Habitat Health

Habitat Health is a senior-focused healthcare company empowering older adults to enjoy more good days through personalized, comprehensive care. The company prov

LCSW, Pre-Enrollment – PACE

Location

California

Posted

19 days ago

Salary

$40 - $46 / hour

Seniority

Junior

Postgraduate Degree1 yr expEnglish

Job Description

LCSW, Pre-Enrollment – PACE

Habitat Health

• 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 enrollment and care planning. • Assess whether prospective participants with mental health conditions, cognitive impairment, or behavioral challenges can be safely managed in community-based settings per Health and Safety regulations • Complete detailed social histories, including family dynamics, support systems, housing stability, financial resources, and cultural considerations • Administer standardized assessment tools (PHQ-9, GAD-7, MMSE, MoCA, GDS, ADL/IADL scales) and interpret results within the context of geriatric best practices • Collaborate with the interdisciplinary team to develop preliminary care plans and identify immediate service needs prior to enrollment. • Provide crisis intervention and safety planning when indicated during the assessment process. • Document all assessments, recommendations, and eligibility determinations in accordance with PACE regulatory requirements, Title 22 standards, and organizational policies • Serve as a liaison between prospective participants, families, and community resources during the transition to PACE enrollment

Job Requirements

  • Current, unrestricted Licensed Clinical Social Worker (LCSW) license in California
  • Master's degree in Social Work (MSW)
  • Minimum of 1 years of post-licensure clinical experience, with at least 2 years working with older adults and geriatric populations
  • Strong knowledge of geriatric mental health, including dementia care, depression, anxiety disorders, and age-related psychological changes
  • Experience conducting comprehensive psychosocial assessments and biopsychosocial evaluations for complex older adults
  • Experience with standardized geriatric assessment tools (BIMS, PHQ-9, MoCA, MMSE) and interpreting results for eligibility determination
  • Understanding of California's LCSW scope of practice as defined in Business & Professions Code Sections 4996-4999.129
  • Knowledge of capacity assessment principles and ability to evaluate decision-making abilities in older adults with cognitive impairment
  • Experience with crisis intervention, safety planning, and risk assessment in community-based settings
  • Excellent clinical documentation skills that meet regulatory standards and demonstrate medical necessity
  • Proficiency with Epic electronic health record system or similar EHR platforms
  • Experience working in interdisciplinary team environments and collaborative care models
  • Understanding of CMS and DHCS regulations related to PACE enrollment criteria and Health and Safety requirements

Benefits

  • medical, dental, and vision insurance
  • paid parental leave
  • short- and long-term disability coverage
  • life insurance
  • flexible spending accounts
  • a 401(k) savings plan that includes a match
  • paid time off
  • company paid holidays

Related Job Pages

More General Jobs

Full TimeRemoteTeam 1,001-5,000H1B No Sponsor

• Perform asbestos, lead-based paint (LBP), and microbial/moisture intrusion assessments, along with abatement oversight, with an approximate 50/50 split between field and office work • Conduct safety and compliance assessments in accordance with regulatory standards and client requirements • Support additional environmental services through cross-training, including: • Exposure assessments • Workplace safety evaluations • Stormwater compliance inspections • Soil and groundwater sampling • Noise and air monitoring • Aboveground Storage Tank (AST) inspections • Execute work in alignment with project work plans, standard operating procedures (SOPs), and direction from project managers • Manage scheduling and logistics across all project phases, from coordination and fieldwork through reporting • Prepare clear, accurate, and technically sound client-ready reports using project-specific templates • Collaborate with internal teams to support project delivery and ongoing professional development • Maintain and proactively pursue relevant certifications, including 40-Hour HAZWOPER, CAC, and/or CSST

California
$75K - $85K / year
Fresh Prints logo

Fashion Buyer

Fresh Prints

America's fastest growing collegiate custom apparel company six years in a row.

General19 days ago
Full TimeRemoteTeam 11-50Since 2013H1B No Sponsor

• Respond to product sourcing requests from the sales team, finding the best possible options across domestic suppliers and overseas manufacturers • Evaluate recommendations not just on availability and price, but on product fit • Build and maintain a supplier knowledge base covering who carries what • Conduct regular market research, studying brands, trends, and retail aesthetics • Identify recurring product gaps and document sourcing knowledge • Support outreach to new overseas manufacturers and domestic suppliers

Philippines
$550 / month
Eucalyptus logo

Telehealth AHPRA Registered Nurse – Casual Locum

Eucalyptus

Delivering digital healthcare that puts patients first.

General19 days ago
Part TimeRemoteTeam 51-200H1B No Sponsor

• Respond to patient inquiries via a ticketing system with clear, accurate, and empathetic written communication • Manage inbound calls and make outbound calls to patients to address queries, concerns, and offer support • Maintain accurate documentation of all patient interactions • Collaborate with internal teams across time zones • Deliver a high standard of patient care while adhering to regulatory and compliance requirements

Australia
$41 - $57 / hour
AmeriPharma logo

Home Infusion RN – Independent Contractor

AmeriPharma

Specialty Care | Infusion Center | MedBox

General19 days ago
ContractRemoteTeam 51-200H1B No Sponsor

• Conduct in-home infusion therapy visits with patients according to the plan of care. • Prepare clinical/nursing notes and document patient interventions in both clinical and non-clinical records consistently. • Act as a clinical resource, working collaboratively with other pharmacy departments. • Maintain knowledge of drug side effects and interactions. • Offer telephone and in-person patient education on therapy protocols, drug side effects, and home infusion procedures. • Ensure patients understand their therapy plans, medications, and the importance of adherence. • During initial and ongoing consultations, serve as a patient liaison between the patient, their family, and the pharmacy to ensure a seamless therapy process. • Perform comprehensive, initial, and periodic head-to-toe assessments for patients and initiate preventative and rehabilitative care. • Use health assessment data, and input from the agency team, the physician, the patient, and the family to determine patient needs. • Manage patient and family expectations regarding services, outcomes, and discharge goals. • Establish primary and secondary diagnoses based on patient assessment and home health care focus. • Develop care plans with skilled interventions, medical supplies, and necessary services to meet goals. • Regularly evaluate patient progress, in collaboration with team members, and revise care plans as needed. • Perform other duties as assigned.

North Carolina
$60 - $70 / hour