Social Work Case Manager
About The Position
The Social Work Case Manager provides comprehensive care coordination, advocacy, and support to program participants and their families. The role assesses participants’ social, emotional, and environmental needs, develops individualized care plans, and connects participants with community resources and services. Working closely with the interdisciplinary team (IDT), the Case Manager helps ensure care plans address participants’ holistic needs, promote independence, and enhance quality of life. The position requires strong organizational, communication, and problem-solving skills, and a commitment to participant-centered, high-quality care.
Requirements
- Bachelor’s degree in social work or a related field.
- Current license in the required state.
- Reliable transportation, a valid driver’s license, and at least the minimum state-required liability auto insurance.
- Medical clearance for communicable diseases and up-to-date immunizations before direct participant contact.
Nice To Haves
- Experience working on an interdisciplinary team in a hospital, nursing home, or community-based setting.
- One year of experience working with a frail or elderly population; training will be provided upon hiring if this experience is not present, if applicable to the role.
Responsibilities
- Support implementation of participants’ care plans and serve as a liaison among participants, caregivers, community agencies, and the interdisciplinary team (IDT).
- Coordinate participant admissions and discharges to healthcare facilities, temporary respites, or permanent placements, including housing referrals and accompanying participants as needed.
- Educate and support participants and families regarding PACE services, resources, and benefits, including Social Security, Medicaid, and Medicare applications and renewals.
- Help participants maintain housing and independence through interventions, home visits, and collaboration with caregivers and housing providers.
- Advise team members on dementia, behavioral challenges, and care strategies.
- Document clinical services, including placements, hospital admissions and discharges, home visits, and significant events, in accordance with PACE requirements.
- Assist participants and caregivers with grievances, appeals, and maintaining Medicaid eligibility.
- Facilitate transitional care following program termination to support continuity of services and referrals to other providers.
- Provide case management services and coordinate appointments between social service staff and participants.
- Perform administrative tasks, including filing, scanning, faxing, and mailing documents.
- Follow organizational policies, safety guidelines, and confidentiality standards.
- Participate in Quality Improvement initiatives, continuing education, and training, and maintain professional certifications.
Benefits
- Medical and dental coverage.
- Generous paid time off.
- 401(k) with match; the match begins after one year of employment.
- Life insurance.
- Tuition reimbursement.
- Flexible spending account.
- Employee assistance program.
- Training and career development.
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What This Job Offers
Job Type
Full-time
