Masters Level Social Worker - Join Our Talent Community!

Job Description

Job Description

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

This is an exciting opportunity for a compassionate and mission-driven Master’s-level Social Worker (MSW) to join the myPlace Health PACE Program (Program of All-Inclusive Care for the Elderly). In this role, you’ll plan, organize, and deliver social work services that support our participants and their families through every stage of their care journey.

As a key member of our Interdisciplinary Team (IDT), you’ll maintain a dedicated caseload of participants and collaborate closely with nurses, therapists, physicians, and other care professionals to create comprehensive, person-centered care plans. You’ll also serve as a trusted liaison between participants, caregivers, and the PACE program—ensuring that each person feels heard, supported, and empowered.

This role is primarily Center-based, with opportunities to conduct home and off-site visits as needed to ensure continuity of care. Most importantly, you’ll play a vital part in helping frail older adults continue living safely and independently in the place they call home.

At myPlace Health, every interaction is an opportunity to bring compassion, dignity, and purpose to the lives of those we serve.

What You Might Do as an Outreach Specialist With Us :

• Collaborate daily with a dynamic care team. Participate in daily IDT meetings to coordinate holistic participant care with fellow clinicians and support staff.
• Bring the whole picture into focus. Conduct psychosocial assessments and develop individualized care plans at enrollment, semi-annually, annually, and as needs arise.
• Empower participants to guide their own care. Present assessments and care goals that reflect each participant’s unique values, preferences, and priorities.
• Smooth the journey across care settings. Partner with IDT colleagues to ensure seamless transitions between hospitals, homes, and long- or short-term care facilities.
• Connect people to what matters. Provide community resources and referrals that strengthen support for participants, families, and caregivers.
• Be an advocate and navigator. Assist participants with Medi-Cal and other government benefit applications and renewals to maintain continuity of care.
• Champion future planning conversations. Coordinate advance care planning in partnership with primary care providers to ensure participants’ goals of care are honored.
• Keep communication clear and compliant. Complete all required documentation in the EMR promptly, accurately, and with attention to detail.
• Support smooth program transitions. Provide discharge planning and emotional support for participants who disenroll from the program.
• Lend a helping hand where it’s needed most. Step in to support your team and participants through other related duties that promote well-being and quality of life.

Finding the Right Fit Together :

What's In It For You?

Ready to Make a Difference?

If you’re a compassionate Social Worker eager to make a lasting impact in the lives of older adults, we’d love to hear from you. Whether you’re exploring new opportunities or know exactly where your passion lies, we’re here to help you find a role where you can thrive, grow, and make every connection count. Apply today and take the next step toward a meaningful new chapter in your social work journey.

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 / # /

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.