Social Worker

About the role

The Social Worker participates in the planning, implementation, and evaluation of care plans aligned with the PACE model, focusing on helping older adults live safely and comfortably in their homes and communities. They collaborate with the interdisciplinary team (IDT) during assessments, care planning, and re‑assessments, contributing essential psychosocial insights and supportive counseling.

Responsibilities

• Participate in assessments, care planning, and team meetings to develop personalized care strategies.
• Facilitate hospital, rehabilitation, and nursing home admissions/discharges, ensuring proper documentation.
• Assist in transitioning participants from community to long‑term care, collaborating with caregivers and providers.
• Refer participants to community services, advocate on their behalf, and maintain accurate documentation.
• Conduct participant meetings, review care plans, and support end‑of‑life planning alongside palliative care teams.
• Arrange and conduct home or facility visits, report incidents such as abuse, and ensure compliance with safety protocols.

Qualifications

• Master’s level Social Work licensure (L.I.C.S.W. or L.C.S.W.) in the Commonwealth of Massachusetts.
• Minimum of one year of clinical or case management experience with geriatric populations.
• Current CPR certification or ability to obtain it.
• Excellent verbal, written, and listening skills, with ability to multitask in a fast‑paced environment.
• COVID‑19 vaccination preferred.
• Ability to pass a fit test for respiratory protection.
• Frequent local travel required.

Compensation

Compensation ranges from $69,000 to $97,000 annually.