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Social Worker (PACE)

Social Worker (PACE)

 

Job Description

 

Why CalOptima?

CalOptima is the single largest health plan in Orange County, serving 880,000 members, or one in four residents. Our motto — "Better. Together.” — is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. If you're looking for an opportunity to work for an organization dedicated to improving local health care and serving the needs of the most vulnerable, we encourage you to join CalOptima.

 

Job Summary

 

The Social Worker (PACE) is responsible for direct social work care management services, such as participant screening, case management, counseling, and referrals, to the participants of the CalOptima Program of All-Inclusive Care for the Elderly (PACE) program.

 

Position Responsibilities:

 

• Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity, and accountability.

• Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department.

• Participates in the Interdisciplinary Team's (IDT) initial, 6-month, and annual assessments, as well as care planning of the participant's case in accordance with industry and departmental standards.

• Documents participant changes appropriately in the medical record in accordance with industry and departmental standards.

• Communicates effectively and openly with other Interdisciplinary team members on participant status and needs.

• Assesses for high-risk situations such as suicidal/homicidal ideation and abuse. Reports appropriately in accordance with legal and ethical standards of practice and engages in safety planning with participant and/or family.

• Develops and leads group counseling and participant support group activities.

• Refers participants and families to appropriate community agencies or facilities, serves as a liaison with such organizations, and as an advocate for participants.

• Assists in the completion of advance directives, mortuary arrangements, funeral planning, and/or facility placement.

• Provides assistance to patients/representatives in ascertaining third-party and financial resources and planning for financial coverage for services, as necessary.

• Consults with and advises staff members in regards to the relationship of social, emotional, and cultural factors to health and medical care, and as to the availability of social services in the community.

• Attends and participates in in-services, staff meetings, and case conferences.

• Helps support new enrollee process of enrollment into the PACE program (e.g., communicates to IDT and ensures all gaps of service are covered prior to enrollment).

• Addressess any psychosocial needs that may require social work support and intervention (e.g., anxiety, depression, and other behaviors) both at center and at home.

• Works with PACE participant and the Interdisciplinary Team in developing an appropriate discharge plan for disenrolling from PACE services.

• Participates in program improvement to social work department.

• Involvement with the Quality Improvement (QI) department to support grievances, appeals, and advocacy consistent with participant's rights.

• May be required to perform home visits to private homes of CalOptima PACE participants; frequent travel in Orange County.

• Other projects and duties as assigned.

 

Possesses the Ability to:

 

• Work effectively in a team environment.

• Establish and maintain effective working relationships with CalOptima leadership and staff.

• Communicate clearly and concisely, both verbally and in writing.

• Act within the scope of his/her authority to practice.

• Think analytically and problem solving skills.

• Meet a standardized set of competencies for the specific position description established by CalOptima PACE and approved by regulatory agencies before working independently.

• Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.

• Pass a criminal background which will verify that the candidate is: not excluded from participation in Medicare and Medicaid programs; has not been convicted of criminal offenses related to their involvement in Medicaid, Medicare, other health insurance or health care programs, or social services programs under title XX of the Act; and have not been convicted of physical, sexual, drug or alcohol abuse.

• Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.

 

Experience & Education:

 

• Master's degree in Social Work (MSW) from an accredited college or university required.

• 2 years of experience in a health-related field required.

• 1 year of experience working with the frail or elderly population with relevant experience within the last 3 years required.

• Valid driver's license and vehicle, or other approved means of transportation, an acceptable driving record, and current auto insurance will be required for work away from the primary office 30% of the time or more.

 

Preferred Qualifications:

 

• 1 year of Case Management experience with the frail or elderly population preferred.

• Bilingual in Spanish is strongly preferred.

 

Knowledge of:

 

• Individual therapy (psycho-social) techniques for geriatric participants.

• Clinical knowledge of assessments and social work interventions.

 

Department(s): PACE

Reports to: Supervisor, Social Work

FLSA status: Non-Exempt

Salary Grade: J - $31.25 - $48.13 ($65,000 - $100,100)

 

CalOptima is an equal employment opportunity employer and makes all employment decisions on the basis of merit. CalOptima wants to have qualified employees in every job position. CalOptima prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.

 

If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. You can request reasonable accommodations by contacting Human Resources Disability Management at 657-900-1134.

 

Job Location: Orange, California

 

Position Type:

 

To apply, visit https://apptrkr.com/3227164

 

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Social Worker (PACE)

Orange, CA
Full Time

Published on 03/21/2024

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