Social Work Manager - Care Coordination & Team Leadership

High Desert Pace Inc; Victorville (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

High Desert Pace Inc. seeks a Social Work Manager to lead social work services for PACE participants and caregivers. This working supervisor coordinates with the IDT, coaches staff, and manages caseloads and documentation to ensure timely, quality care.

The role requires an MSW from an accredited program, at least three years’ healthcare/aging experience including work with frail elderly, and a CA license. Travel to participant homes and hospitals is expected to support care planning and

Qualifications

• Master of Social Work from an accredited school of social work.
• At least three years of social work experience in health care, aging services, or long-term care, including at least one year with frail or elderly adults.
• Current California license or registration when required; practice within legally authorized scope.
• Ability to travel to participant homes, hospitals, and community settings.
• Ability to manage complex cases, supervise staff, document accurately in an electronic health record, and communicate effectively with participants, caregivers, and an interdisciplinary team.

Responsibilities

• Assign caseloads and coverage based on participant acuity, staff competencies, required assessments, and service needs; coordinate with the Program Director for gaps.
• Provide regular supervision, case consultation, team meetings, onboarding, and competency evaluation; coach staff in participant advocacy and professional boundaries.
• Participate in hiring, performance reviews, corrective action, and staff development with the Program Director and HR.
• Track overdue assessments, open referrals, urgent concerns, and follow-up tasks; maintain coverage during absences.
• Complete and oversee psychosocial assessments and documentation within required timeframes; assess participant strengths, goals, caregiver support, and safety risks.
• Develop measurable social work goals with participants, caregivers, and the IDT; monitor results and revise care plans as needed.
• Attend IDT meetings and present psychosocial findings, risk information, and recommendations; ensure timely communication of changes.
• Assist with SDRs and service determinations; coordinate required assessments and document recommendations and follow-up.
• Present housing, relocation, home modifications, caregiver support options; coordinate services without delaying PACE care.
• Coordinate with nursing, primary care, rehabilitation, home care, and community partners during hospital discharge and transitions.
• Provide supportive counseling, crisis intervention, caregiver education, and family meetings; coordinate behavioral health referrals and treatment access.
• Address caregiver strain, dementia-related needs, and barriers to participation using trauma-informed approaches.
• Maintain professional boundaries and confidentiality; escalate safety and ethical concerns as needed.

Skills

Staff supervision

Case management

Effective communication

Interdisciplinary teamwork

Documentation

Education

Master of Social Work

Job description

High Desert Pace Inc. seeks a Social Work Manager to lead social work services for PACE participants and caregivers. This working supervisor coordinates with the IDT, coaches staff, and manages caseloads and documentation to ensure timely, quality care.

The role requires an MSW from an accredited program, at least three years’ healthcare/aging experience including work with frail elderly, and a CA license. Travel to participant homes and hospitals is expected to support care planning and