Masters Level Social Worker

About myPlace Health

myPlace Health was founded in 2021 by mission-aligned healthcare leaders and organizations that are committed to drastically improving health outcomes, quality and experience for vulnerable older adults and frail seniors. We specialize in providing value-based, comprehensive care and coverage for older adults with significant needs so they can thrive in the homes they love and in the communities they cherish. 

Our mission is simple: to enable older adults to live the independent lives they deserve. We pursue this mission through our myPlace PACE (Program of All-Inclusive Care for the Elderly) model, which provides seamless primary care, integrated health plan coverage, personalized social engagement, and customized services delivered in the participant’s preferred place.  

myPlace Health is building a mission-driven team that shares our passion for redefining the way older adults experience care as they “age in place” in the community. This is a unique opportunity to take on one of our country’s most challenging healthcare problems and join a fast-growing, dynamic team as we prepare to scale our mission to serve more markets. 

About this Role 

Are you passionate about making a difference in the lives of seniors? This is an exciting opportunity to join the Program of All-Inclusive Care for the Elderly (PACE) and play a vital role in supporting participants and their families. As an MSW, you’ll plan, organize, and deliver social work services tailored to the unique needs of each individual.

In this role, you’ll maintain a caseload of participants, collaborating closely with the Interdisciplinary Team (IDT) to ensure seamless, person-centered care. Acting as a trusted liaison between the PACE program and participants, families, and caregivers, you’ll foster meaningful relationships that support seniors in continuing to live independently at home. If you’re driven to empower older adults to thrive within their communities, we’d love to have you on our team!

• Engage in daily IDT meetings to ensure participants' voices are heard, conducting psychosocial assessments and developing care plans during initial, semi-annual, annual, or emergency reviews.
• Present assessments at care plan conferences, laying the foundation for collaborative care plans crafted by the IDT team.
• Collaborate seamlessly with the IDT to guide participants through smooth care transitions between settings, such as hospitals, homes, and long-term or short-term care facilities.
• Connect participants, families, and caregivers with community resources and provide ongoing support tailored to their unique needs.
• Facilitate transitions between home and other placements, ensuring participants feel safe, supported, and empowered throughout the process.
• Support participants with Medi-Cal applications, staying up to date with changing regulations and coordinating communications with government agencies to ease the process.
• Coordinate advanced care planning in partnership with providers, ensuring participants' goals of care are thoughtfully addressed.
• Design and lead group counseling sessions and activities to promote emotional well-being, personal growth, and social engagement.
• Document care plans and interactions accurately and promptly in the EMR, ensuring smooth coordination across the care team.
• Provide discharge planning support when participants transition out of the program, helping them navigate the next steps with confidence and care.
• Embrace flexibility and teamwork by taking on other meaningful duties as assigned to enhance participant well-being and team success.

• Master’s degree in Social Work (MSW) from an accredited university.
• CPR and First Aid certification required (or must be obtained within 30 days of hire).
• 2 years of experience conducting psychosocial assessments, care planning, and case management.
• 2 years of experience working with frail or elderly populations, demonstrating a passion for supporting their well-being.
• Current California Driver's License with a clean driving record and personal automobile insurance (required by State law).
• Proficiency in EMR/EHR documentation preferred.
• Experience collaborating with multidisciplinary or medical teams preferred, ensuring smooth coordination of care.
• Bilingual abilities in English and Spanish, Cantonese, Mandarin, or Vietnamese are a plus and warmly welcomed.
• Ability to lift and carry, or move items weighing up to 25 pounds to support participant needs when necessary.

• Location is in Compton, CA (90221)
• Schedule is Monday - Friday 8am-5pm ONSITE
• We’re excited to share that we plan to hire for this role in January/February, with our new site opening in July 2025! Onsite training will be provided at our Greater Los Angeles location to set you up for success.

Your Application

Please submit your resume/CV.

Our Commitment to Diversity, Equity and Inclusion

At myPlace Health, we value the diversity of our team members, and we are committed to building a culture of inclusion and belonging.  We pride ourselves to be an equal opportunity employer.  People seeking employment at myPlace Health are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

COVID-19 Vaccination Policy

At myPlace Health, we provide safe and high-quality care to our participants. To achieve this, we have a policy that strongly recommends Covid-19 vaccination to keep both our team members and participants safe. Medical and religious exemptions can be granted based upon review of proper documentation. We adhere to all federal, state, and local regulations by obtaining necessary proof of vaccination prior to employment.

Beware of Scams and Fraud

Please beware of scams that solicit interviews or promote jobs for opportunities that are not listed on our website or are not directly related to a job you applied for yourself. Please be advised that myPlace Health will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission by selecting the ‘Rip-offs and Imposter Scams’ option: https://reportfraud.ftc.gov/#/