Required Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Bachelor’s or Master’s degree in Social Work or related degree in social sciences required.
• Must be licensed where applicable by the State
• Must have a valid driver’s license, proof of insurance and have means of transportation.
• Must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.
• Ability to read, speak and write fluently in English
• Ability and willingness to work in various locations, for planned activities or special events, family meetings and conferences, admission calls, admissions and tours.
• Ability to work with participants, families, and others of varying levels of responsiveness and healthcare literacy
• Familiarity with word processing, data processing, and computer entry skills to match existing clinical management and other software used by the program.
• Ability to utilize computers and other electronic devices for tasks such as timekeeping, in-servicing and documentation.

Preferred Skills:

• A minimum of two years’ experience working with frail or elderly population required. Experience working on a multi-disciplinary team in a hospital, nursing home or community-based setting is preferable.
• Excellent interpersonal communication and phone skills; ability to prepare written assessments and correspondence; ability to read and interpret rules and regulations.
• Must demonstrate ability to work with a diverse team and flourish in a flexible work environment.
• Negotiation skills and ability to carry on several levels of reasoning at once during problem solving sessions; ability to think quickly and to write complex written arguments.

Essentials:

• Acts as and engaged member of the Care Team. Regularly attends meetings and provides meaningful input.

• In coordination with the MSW and Care Team Leader, is responsible for the evaluation of ongoing participant needs and the development of an effective plan of care that addresses the medical, physical, social, psychological, and spiritual needs of the participant in alignment with their healthcare wishes and goals.

• In coordination with the MSW, responsible for the psychosocial wellbeing of participants. Provides ongoing support and education to participants and family regarding a variety of issues, including but not limited to: the aging process, dementia, grief and loss, end of life, disease processes, difficult family dynamics and changing roles, PACE model and PACE health services.

• Identifies, provides and/or coordinates for the medically-related social, psychological and spiritual needs of the participants. Implements social work interventions, case management, or psychosocial support as described by MSW. Coordinates closely with MSW and other team members any acute or complex cases and defers to MSW for any interventions/needs exceeding scope of practice.

• As needed, may coordinate, schedule, and facilitate meetings with participants, family members/caregivers, and SCC staff.

• Serves as a participant advocate to ensure all care is provided with a person-centered focus. Ensures that participant grievances are addressed and protects participants’ rights.

• As needed and in coordination with Social Work Manager, engages in coordination with outside agencies such as Adult Protective Services, PACE Ombudsman, contracted providers and facilities, etc. in coordination of care and/or on behalf of the participant.

• Assists with education to participants, families, staff, etc. on topics such as bill of rights, feedback and appeals process.

• Identifies opportunities for quality improvement and engages organizational mechanisms as needed in coordination with Social Work Manager.

• In coordination with Social Work Manager and other members of the Social Work Department, may design, implement, and/or facilitate participant and/or family support groups.

• Is responsible for adherence to program cultural standards (Fundamentals) including supporting the development and integration of these standards within the team through modeling, coaching, and accountability.

• Manages and reviews participant’s records, charts, pertinent information and staff’s documentation. Documents as needed in medical records according to Senior CommUnity Care standards.

• Educates staff in regards to care and treatment for the elderly as needed.

• Follows all organizational policies and procedures and CDC and Occupational Safety and Health Administration (OSHA) safety guidelines.

• Protects privacy and maintains confidentiality of all company procedures, results and information about employees, participants and families.

• Participates in continuing education classes and any required staff and training meetings. Maintains professional affiliations and any required certifications.

• Performs other duties as required or requested.

About Senior Community Care of Colorado PACE:

Senior Community Care of Colorado,

Senior Community Care of Colorado is part of Volunteers of America National Services which serves as the Housing and Healthcare affiliate of the Volunteers of America parent organization.

Senior Community Care of Colorado (SCCCO) is a PACE Program (Program of All-Inclusive Care of the Elderly) serving older adults in Montrose and Delta Counties. Our team offers wrap-around care services to meet the unique needs of each of our participants and support them to remain living independently in their homes and communities. Our approach to care is based on our respect for the human spirit and the belief that the right to dignity doesn’t diminish with age. Compassion, empathy, personal attention are at the core of how we serve each and every program participant. Unlike other settings, getting to know our participants and building meaningful relationships are key to our success.

SCCCO has centers in Montrose and Delta Counties, surrounded by the breathtaking Colorado scenery. With the plummeting depths of the Black Canyon National Park just to the east, the towering and majestic San Juan Mountains to the south, the expansive Uncompahgre Plateau to the west, and lake-bejeweled Grand Mesa to the north, and an expansive water sports park right in the middle of town, we are literally surrounded by an endless variety of prospects for exploration and adventure. Montrose and Delta County also offer a large variety of shopping and dining options and a full schedule of cultural and community events. To learn more about our communities, visit

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We want our staff to love their job and offer flexible work schedules and a comprehensive benefits package that support a healthy and active work-life balance. SCCCO is Great Place to Work-Certified!

In our 2022 Great Place to Work survey, employees said their work has a special meaning: this is not “just a job”.

At VOANS, we celebrate sharing, encouraging and embracing diversity. Equal employment opportunities are available to all without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, parental status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations’ shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best.

#VOANS

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