Social Work Manager

Trinity Health•Pace, FL

About The Position

The Social Work Manager plans, organizes, develops, and directs Social Services operations within the PACE Organization. The role provides training, supervision, oversight, and evaluation to Social Workers and other case management services, while also carrying a caseload. Responsibilities include assessment, treatment, teaching, and counseling for participants, caregivers, and other appropriate representatives. The position supports older adults through Trinity Health PACE’s comprehensive, interdisciplinary care model, which helps participants maintain independence while living at home.

Requirements

Master’s degree in social work and two years of experience, including one year working with the frail or elderly population; a combination of education and experience may be acceptable.
Knowledge of social service principles and practices.
Knowledge of financing mechanisms such as Medicare, Medicaid, and other payment systems.
Valid driver’s license and ability to provide reliable transportation.

Nice To Haves

Current social work license in the state of the PACE Organization.
Experience working on a multidisciplinary team in a hospital, nursing home, or community-based setting.

Responsibilities

Perform initial, semi-annual, unscheduled, and annual participant assessments.
Coordinate with the interdisciplinary team to develop a comprehensive plan of care for each participant.
Participate in developing and implementing QAPI activities.
Conduct initial intake meetings with family members and others, and coordinate ongoing family meetings as needed.
Provide individual and family counseling as needed or prescribed in the plan of care, and develop and lead group counseling and support activities.
Provide ongoing support, counseling, and education to participants and families about aging, dementia, grief and loss, end of life, disease processes, family dynamics, changing roles, the PACE model, and PACE health services.
Maintain current written case management records, including documentation of services, changing needs, and participants’ expressed wishes.
Conduct home visits periodically or as needed to assess the living environment and support system.
Assist with ongoing financial eligibility and participant recertification as needed.
Train, supervise, oversee, and evaluate Case Managers, and provide case management to participants and families.
Act as a liaison between participants and agencies such as the Department of Aging, Social Security Administration, and Medicaid.
Assist participants and caregivers with filing grievances and appeals.
Serve as a resource to team members and day center staff on topics including dementia, difficult behaviors, and difficult personalities.
Communicate personal care needs to families, including clothing and durable medical equipment needs during hospital or short-term rehabilitation stays.
Communicate relevant participant information to the interdisciplinary team during hospital admissions.