Social Worker ll

Fallon Health-posted 3 months ago
Full-time • Mid Level
Worcester, MA
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Functions as a member of the PACE Interdisciplinary Team and provides social work services and support to participants, families, and other caregivers. Provides direction to bachelor’s level social workers as assigned by Social Work Manager. The position is anchored in a PACE program at Summit, which is an alternative to nursing home care for individuals 55 and older, allowing them to continue living safely at home. The role includes managing a caseload of only 65 participants in collaboration with a provider and primary care nurse, conducting assessments semi-annually or for significant changes, and assisting with the supervision and training of MSW student interns.

  • 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 disenrollment’s, 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.
  • 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 FCHP and Summit ElderCare policies and procedures.
  • Master’s degree in social work.
  • Valid and unrestricted license to practice social work from the Board of Registration of Social Work of the Commonwealth of Massachusetts.
  • Access to reliable transportation to perform work throughout the PACE center’s service area (30-mile radius) when needed.
  • 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.
  • 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!
  • Some wonderful relationships established with the participants you care for!
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