Social Worker

The role

The Master's Level Social Worker supports the psychosocial health and independence of participants through assessment, counseling, and care coordination. This role works as part of an Interdisciplinary Team to address participant needs and facilitate care transitions.

What you will do

• Conducts comprehensive psychosocial assessments
• Develops and implements participant-centered social work interventions
• Partners with participants, caregivers, and the Interdisciplinary Team to coordinate services
• Facilitates care conferences and interdisciplinary discussions
• Provides individual and group counseling, crisis intervention, and case management
• Coordinates care transitions and connects participants with resources
• Supports discharge planning and transition services for disenrollment
• Maintains accurate documentation within the Electronic Medical Record (EMR)
• Contributes to continuous improvement of participant experience and operations
• Performs other related duties as assigned

Required qualifications

• Master's degree in Social Work (MSW) from an accredited program
• Minimum of two (2) years of experience working with older adults, frail elderly populations, or individuals with complex medical, behavioral health, or psychosocial needs
• Ability to conduct comprehensive psychosocial assessments and develop participant-centered care plans
• Ability to provide case management, counseling, crisis intervention, advocacy, and resource coordination
• Experience coordinating care across interdisciplinary teams and facilitating care conferences
• Strong communication and collaboration skills
• Strong organizational skills
• Ability to work independently while collaborating across interdisciplinary teams
• Experience using Electronic Medical Records (EMRs)
• Valid driver's license
• Reliable personal transportation
• Automobile insurance that meets applicable state requirements

Nice to have

• Licensed Clinical Social Worker (LCSW) or eligibility for clinical licensure
• Experience working within PACE, Medicare, Medicaid, managed care, or other value-based healthcare environments
• Experience supporting participants with behavioral health, substance use, or other complex psychosocial needs
• Bilingual: Spanish, Mandarin, or Cantonese

Benefits

• Medical, dental, and vision insurance
• Paid parental leave
• Short- and long-term disability coverage
• Life insurance
• Flexible spending accounts
• 401(k) savings plan that includes a match
• Paid time off
• Company paid holidays

Before you apply

• Must provide proof of vaccination or a signed declination form for COVID-19 and influenza for participant care settings
• Must comply with all applicable infection control protocols and PPE requirements
• Employment is at-will

About the company

Habitat Health empowers older adults to experience more good days in their homes and communities through the Program of All-Inclusive Care for the Elderly (PACE). The company is supported by New Enterprise Associates, Kaiser Permanente, and Town Hall Ventures.