Habitat Health
Healthcare
LCSWPerdiem,Pre-Enrollment(PACE)
Neural analysis suggests this role is
optimal for Mid+ candidates.
“LCSW Per diem, Pre-Enrollment (PACE) at Habitat Health. Skills: Psychosocial assessment, Geriatric care, PACE program, Eligibility determination. Conduct psychosocial assessments for prospective PACE participants. Perform specialized assessments for behavioral health referrals”
Industry & Context.
Risk assessment
What They're Looking For.
Must Have
Unrestricted LCSW license in California, Master's degree in Social Work, 1 year post-licensure clinical experience, 2 years working with older adults, Knowledge of geriatric mental health, Experience conducting psychosocial assessments, Experience with standardized geriatric assessment tools, Understanding of California LCSW scope, Knowledge of capacity assessment principles, Experience with crisis intervention, Excellent clinical documentation skills, Proficiency with Epic EHR system, Experience in interdisciplinary teams, Understanding of CMS regulations, Knowledge of Medicare/Medicaid eligibility, Knowledge of Nursing Facility Level of Care, Knowledge of home safety evaluation
Nice to Have
Experience in PACE, Experience in CCRCs, Familiarity with California Title 22, Experience evaluating behavioral health safety, Knowledge of community-based long-term care, Experience with telehealth for social work, Training in trauma-informed care, Experience with diverse populations, Bilingual skills (Spanish/English), Experience with advance care planning, Knowledge of elder abuse reporting, Experience with aging adults with disabilities, Familiarity with conservatorship/guardianship
What You'll Do.
Conduct psychosocial assessments for prospective PACE participants
Perform specialized assessments for behavioral health referrals
Review complex cases identified by Enrollment team
Evaluate applicants' capacity for informed consent
Assess safety for community-based care
Complete detailed social histories
Administer standardized assessment tools
Interpret assessment results
Develop preliminary care plans
Identify immediate service needs
Provide crisis intervention
Provide safety planning
Document recommendations
Document eligibility determinations
How You'll Work.
Team & Collaboration
Interdisciplinary enrollment team
Full Job Description
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 seeking a dedicated and experienced Licensed Clinical Social Worker to serve as our Per Diem Pre-Enrollment LCSW for our PACE program. In this per diem capacity, you will conduct comprehensive psychosocial assessments and eligibility evaluations for prospective PACE participants on an as-needed basis, ensuring they meet both clinical criteria and Health and Safety requirements for community-based care. You will work collaboratively with our interdisciplinary enrollment team to facilitate safe transitions into our program while advocating for older adults’ autonomy and dignity. Conduct comprehensive psychosocial assessments for prospective PACE participants during the pre-enrollment process, evaluating cognitive, emotional, behavioral, and social functioning Perform specialized assessments for behavioral health and psychosocial referrals, reviewing complex cases identified by the Enrollment team. Evaluate applicants' capacity for informed consent and decision-making regarding PACE enrollm
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