Social Worker I - Baltimore, MD

What Awaits You

• Opportunities for Career Growth – Build a meaningful career with access to professional development, mentorship, and advancement pathways.
• Collaborative and Inclusive Environment – Work alongside a diverse team of professionals who value mutual respect, innovation, and teamwork.
• Comprehensive Benefits Package – Take advantage of a competitive and affordable benefits program that supports your health, financial security, and overall well-being.
• $5,000 sign-on bonus

PACE Social Worker

Make a meaningful difference - every day

PACE social workers help older adults live safely and with dignity in their homes and communities. As a valued member of an interdisciplinary team, you’ll provide compassionate counseling and case management, coordinate personalized care, and connect participants and caregivers with the resources they need.

Shift: 20 hours per week with an 8 am start time

Key Responsibilities

Assessment and Care Planning

• Assess participants’ social, emotional, cognitive, and environmental needs.
• Collaborate with the interdisciplinary team (IDT) to develop and update individualized care plans.
• Share insight into the social, cultural, and family factors that may affect a participant’s care.

Case Management and Care Coordination

• Coordinate admissions, discharges, respite care, and referrals to housing or other care settings.
• Support continuity of care across participants’ homes, PACE centers, hospitals, and community settings.
• Maintain timely, accurate documentation of services, home visits, care transitions, and significant events.

Counseling and Psychosocial Support

• Provide individual and family counseling, education, and emotional support.
• Help participants and caregivers navigate behavioral health needs, dementia-related concerns, and behavioral challenges.
• Offer guidance related to caregiving plans and legal or other support needs.

Resource Navigation and Advocacy

• Help participants access federal, state, and community programs, including financial assistance, food benefits, and in-home services.
• Support applications and renewals for Social Security, Medicaid, Medicare, and other benefits.
• Advocate for participants and connect them with appropriate community resources.

Home and Community-Based Support

• Conduct home visits to assess needs, promote independence, and support housing stability.
• Guide caregivers and collaborate with housing providers and community partners.

About the Role

PACE social workers are essential to delivering coordinated, person-centered care. By bringing psychosocial expertise to the care team, you’ll help older adults maintain independence, strengthen support systems, and access the services they need to thrive

Salary Range: Minimum 32.40/hour - Maximum 53.48/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

The Hospital reserves the right to modify employee schedules as needed.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.