Social Worker

Posted: 06/09/2022

Position to start end of June/early July.

Do you have a passion for serving the elderly? Do you enjoy working to make a difference in the day-to-day lives of other people

PACE North is seeking a Social Worker to join our amazing team of professionals dedicated to improving the lives of older adults through an innovative, center-based program.

Job Summary: 

Responsible for direct social work case management services to the participants of the PACE North program.  Works under the direct and indirect supervision of the Center Director or designee but is independent in the application of advanced social work knowledge and skills. Provides such social services support as participant screening, case management, counseling and referral.                                               


Education: Master's Degree from an accredited School of Social Work.

Licensure/Registry/ Certification: LMSW or LLMSW with full licensure to be achieved within two years.  CPR Certification. Valid MI Drivers License.

Experience:  2 years of experience in a health related area.  Minimum of 1 year experience working with a frail or elderly population preferred.

Skills: Individual therapy skills for geriatric participants.

Analytical thinking and problem solving abilities.

Must be able to work effectively in a team environment.

Good understanding of psychosocial problems of aging.

Possess basic computing skills in the workplace.

Act within the authorized scope of practice. 

Ability to meet a standardized set of competencies for the specific position description established by PACE North and approved by CMS before working independently.

Immunizations:  Be medically cleared for communicable diseases and have recommended immunizations up-to-date before engaging in direct contact with participants.


  • Participates in the Interdisciplinary Team's initial assessments, care planning and periodic re-assessments (minimally every 6 months) of participant's case.  Assessments are to be completed prior to the scheduled team meeting. 
  • Communicates participant changes to team members.
  • Maintains current written care management records, including periodic re-assessments of program participants.
  • Travels to participants’ homes to conduct site visits.
  • Coordinates 24 hour care delivery. 
  • Provides individual and family counseling, develops and leads group counseling and activities.
  • Refers participants and families to appropriate community agencies or facilities, acts as liaison with such organizations and as advocate for participants.
  • Encourages effective relationships among staff geared to team building and maintenance of a cohesive team.
  • Consults with and advises staff members as to the relationship of social, emotional and cultural factors to health and medical care, and as to the availability of social services in the community.
  • Participates in Program and Policy development of Social Work component.
  • Facilitates enrollments and disenrollment from PACE North.
  • Facilitates Medicaid application and redetermination process with Michigan Department of Health and Human Services (MDHHS).
  • Documents participant changes appropriately in the medical record.
  • Demonstrates active participation in QI plan processes.
  • Participates as a member of the Interdisciplinary Team.  Attends staff meetings and takes part in participant care planning. 
  • Abides by all established PACE North policies, rules, and regulations.
  • All other duties as assigned.

Working Conditions:

  • Environment may include noise, frequent interruptions, possible exposure to unpleasant odors, odorous wounds, urine feces, other excrements, cleaning products, chemicals, and disinfectants.
  • Work requires standing, walking, lifting, bending, and sitting.
  • Potentially dangerous equipment may be utilized and/or maintained.
  • Prescribed dress code will be according to the PACE North policy.