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Job Details

Clinical Social Worker- PACE- Elder Services

Date Posted: 12/01/2022

Requisition Number: 2745

Location: CHA East Cambridge Care Center

Work Days: M-F, 8am-4:30pm

Category: Social Work

Department: CHA PACE

Job Type: Full time

Work Shift: Day

Hours/Week: 40.00

Union: Yes

Union Name: Union of Social Workers

This is a hybrid remote position

Sign On Bonus: $5,000 signing bonus!

CHA PACE is a Program of All Inclusive Care for the Elderly (PACE) at Cambridge Health Alliance (CHA). CHA PACE serves adults 55 years and older with chronic medical and/or mental health difficulties with the goals of achieving the highest level of community independence and preventing nursing home placement. CHA PACE’s high functioning interdisciplinary team works to fully integrate and coordinate medical and behavioral health care, community resources, and in home support services.

The PACE social worker is a critical part of the Interdisciplinary Team (IDT) that care for our participants’ emotional, social, mental health and well-being. The social worker provides care to a caseload of diverse older adults and their families/caregivers in a variety of settings including, the PACE Day Health Center, participant’s homes, and care facilities.

CHA provides competitive salary with access to educational benefits, including a generous CEU allowance. LCSW supervision available as needed.

Regular duties include:

  • Performs initial, semi-annual, annual, and unscheduled social work assessments and collaborates with an interdisciplinary team (IDT) to develop, implement and evaluate the participant’s plan of care.

  • Provides supportive counseling to participants utilizing evidence-based brief treatment in the context of a longitudinal relationship demonstrating sensitivity to cognitive, cultural, and functional abilities.

  • Utilizes standardized assessment tools such as the PHQ-9, GAD-7, SLUMs to help guide and evaluate care.

  • Collaborates with community partners, facility staff, case management, community resource entities, etc. to ensure the highest level of community independence possible for participants.

  • Communicates participant updates and change of status to the IDT through established methods of communication, e.g., morning meeting, care plan meetings, etc.

  • Provides Caregiver support and education in service of the participant and facilitates family meetings

  • Educates participants and caregivers on aging, chronic disease, and available support services.

  • Educates, supports and contributes to the problem-solving process within the IDT to manage complex cases involving multiple areas of behavioral health and psychosocial needs using social work values and principles.

  • Documents care in participant medical record.

  • Assesses for and reports elder abuse/neglect and acts as liaison to protective service agencies.

  • Play an active role in the end-of-life transition for participants, families, and caregivers

  • Demonstrates respect for differences in:

    • language, culture, race, religion, citizenship,

    • gender, and sexual orientation

    • income,

    • immigration status, or

    • Disability


  • Master’s Degree in Social Work from an accredited school of social work. Current Social Work licensure in the Commonwealth of Massachusetts at the Masters level (L.I.C.S.W. or L.C.S.W.) required

  • Experience with such therapies such as Motivational Interviewing, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy or Mindfulness Based therapy

  • Minimum one year experience providing clinical social work to older adult population preferably in a community or medical setting

  • Computer literacy; experience with Epic beneficial

  • Reliable transportation to be able to attend home visits in a timely manner

  • Commitment to equitable and culturally appropriate care for a wide range of diverse populations, including (but not limited to) communities of color, LGBTQ communities, non-English speaking populations, people with histories of incarceration, people with substance use disorders and behavioral health challenges

  • Fluent in Spanish, Haitian Creole or Portuguese a plus

  • Interest in working in a collaborative, team environment.

  • Bilingual, Bicultural, LGBTQIA identifying, Black, Indigenous, and People of Color are encouraged to apply

In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based on race, religion, color, gender, age, marital status, national origin, sexual orientation, gender identity, veteran status, disability or any other characteristic protected by law. We are committed to establishing and maintaining a workplace free of discrimination. We are fully committed to equal employment opportunity. We will not tolerate unlawful discrimination in the recruitment, hiring, termination, promotion, salary treatment or any other condition of employment or career development. Furthermore, we will not tolerate the use of discriminatory slurs, or other remarks, jokes or conduct, that in the judgment of CHA, encourage or permit an offensive or hostile work environment.

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