Fallon Community Health Planposted about 1 month ago
Full-time • Mid Level
Framingham, MA
Insurance Carriers and Related Activities

About the position

Fallon Health is a leading health care services organization founded in 1977, offering innovative health insurance solutions and a variety of Medicaid and Medicare products. The organization excels in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation's top health plans and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage, and Medicaid products. Summit ElderCare, operated by Fallon Health, is the largest Program of All-Inclusive Care for the Elderly (PACE) in New England and the fifth largest in the country. It provides older adults and their caregivers with an alternative to nursing home care, offering comprehensive medical services and social support while allowing participants to maintain their independence in their own homes and communities. The Social Work opportunity in the PACE program at Summit offers great pay, LICSW supervision for licensure advancement, affordable health insurance, 23 days of PTO plus 12 holidays, and a Monday to Friday schedule from 8:30 AM to 5:00 PM with no holiday work required. Social workers manage a caseload of only 65 participants and conduct assessments semi-annually or for significant changes, while also assisting in the supervision and training of MSW student interns.

Responsibilities

  • Participates in the intake and evaluation process by conducting the initial social work assessment, administering MSQs, developing an intake summary and presenting the social work perspective to the Interdisciplinary Team.
  • Assures that participants rights are reviewed during the intake process.
  • Conducts reassessments at least semiannually and whenever there is a change in participant status or the participant/caregiver requests it.
  • Develops and implements a social service plan of care for each participant and updates it based on the results of reassessments or on-going changes in status.
  • Responsible for the maintenance of appropriate records and documentation in the medical record including at least the initial assessment, quarterly progress notes, significant changes and all participant-related interactions.
  • Participates as a member of the Interdisciplinary Team at daily team meetings and care planning meetings.
  • Assists team members to understand the social, emotional, cultural and psychosocial aspects of participants' situations.
  • Acts as an advocate and liaison when counseling services are needed.
  • Completes documentation and record-keeping related to disenrollments, deaths and permanent placement; distributes relevant notifications.
  • Participates in the development, promotion and implementation of caregiver support groups or programs; leads or co-leads groups as necessary.
  • Assists in managing referral telephone calls as needed.
  • Implements program policies and procedures as directed.
  • Assists in the conversion of participants from community based Medicaid to long-term care Medicaid when necessary. Works collaboratively with the Operations Support Representative to assure appropriate access to Medicaid benefits.
  • Pursues relevant professional development. Attends appropriate workshops and in-service activities to maintain current professional status.
  • Consistently follows the Social Work Code of Ethics.
  • Performs all duties in accordance with Fallon Health and Summit ElderCare policies and procedures.

Requirements

  • Masters degree in Social Work required.
  • Licensed to practice Social Work in Massachusetts required. LCSW at minimum.
  • Valid Driver's License and reliable vehicle required.
  • CPR and Alzheimer's certification or willingness to be certified required.
  • At least two years experience in a Social Work capacity, preferably in a community setting, with a minimum of one year experience working with a frail or elderly population.

Nice-to-haves

  • Bilingual in English/Spanish.

Benefits

  • Great Pay!
  • LICSW supervision offered to advance licensure.
  • Great Benefits - including very affordable Health Insurance!
  • 23 days of PTO - and - an additional 12 Holidays
  • Monday to Friday from 8:30 AM - 5:00 PM
  • No Holidays!
  • Manage a caseload of only 65 participants in collaboration with your team which includes a provider and primary care nurse.
  • Assessments completed only semi-annually or for a significant change.
  • Assist with the supervision and training of MSW student interns.
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