Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors. Professional Gro…
Skills: Case Management, Counseling, Participant Screening, Care Planning, Interdisciplinary Collaboration
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors. Professional Gro…
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us. Make an Impact: Enhance the quality of life for seniors. Professional Gr…
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors. Professional Gro…
Skills: Community Outreach, Relationship Management, Sales, Business Development, Public Speaking
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors. Professional Gro…
Skills: Case Management, Counseling, Participant Screening, Care Planning, Interdisciplinary Collaboration
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us. Make an Impact: Enhance the quality of life for seniors. Professional Gr…
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors. Professional Gro…
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors. Professional Gro…
Skills: Nutritional Assessment, Nutrition Counseling, Care Plan Development, Interdisciplinary Team Collaboration, Dietary Therapy
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors. Professional Gro…
Skills: Nutritional Assessment, Nutrition Counseling, Care Plan Development, Clinical Nutrition, Patient Education
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors. Professional Gro…
Skills: Personal Care, Patient Escorting, Meal Service Support, Infection Control, Supply Management
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors. Professional Gro…
Skills: Customer Service, Receptionist Support, Microsoft Office, Multitasking, Scheduling
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors. Professional Gro…
Fresno County, California, United States · On-site
$90k–$104k/yr
Senior
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors. Professional Gro…
Skills: Interdisciplinary Team Management, Care Planning, Clinical Oversight, Regulatory Compliance, Staff Supervision
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors. Professional Gro…
Skills: Therapeutic Recreation, Patient Assessment, Care Planning, Dementia Care, Activity Planning
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors. Professional Gro…
Skills: Medication Administration, Patient Education, Triage, Phlebotomy, Medical Charting
North Charleston, South Carolina, United States · On-site
Mid level
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors. Professional Gro…
Skills: Nutritional Assessment, Nutrition Counseling, Care Plan Development, Interdisciplinary Team Collaboration, Patient Education
Fresno County, California, United States · On-site
$44/hr–$50/hr
Mid level
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors. Professional Gro…
Skills: Lao Fluency, Nursing Assessment, Care Coordination, Patient Education, Triage
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors.Professional Grow…
Skills: Executive Support, Calendar Management, Board Governance, Business Writing, Microsoft Office Suite
Fresno County, California, United States · On-site
$258k–$287k/yr
Mid level
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors. Professional Gro…
Skills: Primary Care, Geriatric Care, Patient Assessment, Care Planning, Medication Reconciliation
Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors. Professional Gro…
Skills: Nursing Assessment, Care Planning, Patient Triage, Case Management, Interdisciplinary Collaboration
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
Full-time
postgraduate degree
Medical, Dental, Paid Time Off, 401K With Match, Life Insurance, Tuition Reimbursement
Posted 20d ago
~40 hrs/week
Responsibilities
The Social Worker provides direct care management, counseling, and support services to PACE program participants to enhance their independence and quality of life. They act as a liaison between the interdisciplinary team, caregivers, and community agencies to coordinate seamless care delivery.
Requirements
Requires a Master's degree in Social Work from a CSWE-accredited school and a current state license. Preference is given to candidates with two years of interdisciplinary team experience and one year of experience with frail or elderly populations.
Full job description
Join BoldAge PACE and Make a Difference!
Why work with us?
A People First Environment: We make what is important to those we serve important to us.
Make an Impact: Enhance the quality of life for seniors.
Professional Growth: Access to training and career development.
Competitive Compensation
Medical/Dental
Generous Paid Time Off
401K with Match
Life Insurance
Tuition Reimbursement
Flexible Spending Account
Employee Assistance Program
BE PART OF OUR MISSION!
Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires.
Social Worker
JOB SUMMARY: The Social Worker (MSW) provides direct social work and care management services to participants of the PACE program, offering comprehensive support to enhance their quality of life and ability to live independently in the community. Responsibilities include participant screening, case management, counseling, and referrals, as well as planning, organizing, and implementing social work services tailored to participants and their families.
As a liaison between the interdisciplinary team, caregivers, and community agencies, the Social Worker ensures participant needs are effectively addressed, and services are coordinated seamlessly. This role is essential in promoting participant well-being, advocating for their needs, and advancing the mission and goals of the PACE program.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Participate in initial assessments, care planning, and periodic reassessments (at least every six months) of participant cases, ensuring assessments are completed prior to team meetings and adhere to departmental standards.
Document participant changes and updates in the medical record accurately and in compliance with industry and departmental standards.
Collaborate and communicate effectively with Interdisciplinary Team (IDT) members regarding participant status, needs, and care plans.
Maintain up-to-date case management records, including periodic participant reassessments, and ensure comprehensive documentation.
Coordinate 24-hour care delivery and provide individual and family counseling to support participants and caregivers.
Develop and facilitate group counseling sessions and activities to address participant needs.
Refer participants and families to appropriate community resources, acting as a liaison and advocate to ensure access to needed services.
Foster effective relationships among team members, promoting team building and cohesion.
Consult with staff on the impact of social, emotional, and cultural factors on participant health, and advise on available social services in the community.
Participate in program and policy development for social work services and contribute to Quality Improvement (QI) processes.
Conduct home visits to participants’ private residences to evaluate and support their needs.
Actively participate in IDT meetings and contribute to care planning and team discussions.
Perform additional duties and special projects as assigned.
EXPERIENCE AND EDUCATION:
Master’s degree in social work from an accredited school of social work accredited by the Council on Social Work Education.
Member of the Academy of Certified Social Workers (ACSW) or other NASW-recognized certification preferred.
Current License in the required state.
Two (2) years of experience working on an interdisciplinary team in a hospital, nursing home, or community-based setting is preferable.
1 year of experience working with a frail or elderly population preferred. If this is not present, training will be provided upon hiring.
PRE-EMPLOYMENT REQUIREMENTS:
Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance.
Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.
Pass a comprehensive criminal background check that may include, but is not limited to, federal and state Medicare/Medicaid exclusion lists, criminal history, education verification, license verification, reference check, and drug screen.
BoldAge PACE provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Paid Time Off Includes seven holidays
* Match begins after one year of employment
Days: Monday through Friday Days: Monday through Friday
Related keywords
MSWPACE ProgramSocial WorkACSWNASWCare ManagementElderly CareInterdisciplinary TeamQuality ImprovementMedicareMedicaidCase ManagementClinical Social Work
Considered New Jersey's leader in developing long term acute care hospitals - commonly referred to as LTACHs (pronounced L-tacks) - ACHS had established Specialty Hospital of Cental Jersey, a 50-bed "hospital-within-a-hospital" facility at Kimball Medical Center in Lakewood, NJ.
Offices: 1075 Stephenson Ave, Oceanport, New Jersey 07757, US · 600 River Ave, Lakewood, New Jersey 08701, US
Considered New Jersey's leader in developing long term acute care hospitals - commonly referred to as LTACHs (pronounced L-tacks) - ACHS had established Specialty Hospital of Cental Jersey, a 50-bed "hospital-within-a-hospital" facility at Kimball Medical Center in Lakewood, NJ.
Offices: 1075 Stephenson Ave, Oceanport, New Jersey 07757, US · 600 River Ave, Lakewood, New Jersey 08701, US