Social Worker

The role

The Social Worker will plan, organize, and implement social work services for participants in the PACE program. This role serves a significant Chinese-speaking elderly population in the San Gabriel Valley.

What you will do

• Plan, organize, and implement comprehensive social work services for PACE participants.
• Conduct psychosocial assessments to evaluate participant needs.
• Develop and implement individualized care plans.
• Provide ongoing case management and supportive counseling to participants and families.
• Coordinate care with physicians, nurses, therapists, caregivers, and community service providers.
• Communicate with participants and family caregivers regarding care needs and behavioral health concerns.
• Arrange social services and community resources.
• Facilitate care transitions and assist with discharge planning.
• Support behavioral management strategies.
• Maintain accurate clinical documentation in electronic health record systems.

Required qualifications

• Master’s degree in Social Work and 1 year of experience in the job offered or a healthcare social worker-related occupation.
• Associate Clinical Social Worker Licensure required.
• One year working with frail and elderly population.
• Conducting psychosocial assessments, care planning and case management.
• Assisting persons with behavioral health & substance abuse issues.
• Fluency in Chinese language (Mandarin or Cantonese) required.

About the company

Seen Health is a culturally-focused, technology-enabled healthcare organization that integrates medical care and social support through the PACE model. The mission is to empower seniors to age-in-place with dignity.