Master's Level Social Worker - Per Diem

At Habitat Health, we envision a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. Habitat Health provides personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly (“PACE”) in collaboration with our leading healthcare partners, including Kaiser Permanente. 

Habitat Health offers a fully integrated experience that brings more good days and a sense of belonging to participants and their caregivers. We build engaged, fulfilled care teams to deliver personalized care in our centers and in the home. And we support our partners with scalable solutions to meet the health care needs and costs of aging populations. 
 
Habitat Health is growing, and we’re looking for new team members who wish to join our mission of redefining aging in place. To learn more, visit https://www.habitathealth.com. 

Role Scope:

We are looking for a dynamic, service-oriented social worker who is passionate about supporting elderly persons in their journey. The social worker will work within a multidisciplinary care team led by a primary care provider to ensure whole-person, integrated care. In addition to clinical services, there is an opportunity to shape the company’s social work program. 

Core Responsibilities & Expectations for the Role

• Contribute to a center experience that Participants want to spend time in, a team culture that cares and creates joy, and an environment where all participants and team members belong.
• Continue to raise the bar.  Constructively seek and share feedback, and help us implement changes in order to improve clinical outcomes and experience for participants.
• Exhibit and honor Habitat’s values.
• Collaborate as part of the Interdisciplinary Team (IDT) to optimize health status and quality of life of the participants as part of the care plan.
• Conduct social work assessments to determine psychosocial needs, preferences and goals of the participants
• Deliver and document social work interventions as agreed upon in the participants’ care plan including but not limited to arranging necessary resources and services, assisting with care transitions, providing individual as well as group counseling and case management.
• Work with primary care providers and other members of the care team to guide smooth care transitions between settings (e.g., hospitals, skilled nursing facilities, home, etc.)
• Initiate, coordinate and facilitate care conference meetings to ensure the highest level of care coordination among other care team members, participants, and other people within the participants’ support network (family, informal caregivers, etc.)
• Provide discharge planning when participants disenroll from the program
• Performs related duties as assigned.

Required Qualifications: 

• Master’s degree in Social Work (MSW).
• A minimum of two years experience working with the frail or elderly.
• Previous experience coordinating and facilitating care conference meetings.
• Proof of medical clearance for communicable diseases, including a TB test.
• Proof of all immunizations are up to date.
• Proof of current CPR/BLS certification required or requirement to obtain within 30 days of employment..
• Proof of valid CA driver’s license, personal transportation, good driving record and auto insurance as required by State law.

Preferred Qualifications:

• Bilingual: Spanish/Mandarin/Cantonese preferred.

• Previous experience assisting patients/participants with behavioral health and substance abuse issues.

• A state issued driver’s license, personal transportation, and auto insurance as required by law.

Location:

• Sacramento, CA (Onsite)

Compensation:   

We take into account an individual’s qualifications, skillset, and experience in determining final salary. This role is eligible for medical/dental/vision insurance, short and long-term disability, life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. The expected salary range for this position is $38.00 - $42.00 hourly. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location.