Social Worker
About The Position
Seen Health is seeking a Social Worker to plan, organize, and implement comprehensive social work services for participants in its PACE (Programs of All-Inclusive Care for the Elderly) program. The role serves a significant Chinese-speaking elderly population in the San Gabriel Valley. The Social Worker conducts psychosocial assessments, develops and implements individualized care plans, and provides ongoing case management and supportive counseling to participants and their families, including Chinese-speaking participants and family caregivers. The position coordinates care with physicians, nurses, therapists, caregivers, and community service providers to ensure integrated, culturally and linguistically responsive participant care. It communicates directly with participants and family caregivers about care needs, behavioral health concerns, available services, care transitions, treatment, and discharge planning. The role also arranges social services and community resources, facilitates care transitions, supports behavioral management strategies, maintains accurate clinical documentation in electronic health record systems, participates in interdisciplinary team meetings and quality improvement activities, and ensures compliance with PACE program requirements and applicable regulatory standards. Regular travel is required to physicians’ offices, hospitals, community organizations, outreach events, and other settings throughout the San Gabriel Valley. The job is located in Alhambra, California.
Requirements
- Master’s degree in Social Work.
- One year of experience in the job offered or a healthcare social worker-related occupation.
- Associate Clinical Social Worker Licensure.
- One year working with frail and elderly populations.
- Experience conducting psychosocial assessments, care planning, and case management.
- Experience assisting people with behavioral health and substance abuse issues.
- Fluency in Chinese (Mandarin or Cantonese).
Responsibilities
- Plan, organize, and implement comprehensive social work services for PACE participants.
- Conduct psychosocial assessments to evaluate participant needs.
- Develop and implement individualized care plans.
- Provide ongoing case management and supportive counseling to participants and their families, including Chinese-speaking participants and family caregivers.
- Coordinate care with physicians, nurses, therapists, caregivers, and community service providers.
- Communicate with participants and family caregivers about care needs, behavioral health concerns, available services, care transitions, treatment, and discharge planning.
- Arrange social services and community resources.
- Facilitate care transitions, support behavioral management strategies, and assist with discharge planning.
- Maintain accurate clinical documentation in electronic health record systems.
- Participate in interdisciplinary team meetings and quality improvement activities.
- Ensure compliance with PACE program requirements and applicable regulatory standards.
- Travel regularly to physicians’ offices, hospitals, community organizations, outreach events, and other settings throughout the San Gabriel Valley.
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What This Job Offers
Job Type
Full-time
