Geriatric Services Manager

Job Summary

The Geriatric Services Manager provides leadership for PACE social work services and plays a key role in helping older adults remain safe, supported, and connected to care. As a member of the PACE Interdisciplinary Team (IDT), this position leads psychosocial assessments, care planning, counseling, referrals, and participant advocacy. The Manager also supervises Geriatric Services Specialists and supports consistent, high-quality, culturally responsive care across home, center, hospital, skilled nursing facility, and community settings.

About the Role

SpringLight Health is building a Program of All-Inclusive Care for the Elderly (PACE) to bring life-changing, culturally competent care to low-income seniors. This position plays a critical role in ensuring that our participants receive the support they need to age safely and with dignity, right in their communities.

Essential Job Functions

• Lead and participate in IDT assessments, care planning, and reassessments for new and existing PACE participants
• Provide oversight and accountability for the delivery of medical social services, care management, counseling, psychosocial support, referrals, and participant advocacy
• Supervise, mentor, coach, and evaluate Geriatric Services Specialists; oversee staffing, scheduling, performance, and team accountability
• Partner with the IDT to develop and implement care plans that address participants’ medical, physical, social, emotional, psychological, and spiritual needs
• Maintain accurate, timely social work documentation in the PACE EHR in accordance with federal PACE regulations, organizational policy, and documentation standards
• Maintain signed progress records in the participant’s electronic health record at least quarterly
• Coordinate 24-hour care delivery, discharge planning, home visits, hospital visits, skilled nursing facility visits, and follow-up services as needed
• Serve as a liaison among participants, families, caregivers, community agencies, facilities, and service providers to promote continuity of care
• Provide education and support to participants, caregivers, and staff regarding aging, dementia management, grief and loss, end-of-life considerations, disease processes, family dynamics, psychosocial needs, and the PACE service delivery model
• Advise PACE staff on social, emotional, cultural, and community-resource factors that may affect access to care and participant outcomes
• Maintain knowledge of Medicaid financial eligibility criteria, participant liability/share of cost, and applicable state nursing home Level of Care requirements
• Support the PACE Quality Improvement program and participate in QI activities, audits, process improvements, and staff training as assigned
• Able to make home visits as appropriate and assigned

Minimum Requirements

• Master’s degree in Social Work from an accredited college or university
• Minimum two (2) years of health-related experience
• Leadership and/or management experience
• Minimum one (1) year of experience working with a frail or elderly population; in the absence of such experience, must complete appropriate PACE training before providing direct participant care
• Bilingual ability (Cantonese and/or Mandarin) and experience providing culturally and linguistically appropriate services
• Demonstrated social work competencies, leadership skills, sound judgment, and ability to guide staff in a team-based care environment
• Strong knowledge of community resources, care coordination, psychosocial assessment, documentation standards, and participant/caregiver support
• Ability to provide respectful, participant-centered service to older adults, including those experiencing cognitive decline, physical frailty, grief, loss, or complex family dynamics
• Must be medically cleared for communicable diseases and have required immunizations and vaccines before engaging in participant care
• Must not have been convicted of criminal offenses involving Medicaid, Medicare, other health insurance or health care programs, or social services programs under Title XX of the Act
• Must not have been convicted of criminal offenses related to physical, sexual, drug, or alcohol abuse
• Must not be excluded from participation in Medicare or Medicaid programs

Benefits

• Health & Wellness: 100% employer-paid medical, dental & vision coverage
• Acupuncture & chiropractic coverage
• Time Off: 12 vacation days, 12 sick days, 12 paid holidays + 3 floating holidays (additional flexible days you can use anytime)
• Financial & Retirement: 403(b) with 3% employer contribution + up to 2% match, Flexible Spending Account (FSA) & Dependent Care Assistance
• Additional Support: Commuter benefits, Long-Term Disability Insurance