safety, sanitation, Emergency procedures and other Standards prescribed in law or regulations.
• Desire to work in the helping field with an emphasis of the geriatric population.
• Employees must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.
• Job offers are contingent upon a successful pre-employment drug screen, background check, and physical assessment.

Nice To Haves

• Experience working with Electronic Medical Record system (EMR) preferred.

Responsibilities

• Participate as a supportive member of the interdisciplinary team (IDT), tracking all components and assigned tasks associated with the Social Services Department and assigned IDT MSW.
• Attend morning IDT meetings and report status of tasks and assignments pertaining to the coordination of social service activities for all assigned participants.
• Coordinate and manage the MSW schedule for in-person assessments including change of conditions, service delivery request/denial assessments, care conferences, and higher level of care assessments and committee meetings.
• Prepare the MSW for assessments, conferences, higher level of care meetings.
• Prepare the MSW for and attend care planning meetings with IDT.
• Present care plans to participants and obtain signatures to be uploaded to the electronic medical record.
• Administer psychometric scales as needed for the MSW – including PHQ-9 and GAD-7.
• Work closely with participants and families to establish and maintain exemplary rapport and ongoing relationships to provide the highest quality of care in a person-centered, trauma-informed manner.
• Coordinate ongoing family meetings, as needed.
• Monitor the individual interventions prescribed in the plan of care and update medical record regularly.
• Alert SW/BH staff of crises that arise in the day center or in the community.
• Maintain current, accurate, professionally written case management records submitted within 72 hours of all encounters pertaining to a participant's care. This includes ongoing documentation of all communication, services provided, participant expressed wishes, and statuses of all.
• Act as liaison between the participant and other agencies such as Department of Aging, Social Security Administration, Medicaid, etc.
• Alert the MSW to needed referrals to community or specialized programs when indicated.
• Assist with obtaining and maintaining current statements of income and other assets.
• Participate in participant-related conferences in the community as designated.
• Maintain confidentiality of participant information.
• Attend monthly meetings with supervisor.
• Attend bi-weekly mandatory department meetings.
• Attend and participate in all staff meetings, in-services, projects, and committees as assigned.
• Adhere to and support the center's policies, practices, and procedures.
• Accept assigned duties in a cooperative manner; and perform all other related duties as assigned.
• Be flexible in the schedule of hours worked.
• Will require use of personal vehicle.

Benefits

• Generous pay and a comprehensive benefits package focused on your health and wellness.
• 11 paid holidays, 13 days of PTO, and 5 days of sick time.
• A 5% employer match to our 403(b) retirement plan.
• No on-call time
• An annual education allowance
• Commitment to professional growth

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED