Social Worker MSW
Company: BoldAge PACE
Location: Oceanport
Posted on: July 3, 2025
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Job Description:
Join BoldAge PACE and Make a Difference! Why work with us? A
People First Environment: We make what is important to those we
serve important to us. Make an Impact: Enhance the quality of life
for seniors. Professional Growth : Access to training and career
development. Competitive Compensation: Medical/Dental Paid Time Off
240 Hours Annually* 401K with Match Life Insurance Tuition
Reimbursement Flexible Spending Account Employee Assistance Program
BE PART OF OUR MISSION! Are you passionate about helping older
adults live meaningful, independent lives at home with grace and
dignity? BoldAge PACE is an all-inclusive program of care,
personalized to meet the individual health and well-being needs of
our participants. Our approach is simple: We listen to our
participants and their caregivers to truly understand their needs
and desires. Social Worker JOB SUMMARY: The Social Worker (MSW)
provides direct social work and care management services to
participants of the PACE program, offering comprehensive support to
enhance their quality of life and ability to live independently in
the community. Responsibilities include participant screening, case
management, counseling, and referrals, as well as planning,
organizing, and implementing social work services tailored to
participants and their families. As a liaison between the
interdisciplinary team, caregivers, and community agencies, the
Social Worker ensures participant needs are effectively addressed,
and services are coordinated seamlessly. This role is essential in
promoting participant well-being, advocating for their needs, and
advancing the mission and goals of the PACE program. ESSENTIAL
DUTIES AND RESPONSIBILITIES : Participate in initial assessments,
care planning, and periodic reassessments (at least every six
months) of participant cases, ensuring assessments are completed
prior to team meetings and adhere to departmental standards.
Document participant changes and updates in the medical record
accurately and in compliance with industry and departmental
standards. Collaborate and communicate effectively with
Interdisciplinary Team (IDT) members regarding participant status,
needs, and care plans. Maintain up-to-date case management records,
including periodic participant reassessments, and ensure
comprehensive documentation. Coordinate 24-hour care delivery and
provide individual and family counseling to support participants
and caregivers. Develop and facilitate group counseling sessions
and activities to address participant needs. Refer participants and
families to appropriate community resources, acting as a liaison
and advocate to ensure access to needed services. Foster effective
relationships among team members, promoting team building and
cohesion. Consult with staff on the impact of social, emotional,
and cultural factors on participant health, and advise on available
social services in the community. Participate in program and policy
development for social work services and contribute to Quality
Improvement (QI) processes. Conduct home visits to participants’
private residences to evaluate and support their needs. Actively
participate in IDT meetings and contribute to care planning and
team discussions. Perform additional duties and special projects as
assigned. EXPERIENCE AND EDUCATION : Master’s degree in Social Work
from an accredited school of social work. Member of the Academy of
Certified Social Workers (ACSW) or other NASW-recognized
certification preferred. Current License in the required state. Two
(2) years of experience working on an interdisciplinary team in a
hospital, nursing home, or community-based setting is preferable. 1
year of experience working with a frail or elderly population
preferred. If this is not present, training will be provided upon
hiring. PRE-EMPLOYMENT REQUIREMENTS: Must have reliable
transportation, a valid driver's license, and the minimum state
required liability auto insurance. Be medically cleared for
communicable diseases and have all immunizations up to date before
engaging in direct participant contact. Pass a comprehensive
criminal background check that may include, but is not limited to,
federal and state Medicare/Medicaid exclusion lists, criminal
history, education verification, license verification, reference
check, and drug screen. BoldAge PACE provides equal employment
opportunities to all employees and applicants for employment and
prohibits discrimination and harassment of any type without regard
to race, color, religion, age, sex, national origin, disability
status, genetics, protected veteran status, sexual orientation,
gender identity or expression, or any other characteristic
protected by federal, state or local laws. *Paid Time Off Includes
seven holidays Match begins after one year of employment
Keywords: BoldAge PACE, Allentown , Social Worker MSW, Social Services , Oceanport, Pennsylvania
