Social Worker; PACE; Bilingual in Spanish

Social Worker (PACE) (Bilingual in Spanish)

Cal Optima

Join Us in this Amazing Opportunity

The Team You'll Join

We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all.

More About the Opportunity

We are hoping you will join us as a Social Worker Bilingual in Spanish and help shape the future of healthcare where you'll be an integral part of our PACEC - Social Work team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders.

This position has been approved to be Full Office
.

Important Work Location Note

If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum.

You, as the Social Worker for the Program for All-Inclusive Care for the Elderly (PACE) will be responsible for direct social work care management services, such as participant screening, case management, counseling and referrals of participants to PACE. Together, we are building a stronger, more equitable health system.

• 70% - Care Management
• 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.
• 25% - Support Services
• 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…