Clinical Social Worker - Transitions of Care & PACE

Valir Health; Shawnee (OK); On-site; USD 48,000 - 64,000; Full time

Benefits offered by this job

Competitive pay

Retention bonuses

Referral bonuses

Medical insurance

Dental insurance

Vision insurance

Birthday leave

401K match

Life insurance

PTO

Career growth

Recognition program

Job summary

Valir Health in Shawnee, OK is seeking a dedicated professional to coordinate transitions of care, mental and psychosocial support for seniors in the PACE program. The role involves counseling on financial planning and ensuring patient wishes are enacted.

You will advocate for participants, lead care planning discussions, and collaborate with care teams to arrange beds and coordinate services, with a focus on compassionate, person-centered care.

Responsibilities

• Serves as primary point of contact for transitions of care and coordinates bed placements across care settings.
• Organizes access to community resources and supports for participants and families.
• Provides case management services and assists with DNR and Advanced Directives planning.

Job description

Valir Health in Shawnee, OK is seeking a dedicated professional to coordinate transitions of care, mental and psychosocial support for seniors in the PACE program. The role involves counseling on financial planning and ensuring patient wishes are enacted.

You will advocate for participants, lead care planning discussions, and collaborate with care teams to arrange beds and coordinate services, with a focus on compassionate, person-centered care.