Master Social Worker

MOUNTAIN EMPIRE OLDER CITIZENS INC•Big Stone Gap, VA

10d•$52,000 - $66,560•Onsite

About The Position

This role involves assessing the psycho-social needs of participants, providing support, case management, counseling, and referrals to external agencies. The Master Social Worker advises the interdisciplinary team and colleagues on the development and implementation of participant care plans.

Requirements

Master’s Degree from an accredited School of Social Work.
One or more years experience with a geriatric population.
Valid driver’s license and reliable transportation.
Individual therapy, analytical thinking and problem solving skills.
Must work well as part of a team.
Medically cleared for communicable diseases with up-to-date immunizations before participant contact.
Criminal history records check at hire.
Drug screen at hire.

Nice To Haves

Oral and written communication skills
Interpersonal skills
Computer skills
Organizational skills
Problem solving and conflict resolution skills
Record keeping and reporting skills

Responsibilities

Serves on the PACE interdisciplinary team (IDT).
Performs assessments, scheduled reassessments and unscheduled reassessments of participant’s history, personal and family circumstances, home environment, psycho-social status and cognition.
Collaborates with other members of the IDT to develop participant plans of care.
Refers participants to community agencies or facilities, acting as a liaison and advocating for participants to obtain services for which they are eligible.
Communicates changes in participant status to interdisciplinary team members and notes changes in the plans of care.
Helps participants cope with physical, social, emotional and psychological problems or disabilities.
Helps participants understand and navigate Medical eligibility issues, tracking eligibility renewals and assisting with this process.
Helps participants apply for social security disability and Medicare coverage as needed.
Helps participants find better or alternative places to live, when appropriate.
Helps participants maintain basic social supports so they remain safe, warm, and dry.
Advises colleagues about ways to meet participants’ social service needs.
Develops and leads group sessions for cognitive stimulation and emotional health.
Assists the clinical team with discharge planning and transitions of care, when necessary.
Assists in the management of homebound participants and those at risk for caregiver stress through regular visits and telephone contact.
Participates in family conferences, team meetings, committees and work groups as required.
Participates in policy development and revision for the social work component of the program.
Participates in the coordination of a 24-hour care delivery system.
Participates in the Quality Improvement program.
Completes all documentation in the medical record as required.
Acts within the scope of his or her professional license.
Assists MEOC with the completion and updating of the annual Uniform Assessment Instruments (UAI) on each participant, when possible.
Other duties as assigned.