---
title: 'Social Worker (MSW) at Seen Health'
canonical: 'https://feeny.ai/job/social-worker-msw-seen-health-alhambra-wnj3hrrc00kf'
type: 'job'
last_seen: '2026-10-16'
---

# Social Worker (MSW) at Seen Health

- **Company:** Seen Health
- **Location:** Alhambra, CA
- **Posted:** 2026-09-23
- **Last confirmed live:** 2026-10-16
- **Apply:** https://www.seenhealth.org/careers?gh_jid=5432495008

## Job description

## 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 Worker plans, organizes and implements social work services to participants and their caregivers in accordance with Seen Health policies and all applicable regulations. As an integral member of an Interdisciplinary Team, the social worker performs psychosocial assessments, develops and implements plans of care, conducts counseling and case management, and facilitates communication between the participant, family, caregivers, PACE staff, and provider support network, as appropriate.

## Responsibilities

- Conduct Social Work assessments to determine the psychosocial needs, preferences and goals of the participants and actively participate in IDT meetings to develop participant care plans.
- Deliver and document social work interventions as agreed upon in the participants’ care plans including but not limited to arranging necessary resources and services, assisting with care transitions, providing individual as well as group counseling and case management.
- Completes initial assessments, re-assessments, and care plan updates for participants while continually evaluating the participants' social service needs and caregiver support needs.
- Participates in regularly scheduled behavioral management meetings with other mental health professionals.
- Work with the primary care physician and other members of the care team to guide smooth care transitions between settings (e.g., hospitals, skilled nursing facilities, home, etc.).
- Assists physician, or intermediate care provider, and other team members in understanding the significant social and emotional factors related to participant health problems.
- Acts as a resource to other team members and staff regarding topics such as dementia, difficult behaviors, and difficult personalities. Supports the IDT in establishing behavior management plans.
- Strive for continuous growth and development of cultural competency exhibiting an understanding, awareness, and respect for diversity.
- Maintains accurate and timely documentation and paperwork including participants’ electronic medical records according to policies and procedures.
- Provides referral support to community resources and participates in inter-agency coordination of care.
- Develops and maintains working relationships with community agencies, such as the Department of Social Services, psychiatric facilities, skilled nursing facilities, hospitals, social agencies, and may participate in hospital and/or SNF discharge planning.
- Initiate, coordinate and facilitate care conference meetings to ensure the highest level of care coordination among other care team members, participants, and other people within the participants’ support network (family, informal caregivers etc.).
- Responds to, investigates, and reports complaints of elder abuse.
- Maintains the confidentiality of all company procedures, results and information about participants, clients or families in conformance with Health Insurance Portability and Accountability (HIPAA) principles.
- Active contributor and change agent to continuously achieve quality care, participant experience and compliance goals.
- Proactively supports participant grievance and incident reporting processes.
- Completes timely discharge planning.
- Conducts home visits and travel to hospital facilities and/or other community  agency, as needed.
- Participate in state and federal audit preparation activities.
- Performs related duties as assigned.

## Qualifications

- Master’s degree from a school of social work accredited by the Council on Social Work Education.
- 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 required.
- 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.
- 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.
- Bilingual required - Mandarin and/or Cantonese

Location

- Los Angeles required.
- On Site at Seen Health in Alhambra; home and community facility visits as needed.
- Relocation benefits available.

Salary & Benefits

- Salary: $90K - $110K / year
- Equity: may be included as part of team package
- 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

Seen Health does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, gender identity, pregnancy, national origin, age, disability, creed, ancestry, genetic information, marital status, sexual orientation/identity, transgender status, military or veteran status, or any other characteristic protected by federal, state, or local law. This prohibition includes unlawful harassment based on any of these protected classifications.

## About Seen Health

## Company Overview
- **One-liner**: Seen Health operates a culturally-focused, technology-enabled Program of All-Inclusive Care for the Elderly (PACE) that integrates comprehensive medical care, social support, and AI-powered operations to help seniors age at home.
- **Entity Type**: Private (Series A)
- **Headquarters**: Alhambra, California, United States
- **Founded**: 2021
- **Founders**: Yang Su (Co-Founder), Xing S. (Co-Founder)

## Core Business
- **Primary industry**: Healthcare services for seniors (PACE model)
- **Target customers**: Seniors eligible for Medicare/Medicaid, particularly underserved Asian and immigrant communities; B2C (participants) and B2B (hospital partners)
- **Mission**: “To deliver exceptional aging experiences that every family deserves” by empowering older adults to age at home with dignity, comfort, and culturally sensitive care.

