Social Worker Lead (SWMSWLD)

On Lok•Union City, CA

29d•$51 - $68•Hybrid

About The Position

On Lok PACE is a non-profit organization dedicated to the care of elders through the Program of All-Inclusive Care for the Elderly (PACE). PACE was developed to address the challenges seniors with chronic care needs and their families face, such as transportation, medication management, coordination of medical care, social interaction, and staying independent at home. On Lok PACE participants receive in-home care services and transportation to a PACE center for primary medical care, social and recreational activities, and other senior care services. The organization emphasizes the importance of a collaborative system and seeks individuals whose expertise, drive, and passion can help improve lives and advance healthcare. This role offers a rewarding career opportunity within a team of leaders.

Requirements

Graduate of an accredited college with a MSW degree.
Three years' experience in social work.
Minimum two years' experience in the geriatric field and/or with a frail population.
At least one year of leadership experience.
Experience or ability in working with a diverse population.
Experience working within the framework of an interdisciplinary team.
Good interpersonal skills including ability to work cooperatively on an interdisciplinary team.
Highly organized and has the ability to prioritize and work under extreme pressure.
Excellent written and verbal communication skills.
Flexible, creative problem solver.
Computer literate and basic knowledge of Microsoft Office.

Nice To Haves

Bilingual ability may be required for specific assignments.
Experience with electronic health record system (preferred).
Minimum two years case management experience in geriatric field (preferred).
Minimum two years health care related experience (preferred).
Five or more years' experience in social work (preferred).

Responsibilities

Provide case management to a panel of participants, including initial and routine psychosocial assessments to develop, implement, and update individualized care plans and interventions.
Partner with caregivers and support systems to develop care plans and deliver services.
Identify risks and psychosocial problems, assess service needs, advocate, refer, coordinate, and follow up on participant needs in a timely fashion.
Provide individual counseling and facilitate family conferences.
Act as the main liaison between participants, caregivers, the team, and the community, reaching out to the larger community to meet participants' specific needs.
Assess needs and complete discharge planning when a participant dis-enrolls from On Lok.
Facilitate participant and/or caregiver groups and participate in special events.
Work with relevant departments such as Health Plan and community agencies (e.g., RCFE, NF, DAAS).
Adhere to all ethical and legal standards of social work practices and comply with all On Lok policies and procedures.
Fulfill all documentation requirements in a timely and accurate manner.
Actively participate in team meetings, advocate for participants and caregivers, compromise differences, and support team plans.
Incorporate the Healthcare Hospitality G.R.E.A.T. Practices for 5-Star service.
Serve as the subject matter expert (SME) of the electronic health record for the social work department.
Assist in the review and update of department and IDT policies and procedures.
Assist in the orientation and training for new Social Workers and Social Work Aides.
Assist in overseeing competencies for social workers.
Develop, maintain, and facilitate relationships with other clinical disciplines and non-clinical staff.
Assist with developing the social work education program.
Act as the primary point-person for social work issues at the appointed center.
Provide support to Social Workers at the appointed center.
Assist in the continuous quality improvement of social work services and efficiency of systems.
Actively participate and contribute to the Social Work Leadership Council (SWLC) activities.
Assist with developing the social work continuing education program.
Contribute clinical and/or workflow process perspective regarding participant care to the Program Manager.
Assist in coordinating student placements (interns), including training, oversight, and evaluations.
Actively participate as a change agent in On Lok's organizational vision and mission.