Senior Care Social Worker – PACE Team Support

Neighborhood Healthcare; Riverside (CA); On-site; USD 80,000 - 116,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

Vacation & Holidays

Paid time off

Job summary

Neighborhood Healthcare PACE in Riverside, CA is seeking a social worker to manage a caseload within the interdisciplinary team, providing psychosocial assessment, planning, and ongoing support for senior participants in the PACE program. The role requires collaboration with caregivers, families, and healthcare providers to optimize quality of life.

This full-time, on-site position features a Monday–Friday schedule, with opportunities to connect participants to community resources, coordinate

Qualifications

• Master’s degree in social work required.
• One year of experience working with the elderly population required.
• BLS certification required upon hire and maintained as a condition of employment.
• CPR and First Aid certification required for all PACE employees.
• Bilingual (English/Spanish) preferred.

Responsibilities

• Works with the PACE Interdisciplinary Team (IDT) to conduct initial, semi-annual, unscheduled, and annual assessments.
• Provides participant health status updates to appropriate staff in daily meetings.
• Obtains extensive psychosocial history from participants and/or family members upon admission to program and intermittently at pre-enrollment.
• Coordinates, schedules, and facilitates family conferences with the PACE IDT to address levels of care and related needs.
• Develops and facilitates group counseling topics for at‑risk populations over 55 with chronic health conditions.
• Coordinates with participants, family/caregivers, and primary care providers to complete advance life planning documents and end‑of‑life planning.

Skills

Verbal communication

Written communication

Interpersonal skills

Team collaboration

Bilingual English/Spanish

Education

Master’s degree in social work

Job description

Neighborhood Healthcare PACE in Riverside, CA is seeking a social worker to manage a caseload within the interdisciplinary team, providing psychosocial assessment, planning, and ongoing support for senior participants in the PACE program. The role requires collaboration with caregivers, families, and healthcare providers to optimize quality of life.

This full-time, on-site position features a Monday–Friday schedule, with opportunities to connect participants to community resources, coordinate