Social Work Manager

The Social Work Manager leads the daily delivery of social work services for High Desert PACE participants and their caregivers. This working supervisor coaches staff, monitors caseloads and documentation, supports complex cases, and collaborates with the interdisciplinary team (IDT) to address psychosocial needs that affect health, safety, independence, and quality of life. The position maintains an assigned caseload sized to allow effective supervision and timely participant care.

• Assign caseloads and coverage based on participant acuity, staff competencies, required assessments, and service needs; escape staffing gaps to the Program Director.
• Provide regular individual supervision, case consultation, team meetings, onboarding, and competency evaluation. Coach staff in participant advocacy, professional boundaries, communication, and conflict resolution.
• Participate in hiring, performance reviews, corrective action, and staff development with the Program Director and Human Resources.
• Track overdue assessments, open referrals, urgent concerns, and follow up tasks. Maintain coverage during absences and coordinate handoffs for after-hour needs.

• Complete and oversee psychosocial assessments, reassessments, and documentation within required time frames, including semiannual and change in status reassessments.
• Assess participant strengths, goals, caregiver support, cognition and mood within scope, social isolation, housing stability, financial barriers, and safety risks.
• Develop measurable social work goals and interventions with participants, caregivers, and the IDT; monitor results and recommend care plan revisions.

• Attend IDT meetings and provide clear psychosocial findings, participant preferences, risk information, and recommendations. Ensure assigned social workers communicate changes promptly.
• Help participants and representatives communicate service determination requests (SDRs). Ensure staff recognize and route requests through the approved process, support required assessments, and document recommendations and follow up.
• Present options for housing, relocation, home modifications, caregiver support, and other social needs based on individual assessment. Coordinate approved services and explore community resources without delaying necessary PACE care.
• Work through IDT decisions and authorized operational processes; do not independently promise benefits, authorize expenditures outside delegated authority, or substitute supervisory judgment for required IDT review.

• Provide supportive counseling, crisis intervention, caregiver education, and family meetings within professional scope. Coordinate behavioral health referrals and treatment access.
• Coordinate with nursing, primary care, rehabilitation, home care, transportation, and community partners during hospital discharge, placement, transitions, and changes in living arrangements.
• Assist with access to public benefits, housing resources, legal aid, advance care planning, and authorized representative documentation; refer legal and financial decisions to qualified resources.
• Address caregiver strain, grief, dementia related needs, family disagreement, and barriers to participation using culturally responsive and trauma informed approaches.

• Identify and respond to suspected abuse, neglect, exploitation, self-neglect, and behavioral health emergencies. Make required mandated reports and coordinate immediate safety actions under applicable law and program procedures.
• Protect participant rights, confidentiality, informed choice, and access to language assistance. Receive concerns respectfully and route grievances and appeals promptly through designated channels.
• Maintain professional boundaries regarding gifts, personal funds, transportation, and assistance outside approved workflows. Escalate unresolved safety and ethical concerns.

• Audit social work records for timely assessments, care plan linkage, follow through, and complete documentation. Address findings through coaching and corrective action.
• Partner with Quality and Compliance on quality improvement, incident review, audit preparation, policies, staff education, and monitoring of applicable CMS, DHCS, and California requirements.

• Master of Social Work from an…