Master's Level Social Worker - PACE

Job description

myPlace Health is built around a simple but powerful belief: older adults deserve the support they need to live safely, independently, and with dignity in their own communities. As a PACE (Program of All Inclusive Care for the Elderly) organization backed by SCAN Group, myPlace Health brings together customized medical care, social activities, and daily support for participants and their families – all under one roof. Our centers are more than healthcare facilities. They are vibrant community hubs where participants are known by name, valued, and supported as whole people. Behind that experience is a dedicated, interdisciplinary team working together to coordinate care, remove barriers, and improve quality of life for some of the most medically and socially complex populations. For employees, myPlace Health offers the opportunity to do deeply meaningful work in a highly collaborative setting. Team members are encouraged to contribute innovative ideas, and grow alongside a mission that prioritizes compassion, respect, and impact. The result is a culture where people feel connected—to their colleagues, their participants, and the communities they serve. At myPlace Health, work is more than a job. It’s a shared commitment to honoring what matters most. The Master Level Social Worker (MSW) provides social work services to PACE (Program of All-Inclusive Care for the Elderly) participants and their families/caregivers. The MSW maintains a caseload, completes psychosocial assessments and care planning, and partners closely with the Interdisciplinary Team (IDT) to support participants in remaining safely and independently in their homes and communities. This is primarily a center-based role with occasional home and off-site visits. **This is a full-time onsite position at our PACE center in Compton, CA 90221** Are you passionate about making a difference in the lives of seniors? This is an exciting opportunity to join the Program of All-Inclusive Care for the Elderly (PACE) and play a vital role in supporting participants and their families. As an MSW, you’ll plan, organize, and deliver social work services tailored to the unique needs of each individual. In this role, you’ll maintain a caseload of participants , collaborating closely with the Interdisciplinary Team (IDT) to ensure seamless, person-centered care. Acting as a trusted liaison between the PACE program and participants, families, and caregivers , you’ll foster meaningful relationships that support seniors in continuing to live independently at home . If you’re driven to empower older adults to thrive within their communities, we’d love to have you on our team! Responsibilities: Engage in daily IDT meetings to ensure participants' voices are heard, conducting psychosocial assessments and developing care plans during initial, semi-annual, annual, or emergency reviews. Present assessments at care plan conferences , laying the foundation for collaborative care plans crafted by the IDT team. Collaborate seamlessly with the IDT to guide participants through smooth care transitions between settings, such as hospitals, homes, and long-term or short-term care facilities. Connect participants, families, and caregivers with community resources and provide ongoing support tailored to their unique needs. Facilitate transitions between home and other placements , ensuring participants feel safe, supported, and empowered throughout the process. Support participants with Medi-Cal applications , staying up to date with changing regulations and coordinating communications with government agencies to ease the process. Coordinate advanced care planning in partnership with providers, ensuring participants' goals of care are thoughtfully addressed. Design and lead group counseling sessions and activities to promote emotional well-being, personal growth, and social engagement. Document care plans and interactions accurately and promptly in the EMR, ensuring smooth coordination across the care team. Provide discharge planning support when participants transition out of the program, helping them navigate the next steps with confidence and care. Embrace flexibility and teamwork by taking on other meaningful duties as assigned to enhance participant well-being and team success. We seek Rebels who are curious about AI and its power to transform how we operate and serve our members. Actively support the achievement of SCAN's Vision and Goals. Other duties as assigned. Qualifications and experience: Master’s degree in Social Work (MSW) from an accredited university. CPR and First Aid certification required (or must be obtained within 30 days of hire). 2 years of experience conducting psychosocial assessments, care planning, and case management. 2 years of experience working with frail or elderly populations , demonstrating a passion for supporting their well-being. Current California Driver's License with a clean driving record and personal automobile insurance (required by State law). Proficiency in EMR/EHR documentation preferred. Experience collaborating with multidisciplinary or medical teams preferred, ensuring smooth coordination of care. Bilingual abilities in English and Spanish, Cantonese, Mandarin, or Vietnamese are a plus and warmly welcomed. Ability to lift and carry, or move items weighing up to 25 pounds to support participant needs when necessary. Schedule is Monday - Friday 8am-5pm ONSITE at our center in Compton, CA 90221 Tuberculosis Screening Policy To ensure the health and safety of our members, if you are selected for this position, your job offer with SCAN will be contingent on providing proof of Tuberculosis screening upon hire or providing proof of a negative screening within the last year. If you have a disability/medical reason or sincerely held religious belief that prevents you to provide information required in this policy, SCAN will initiate and engage in the interactive process to evaluate what, if any, reasonable accommodations may be available. What's in it for you? Base salary range: $71,700 to $103,732 per year Work Mode: Onsite An annual employee bonus program Medical, Dental, Vision coverage Generous paid-time-off (PTO) 11 paid holidays per year, plus 1 additional floating holiday Excellent 401(k) Retirement Saving Plan with employer match. Robust employee recognition program Robust Wellness Program An opportunity to become part of a team that makes a difference to our members and our community every day! #LI-KF1