Social Worker - Clinton Township

PACE Southeast Michigan • Clinton Township, MI

3d

About The Position

The Master’s Social Worker (MSW) works independently to assess the needs of participants and their families or caregivers, coordinate and deliver social services, and serve as a member of the Interdisciplinary Team (IDT). The role participates in assessing, intervening in, managing, and reviewing social service needs. Care is provided through modalities including bio-psychosocial assessment, cognitive behavioral techniques, psychoeducation, consultation, and care planning or case management.

The MSW completes comprehensive bio-psychosocial assessments at enrollment and every 180 days thereafter, as well as acute assessments when needed to address specific referral questions. The role uses measurement-based care and develops and implements individualized treatment plans for participants and caregivers. The MSW also coordinates discharge planning, advocates for participants, evaluates progress toward care-plan goals, and maintains timely and accurate documentation in the electronic health record.

Requirements

• Master’s degree in social work from an accredited school of social work.
• Licensed to practice in Michigan; a Limited License may be considered depending on experience and number of supervised hours.
• One year of experience working as a clinical social worker.
• Knowledge of case-management skills, short-term interventions, and principles of human behavior.
• Demonstrated knowledge and skill in evaluating, planning, implementing, and monitoring patient-centered approaches to care.
• Knowledge of and compliance with applicable local, state, and federal laws and regulations.
• Cultural competence and ability to care for a diverse population.
• Ability to learn and use an electronic health record system.
• Proficiency in Microsoft Word, Excel, Outlook, and PowerPoint.
• Positive, flexible, and solution-focused attitude, with ability to collaborate effectively in a team setting.

Nice To Haves

• Clinical social work experience in geriatrics.

Responsibilities

• Complete comprehensive bio-psychosocial assessments at enrollment and at 180-day intervals; complete acute assessments as needed to address specific referral questions.
• Use measurement-based care.
• Develop and implement individualized treatment plans for participants and caregivers, including counseling using Motivational Interviewing and CBT techniques, education, coordination of services, and risk assessment or crisis intervention.
• Direct case management related to housing, financial matters, safety, psychiatric concerns, and caregiver burden.
• Identify when a participant needs to transfer to a higher level of care.
• Assist with coordinating discharge-planning activities and processes.
• Educate and counsel participants and caregivers regarding care needs, options, and related problems.
• Advocate on behalf of participants and demonstrate accountability in resolving their concerns or issues.
• Collaborate with the care team to develop and communicate initial impressions, plans of care, changes in care, and progress in a timely manner.
• Help develop and implement the plan of care with the IDT, participant, and/or caregiver.
• Complete timely and accurate documentation in the electronic health record.
• Communicate changes in participants to the IDT and family members.
• Evaluate participant outcomes and progress toward care-plan objectives and goals, and communicate this information to other IDT members.
• Perform other related duties as assigned by leaders.

What This Job Offers

• Job Type: Full-time