Social Worker (PACE)
Company: CalOptima
Location: Orange
Posted on: March 4, 2026
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Job Description:
Social Worker (PACE) CalOptima Join Us in this Amazing
Opportunity The Team You'll Join We are a mission driven
community?based organization that serves member health with
excellence and dignity, respecting the value and needs of each
person. If you are ready to advance your career while making a
difference, we encourage you to review and apply today and help us
build healthier communities for all. More About the Opportunity We
are hoping you will join us as a Social Worker (PACE) and help
shape the future of healthcare where you'll be an integral part of
our PACEC ? Social Work team, helping to strive for excellence
while we serve our member health with dignity, respecting the value
and needs of each of our members through collaboration with our
providers, community partners and local stakeholders. This position
has been approved to be Full Office. - If telework is approved, you
are required to work within the State of California only and if
Partial Telework, also come in to the Main Office in Orange, CA, at
least two (2) days per week minimum. The Social Worker for the
Program for All?Inclusive Care for the Elderly (PACE) will be
responsible for direct social work care management services, such
as participant screening, case management, counseling and referrals
of participants to PACE. Together, we are building a stronger, more
equitable health system. Your Contributions To the Team: - 70% ?
Care Management - Participates in a mission driven culture of
high?quality performance, with a member focus on customer service,
consistency, dignity and accountability. - Participates in the
Interdisciplinary Team's (IDT) initial, six (6) month and annual
assessments, as well as care planning of the participant's case in
accordance with industry and departmental standards. - Documents
participant changes appropriately in the medical record in
accordance with industry and departmental standards. - Communicates
effectively and openly with other IDT members on participant status
and needs. - Assesses patients for high?risk situations such as
suicidal/homicidal ideation and abuse. Reports appropriately in
accordance with legal and ethical standards of practice and engages
in safety planning with participants and/or family. - Develops and
leads group counseling and participant support group activities. -
Refers participants and families to appropriate community agencies
or facilities, serves as a liaison with such organizations and as
an advocate for participants. - Assists in the completion of
advance directives, mortuary arrangements, funeral planning and/or
facility placement. - Aids patients/representatives in ascertaining
third?party and financial resources and planning for financial
coverage for services as necessary. - Addresses any psychosocial
needs that may require social work support and intervention (e.g.,
anxiety, depression and other behaviors), both at the center and at
home. - Works with PACE participants and the IDT to develop an
appropriate discharge plan for disenrolling from PACE services. -
May be required to perform home visits to private homes of
CalOptima Health's PACE participants; frequent travel in Orange
County. - Support PACE participants with care coordination needs,
such as transportation, family communication, scheduling visits to
the center, supporting with warm handoff process to our community
partners. - Represents and supports the participant's care
management needs by being an advocate for their care, supporting
clinical needs such as supportive counseling, developing care plans
to manage all psychosocial needs (i.e., establishing support
systems, coping mechanisms, assessing depression, anxiety,
cognition) and developing interventions. - 25% ? Support Services -
Assists the team in carrying out department responsibilities and
collaborates with others to support short and long?term
goals/priorities for the department. - Consults with and advises
staff members regarding the relationship of social, emotional and
cultural factors to health and medical care and the availability of
social services in the community. - Attends and participates in
in?services, staff meetings and case conferences. - Helps support
the new enrollee process of enrollment into the PACE program (e.g.,
communicates to IDT and ensures all service gaps are covered prior
to enrollment). - Participates in program improvement for the
Social Work department. - Works with the Quality Improvement (QI)
department to support grievances, appeals and advocacy consistent
with participant's rights. - 5% ? Other - Completes other projects
and duties as assigned. Do You Have What the Role Requires? -
Master's degree in social work from an accredited college or
university PLUS 2 years of experience in a health?related field
required; an equivalent combination of education and experience
sufficient to successfully perform the essential duties of the
position such as those listed above may also be qualifying. - 1
year of experience working with the elderly population with
relevant experience within the last 3 years required. CPR and
First?Aid Certification required or must be obtained within six (6)
months of the date of hire. - Valid driver's license and vehicle or
other approved means of transportation, an acceptable driving
record and current auto insurance will be required for work away
from the primary office 30% of the time or more. You'll Stand Out
More If You Possess the Following: - 1 year of case management
experience with the elderly population. - Bilingual in English and
in one of CalOptima Health's defined threshold languages (Arabic,
Farsi, Chinese, Korean, Russian, Spanish, Vietnamese). What the
Regulatory Agencies Need You to Possess? - N/A Your Knowledge &
Abilities to Bring to this Role: - Develop rapport and establish
and maintain effective working relationships with CalOptima
Health's leadership and staff and external contacts at all levels
and with diverse backgrounds. - Work independently and exercise
sound judgment. - Communicate clearly and concisely, both orally
and in writing. - Work a flexible schedule; available to
participate in evening and weekend events. - Organize, be
analytical, problem?solve and possess project management skills. -
Work in a fast?paced environment and in an efficient manner. -
Manage multiple projects and identify opportunities for internal
and external collaboration. - Motivate and lead multi?program teams
and external committees/coalitions. - Utilize computer and
appropriate software (e.g., Microsoft Office: Word, Outlook, Excel,
PowerPoint) and job specific applications/systems to produce
correspondence, charts, spreadsheets, and/or other information
applicable to the position assignment. Your Physical Requirements
(With or Without Accommodations):
Keywords: CalOptima, Baldwin Park , Social Worker (PACE), Social Services , Orange, California