## Products & Services
- **PACE Center (Alhambra)**: A physical hub offering a health clinic, rehabilitation gym, day room, community center, and social activities. Provides interdisciplinary care including primary care, physical therapy, behavioral health, and care coordination. [seenhealth.org]
- **Home-Based Care**: Home care aides and home health support dispatched to participants’ homes to help with daily activities and post-acute recovery. [homehealthcarenews.com]
- **AI-Powered Operating Platform**: A single-pane-of-glass system that manages enrollment, assessments, care planning, claims, revenue cycle, and CRM. AI agents automatically extract data from insurance cards and driver’s licenses, and support referral channel analytics. [homehealthcarenews.com]
- **Care Concierge**: Dedicated staff who guide participants and families through every step of the care journey, from eligibility to ongoing support. [seenhealth.org]

## Market Standing
- **Valuation/Market Cap**: Not publicly available
- **Key Metric**: Total funding of **$22 million** (Series A, November 2024) [cbinsights.com]
- **Notable Investors**: 8VC (lead), Astrana Health, Basis Set, Primetime Partners, Virtue [cbinsights.com]
- **Growth Signals**:
  - Headcount grew **50% YoY** to 36 employees [linkedin.com]
  - **26 active job postings** (+62.5% YoY) [linkedin.com]
  - First PACE center opened January 2025
  - 77% fewer acute hospital bed days and 49% fewer hospital admissions vs. industry average
  - 97% participant satisfaction and <2% no-show rate
  - 29% of new leads come from participant referrals [homehealthcarenews.com]

## Competitive Advantages
- **Tech-enabled PACE model**: Combines the proven 50-year PACE framework with modern AI and analytics, reducing administrative burden on clinicians and improving outcomes.
- **Cultural focus**: Services designed specifically for underserved senior communities, with multilingual staff and culturally appropriate care.
- **Single integrated platform**: One system manages enrollment, care planning, claims, and CRM, enabling seamless coordination and real-time response to participant needs.
- **Strong hospital partnership**: Collaboration with Astrana Health allows faster hospital discharges and better post-acute support. [homehealthcarenews.com]

## Strategic Focus
- **Expansion**: Scaling to additional PACE centers across California and eventually other states. Su envisions a future where 10,000 “PACE light” models serve millions of seniors. [homehealthcarenews.com]
- **Home-based care**: Growing home care capabilities to reduce reliance on brick-and-mortar centers.
- **AI integration**: Continuing to deploy AI for documentation, compliance, and care coordination to free up clinician time for direct patient care.

## Why Work Here
- **Mission-driven impact**: Employees directly improve the aging experience for vulnerable seniors, with measurable clinical outcomes and high participant satisfaction.
- **Rapid growth**: 50% headcount growth in the past year and a steady increase in job postings indicate a scaling organization with career advancement opportunities.
- **Innovative tech environment**: Engineers and product designers work on AI, CRM automation, and a unified platform that spans the entire care lifecycle.
- **Interdisciplinary culture**: Teams include medical, operations, marketing, technical, and finance staff working collaboratively.
- **Office location**: Based in Alhambra, CA (Los Angeles area); open roles include Founding Product Designer, Strategic Finance Senior Associate, and various clinical and outreach positions. [linkedin.com]
- **Remote/Hybrid policy**: Not explicitly stated; likely on-site at the PACE center given the hands-on nature of care, but some roles (e.g., product design, finance) may offer flexibility.

## Sources
1. [seenhealth.org](https://seenhealth.org/)
2. [linkedin.com](https://www.linkedin.com/company/seen-health)
3. [cbinsights.com](https://www.cbinsights.com/company/seen-health)
4. [homehealthcarenews.com](https://homehealthcarenews.com/2025/11/seen-healths-tech-enabled-pace-model-achieves-77-fewer-acute-hospital-bed-days/)
5. [job-boards.greenhouse.io](https://job-boards.greenhouse.io/seenhealth)

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