PACE Social Worker: Care Coordination & Advocacy

Pace-Organization-of-Rhode-Island-; Newport (RI); On-site; USD 65,000 - 90,000; Full time

Job summary

PACE Rhode Island is seeking an experienced Social Worker to join the Interdisciplinary Team. You will conduct psychosocial assessments, educate participants and caregivers, and coordinate care within a supportive community-based setting.

Responsibilities include developing care plans, ensuring rights and safety, and maintaining thorough documentation in the EMR. Collaboration with PCPs, RNs, and other professionals is essential.

Qualifications

• Master of Social Work degree required.
• 2 years of relevant direct service work required.
• Experience with case management preferred (1–2 years).
• EMR experience (Cognify) preferred.

Responsibilities

• Provide orientation and resources to participants and caregivers.
• Conduct biopsychosocial assessments and develop care plans.
• Coordinate with IDT and community providers for service delivery.
• Maintain documentation in electronic health records.
• Advise on insurance eligibility and benefits access.
• Ensure safety and rights of participants in care planning.

Skills

Confidentiality

Task prioritization

MS Office proficiency

English literacy

Policy interpretation

Communication under stress

Education

Master of Social Work

Tools

Cognify

Job description

PACE Rhode Island is seeking an experienced Social Worker to join the Interdisciplinary Team. You will conduct psychosocial assessments, educate participants and caregivers, and coordinate care within a supportive community-based setting.

Responsibilities include developing care plans, ensuring rights and safety, and maintaining thorough documentation in the EMR. Collaboration with PCPs, RNs, and other professionals is essential.