Geriatric Social Worker – PACE Program

Apex Home Health, Hospice & Home Care; Kalamazoo (MI); On-site; USD 52,000 - 82,000; Full time

Job summary

Apex Home Health, Hospice & Home Care is seeking a Social Worker to join a senior care program. The role emphasizes in-home psychosocial assessments, developing and updating personalized care plans, and connecting older adults and caregivers with community resources.

Travel to participants' homes is required as needed, and you will collaborate with an interdisciplinary medical team while documenting activities in clinical systems to support individualized care plans.

Qualifications

• Strong assessment and care planning skills.
• Knowledge of community resources and caregiver support.
• Excellent communication and collaboration abilities.
• Ability to work independently and as part of a team.
• Comfort with travel and documentation in clinical systems.

Responsibilities

• Conduct in-home psychosocial assessments of older adults.
• Develop and update personalized care plans.
• Connect participants and caregivers with community resources.
• Guide advance care planning and provide caregiver education.
• Collaborate with an interdisciplinary medical team.
• Travel to participants’ homes as needed.
• Document activities using standard office and clinical systems.

Skills

Assessment skills

Care planning

Communication

Collaboration

Independence

Travel readiness

Tools

Clinical documentation systems

Job description

Role:

Social Worker in a senior care program

Responsibilities

• Conduct in-home psychosocial assessments of older adults
• Develop and update personalized care plans
• Connect participants and caregivers with community resources
• Guide advance care planning and provide caregiver education
• Collaborate with an interdisciplinary medical team
• Travel to participants’ homes as needed
• Document activities using standard office and clinical systems

Qualifications & Skills

• Strong assessment and care planning skills
• Knowledge of community resources and caregiver support
• Excellent communication and collaboration abilities
• Ability to work independently and as part of a team
• Comfort with travel and documentation in clinical systems