Social Worker MSW

Loretto•Village of North Syracuse, NY

15d•$63,000 - $78,000

About The Position

Provides comprehensive social work services to PACE participants, including ongoing psychosocial evaluation and intervention; admission and continuing-eligibility assessment; protection of participant rights and advocacy; daily case management; and individual, group, and family counseling as appropriate. Serves as a key member of the PACE Interdisciplinary Care Team and contributes social work assessments and treatment planning to participants’ overall care. The role also includes crisis intervention, coordination with families and care providers, support with social, psychological, and financial needs, and maintenance of required electronic medical record documentation. The Social Worker participates in the development and revision of individualized plans of care, conducts pre-enrollment, initial, semiannual, and annual assessments, and coordinates with interdisciplinary team members, nursing homes, and community resources. The position contributes to quality improvement activities and social work policies and procedures, educates and supports team members, and may supervise BSW and MSW students. The employee is expected to follow compliance, professional, customer service, health, safety, and emergency preparedness requirements, and to promote Loretto’s mission and values.

Requirements

Licensed by the New York State Education Department as a Social Worker.
Master of Social Work degree from an accredited program.
At least one year of professional direct-service experience in geriatric care, long-term health care, or community services to the aging.
Excellent written and verbal communication skills.
Demonstrated organizational, problem-solving, and conflict-resolution skills.
Strong interpersonal skills.
Proficiency in MS Office programs and ability to learn new software rapidly.
An equivalent combination of education and experience that provides proficiency in the listed areas of responsibility may substitute for the stated education and experience requirements.

Responsibilities

Present social work concerns, intervention suggestions, and treatment recommendations for individual participants to the interdisciplinary team.
Discuss individual expectations and short- and long-term goals with participants and families; attend or coordinate family meetings and nursing home care-planning meetings as appropriate.
Attend morning meetings and review significant family, financial, psychosocial, and behavioral events with the interdisciplinary team; recommend interventions or care-plan changes.
Intervene in crises and address emergency needs of participants and families related to illness, disability, or loss of independence; advocate for participant needs, wishes, and self-determination.
Participate in developing and revising participant plans of care and integrate the social work treatment plan into the interdisciplinary team’s overall plan.
Assess participants, families, and home environments for social work needs; maintain timely and required care and progress documentation in the electronic medical record.
Help identify social, psychological, financial, counseling, and housing needs; collaborate with participants and families on applications for public assistance, housing placement, pre-admission screening, and related supports.
Conduct pre-enrollment, initial, semiannual, and annual assessments; develop treatment plans and individualized plans of care in cooperation with participants, families, and team members; attend intake, assessment, and clinical case conference meetings as appropriate.
Communicate with team members and nursing homes to discuss participant progress and coordinate care.
Assist in developing and implementing social work policies and procedures; participate in the QAPI program with the QAPI Coordinator and serve on task forces as requested.
Educate team members about community resources, Medicaid, other social programs, and psychosocial issues related to participant care; maintain current knowledge of community resources and applicable regulations.
Counsel and instruct paraprofessional staff on psychosocial and communication issues, assist with difficult family and caregiver conflicts, and supervise BSW and MSW students as appropriate.
Adhere to compliance policies and procedures and promote compliance in the workplace.
Perform responsibilities according to high professional standards to ensure quality care.
Know the PACE/D&TC Emergency Preparedness Plan and be able to explain their role during an event.
Promote and role-model Loretto’s mission, values, vision, and strategic goals; treat others with dignity, professionalism, and kindness.
Provide excellent internal and external customer service; demonstrate reliable attendance, strong work ethics, and active participation in required meetings and training.
Comply with policies, procedures, codes of conduct, HIPAA and other regulatory requirements, and health and safety requirements; practice and teach safety awareness and report or correct possible safety or environmental issues.
Perform related duties as assigned.