Master's Level Social Worker

my Place 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, my Place 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, my Place 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 my Place Health, work is more than a job. It's a shared commitment to honoring what matters most.

This is a full-time onsite position at our PACE center in Los Angeles, CA 90057

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  you're driven to empower older adults to thrive within their communities, we'd love to have you on our team.

• 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.

• 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…