Social Work Case Manager
About The Position
BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires. The Social Work Case Manager is responsible for providing comprehensive care coordination, advocacy, and support to program participants and their families. This role involves assessing participants' social, emotional, and environmental needs, developing individualized care plans, and connecting participants to community resources and services. The Social Work Case Manager collaborates closely with the interdisciplinary team (IDT) to ensure participants' care plans address their holistic needs, promote independence, and enhance their quality of life. This position requires strong organizational, communication, and problem-solving skills, as well as a commitment to delivering participant-centered, high-quality care.
Requirements
- Bachelor's degree in social work or related field
- Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance.
- Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.
Nice To Haves
- Experience working on an interdisciplinary team in a hospital, nursing home or community-based setting is preferable.
- 1 year of experience working with a frail or elderly population preferred. If this is not present, training will be provided upon hiring (If applicable for the role).
Responsibilities
- Support the implementation of participants’ care plans and act as a liaison between participants, caregivers, community agencies, and the interdisciplinary team (IDT).
- Coordinate participant admissions and discharges to healthcare facilities, temporary respites, or permanent placements, including referrals to housing options and accompanying participants as needed.
- Provide education and ongoing support to participants and families regarding PACE services, resources, and benefits, including Social Security, Medicaid, and Medicare applications and renewals.
- Assist participants in maintaining housing and independence through interventions, home visits, and collaboration with caregivers and housing providers.
- Offer guidance to team members on topics like dementia, behavioral challenges, and care strategies.
- Manage documentation of clinical services, including placements, hospital admissions/discharges, home visits, and significant events, adhering to PACE requirements.
- Assist participants and caregivers with grievances, appeals, and maintaining Medicaid eligibility.
- Facilitate transitional care in the event of program termination, ensuring continuity of services and referrals to other providers.
- Provide case management services and coordinate appointments between social service staff and participants.
- Perform administrative tasks such as filing, scanning, faxing, and mailing documents.
- Follow organizational policies, safety guidelines, and confidentiality standards to maintain a safe and compliant work environment.
- Participate in Quality Improvement initiatives, continuing education, training, and maintaining professional certifications.
Benefits
- Medical/Dental
- Generous Paid Time Off
- 401K with Match
- Life Insurance
- Tuition Reimbursement
- Flexible Spending Account
- Employee Assistance Program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
