Job Description

Social Work Assistant

Alhambra, CA

About Seen Health

At Seen Health, we are revolutionizing the way senior care is delivered through the PACE (Programs of All-Inclusive Care for the Elderly) model. Backed by top VCs, Seen Health is a culturally-focused, technology-enabled healthcare organization that integrates comprehensive medical care and social support with a high-touch, interdisciplinary approach.

Our mission is to empower seniors to age-in-place with dignity and provide their families peace of mind. We are building upon a proven Home and community based services model to create a culturally-competent and scalable PACE program. We are also building a comprehensive operating system focused on data and workflows that span across systems, processes, people, and care contexts. We want to empower our clinicians and staff with tools that deliver relevant data at the time and site of care and enable them to deliver exceptional care to our participants, which improve clinical outcomes, participant & provider satisfaction, and ultimately our strength as an organization.

We are a mission-driven, multidisciplinary team with deep healthcare, technology, and operations expertise, each inspired by our own personal stories of caring for seniors in our lives. Our name, Seen Health, was chosen to reflect our commitment to provide the highest standard of care to underserved older adults while respecting and incorporating their individual beliefs, heritage, and values, so that they can truly be seen.

About the Role

The Social Work Assistant is responsible for assisting and managing a caseload of participants working in close coordination with the Seen Health Interdisciplinary Team (IDT) and Social Worker. The Social Work Assistant functions as a liaison between the participants, their family members, and the IDT assist participants by offering advice, implementing treatment plans, coordinating community services, and completing necessary paperwork. The Social Work Assistant collaborates effectively with colleagues and stakeholders to promote the Seen Health values, team culture and mission.

Responsibilities

• Assist Social Workers (MSWs) with daily tasks that may arise. Escalate to MSW or identified appropriate staff member as needed.
• Establish rapport with participants and families to provide psychosocial support.
• Complete IDT care plan reviews with participants and family members within regulatory time frames.
• Deliver and document social work interventions as agreed upon in the participants' care plans including but not limited to check in calls, arranging necessary resources and services, and assisting with care transitions, and case management.
• Participate in IDT adhoc and care conference meetings to provide input, and function as the administrative support to MSW to include transcribing meeting notes and documentation as needed.
• Remain alert to pertinent input from other team members, participants, and caregivers and update the IDT/Social Worker promptly of any changes in participants' condition or psychosocial status.
• Connect participants or families with social and community services. Arrange meetings with relevant agencies, while serving as the advocate for our participants every step of the process.
• Assist with completing grievances, appeals incident reports, APS reports, and other quality and compliance requirements as needed.
• Maintain an up-to-date roster of relevant agencies.
• Complete discharge planning with participants and or family members when participants disenroll from the program, present to IDT, and provide appropriate documentation to medical records timely.
• Provide administrative support to MSW for educational in-services to staff, participants, and caregivers/families regarding psychosocial aspects of aging and related issues
• Participate in end-of-life care coordination and support.
• Conduct home visits, hospital visits, skilled nursing visits, as necessary.
• Demonstrate ability to assist participant or family member with completion of identified application and community assistant programs. Will include but limited to benefit renewals, housing, DMV needs, utility bills, and other community support needs.
• Complete all required documentation in a timely and accurate manner.
• Protect privacy and maintain confidentiality of all company procedures and information about team members, participants, and families.
• Follow Seen Health policies and procedures and participate in any required Quality Improvement activities, staff training and meetings.

Qualifications

• High School Diploma or Equivalency.
• Associate's Degree in Social Work, Human Services, Social Science, or relevant field preferred.
• Valid State Driver's License with a clean DMV record.
• Minimum one year experience working with frail and elderly population. (3+ years social work experience preferred).
• Experience conducting psychosocial assessments, care planning and case management skills preferred.
• Demonstrated ability to work in a multicultural and multidisciplinary team environment.
• Excellent oral and verbal communication and meeting facilitation skills
• Previous experience assisting persons with behavioral health & substance abuse issues, preferred.
• Bilingual ability preferred (Mandarin / Cantonese)
• Current CPR certification or the ability to obtain CPR certification is required.
• Require personal transportation, current state issued driver's license, good driving record and auto insurance as required by law.

Location

• Los Angeles required.
• On Site at Seen Health in Alhambra; home and community facility visits as needed.

Salary & Benefits

1. Salary: hourly rate of $20-$27 / hour depending on experience.
2. Equity: included as part of founding team package.
3. Benefits: Seen Health is proud to offer a robust benefits offering for our employees. In addition to traditional healthcare coverage, we also offer additional benefits to help further your wellness and feeling of being part of the team.
   • Medical, Dental, and Vision benefits for you and your family
   • Life Insurance and Disability Benefits
   • Parental and Caregiver Leave
   • Lunch, as well as delicious snacks and coffee to keep you energized
   • Paid Time Off across holidays, vacation time, personal days, and sick days
   • 401k Plan
   • Personal and professional development, including CME support and career growth opportunities
   • Subscriptions and training on using AI tools including ChatGPT

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