X - As​/Temp - Social Worker; PACE

X
- As-Needed / Temp
- Social Worker (PACE)

Cal Optima

• - Department: PACEC
  - Social Work
• - Salary Grade: 309 - $68,015 - $108,824 ($32.70 - $52.3192)
• - Work Arrangement:
  Full Office
• - Work Schedule:
  
  {sOther
  19}
• - Expected Assignment Duration:
  Up to six (6) months

• - The deadline to be guaranteed full review of your submission is due by September 24, 2026 by 9:00 p.m. PST. This position will remain open for a minimum of seven (7) days, but may be extended if a lack of qualified applicants are received or if we are hiring multiple positions.

• - Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• - Participates in the Interdisciplinary Team's (IDT) initial, six (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 IDT members on participant status and needs.
• - Assesses patients 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 participants 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.
• - Aids patients/representatives in ascertaining third-party and financial resources and planning for financial coverage for services as necessary.
• - Addresses any psychosocial needs that may require social work support and intervention (e.g., anxiety, depression and other behaviors), both at the center and at home.
• - Works with PACE participants and the IDT to develop an appropriate discharge plan for disenrolling from PACE services.
• - May be required to perform home visits to private homes of Cal Optima Health's PACE participants; frequent travel in Orange County.
• - Support PACE participants with care coordination needs, such as transportation, family communication, scheduling visits to the center, supporting with warm handoff process to our community partners.
• - Represents and supports the participant's care management needs by being an advocate for their care, supporting clinical needs such as supportive counseling, developing care plans to manage all psychosocial needs (i.e., establishing support systems, coping mechanisms, assessing depression, anxiety, cognition) and developing interventions.

• - Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department.
• - Consults with and advises staff members regarding the relationship of social, emotional and cultural factors to health and medical care and the availability of social services in the community.
• - Attends and participates in in-services, staff meetings and case conferences.
• - Helps support the new enrollee process of enrollment into the PACE program (e.g., communicates to IDT and ensures all service gaps are covered prior to enrollment).
• - Participates in program improvement for the Social Work department.
• - Works with the Quality Improvement (QI) department to support grievances, appeals and advocacy consistent with participant's rights.

• - Completes…