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Institute on Aging | On Lok PACE
Are you a compassionate Medical Social Worker who thrives in a collaborative, mission-driven healthcare environment? Do you have a passion for providing counseling and therapeutic support to participants navigating behavioral and mental health challenges?
Join On Lok PACE at the Institute on Aging (IOA) and play a vital role in helping frail elders live safely, independently, and with dignity in their communities.
About the Role
The Medical Social Worker provides comprehensive psychosocial assessment, counseling, and care coordination to participants with complex medical and social needs. You’ll serve as a key liaison between participants, families, and the interdisciplinary care team, ensuring care plans are participant-centered, holistic, and responsive.
What You’ll Do
- Conduct in-depth biopsychosocial assessments addressing medical, mental health, financial, and environmental needs
- Develop and implement participant-centered care plans in collaboration with the Interdisciplinary Team (IDT)
- Partner closely with Primary Care Providers, Registered Nurses, Care Managers, and other disciplines
- Provide supportive counseling, crisis intervention, advocacy, and therapeutic interventions
- Facilitate family and care team meetings, including end-of-life planning and goals of care
- Coordinate care for participants with complex needs, including transitions and discharge planning
- Connect participants and families to community resources and behavioral health services
- Advocate for participants around mental health, substance use, housing instability, and chronic psychosocial needs
- Maintain accurate and timely documentation in the electronic health record (EHR)
- Participate in quality improvement initiatives, IDT meetings, and program activities
- Stay current with professional standards, continuing education, and ethical practices
What We’re Looking For
Required:
- Master’s degree in Social Work (MSW) from an accredited program
- Minimum 1 year of experience working with frail elderly populations
- Minimum 1 year of experience in an interdisciplinary care model
Preferred:
- Experience with medically complex or functionally impaired adults
- Strong communication, problem-solving, and organizational skills
- Comfort working in a fast-paced, team-based healthcare setting
- Computer literacy
- Bilingual in Cantonese and/or Spanish
Licensure is not required. Supervision toward LCSW licensure is provided.
Why Join IOA / On Lok PACE
- Mission-driven work with meaningful, long-term participant relationships
- Highly collaborative interdisciplinary care model
- Supportive environment with clinical supervision and professional development
- Opportunity to make a real impact in the lives of older adults and their families
Apply today and help redefine aging with dignity and care.
IOA reserves the right to adjust work hours or duties when appropriate.
Institute on Aging is an Equal Opportunity Employer. Institute on Aging is committed to cultivating a diverse and inclusive work environment and providing equal opportunities to all employees and job applicants without regard to age, race, religion, color, national origin, sex, sexual orientation, gender identity, genetic disposition, neuro-diversity, disability, veteran status or any other protected category under federal, state and local law.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Job Type: Full-time
Pay: $85,700.00 - $102,400.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Parental leave
- Referral program
- Retirement plan
- Vision insurance
Application Question(s):
- Do you have an MSW (Required)
- Can you work onsite daily?
Education:
Experience:
- working with frail older adult : 1 year (Required)
- working on an interdisciplinary team: 1 year (Required)
Ability to Commute:
- San Francisco, CA 94118 (Required)
Work Location: In person
