Social Worker

The Social Worker (CSW) at the PACE Your LIFE Program contributes the profession’s unique psychosocial perspective to the interdisciplinary evaluation, assessment, plan of care, ongoing services, and disenrollment processes that occur once PACE participants begin intake and continue with ongoing services.  The CSW provides basic casework and consultation for the PACE participants, as well as facilitates communication between participants, their family, and the PACE Interdisciplinary Team (IDT).  The CSW ensures efficient and appropriate coordination of care to optimize the health status and quality of life of PACE participants.  The CSW’s interventions may include participant and family education, assessment and counseling, resource mobilization, addressing mental health needs, ongoing case management, and advocacy to ensure participants’ needs are met, and disenrollment procedures are followed.