Social Worker

Partners in Care Foundation In•San Fernando, CA

About The Position

Establishes partnership relationship with client and family/representatives to elicit goals, preferences and needs for health and independent living Evaluates the potential client as a total person and identifies socioeconomic and psychological challenges that impede independent living Conducts in-depth assessments, reassessments covering psychosocial, rehabilitation, and environmental concerns to determine level of care required Works as part of care management team to provide person-centered planning and services including participation in interdisciplinary planning and case conference meetings Record clinical notes for the client within established program guidelines Arranges community services and monitors quality of care and adherence to approved POT Works with participant, family and caregivers to maximize self-determination and provision of informal services Ensures POT is as self-directed as the participant desires and involve the circle of care as invited or if participant is unable or unwilling to make decisions. Refers clients to special consultants to provide detailed evaluations and recommendations to improve the client’s functional level Supports the waiver program by participating in quality assurance programs including peer review Maintain patient confidentiality Adhere to HIPAA regulations

Requirements

Bachelors’ degree required in social work, psychology, gerontology, sociology, or related field.
Bilingual in Armenian required.
Two years of experience required in case management, working with seriously ill, frail, or disabled children and adults.
Clinical assessment skills, knowledge of the community, ability to work with multidisciplinary team and to work with clients/families in the home setting.
Copy of current automobile insurance provided annually of $15,000/$30,000 for injury and $5,000 for damage to property.

Nice To Haves

Preference for hospital or SNF and HCBS experience.

Responsibilities

Establishes partnership relationship with client and family/representatives to elicit goals, preferences and needs for health and independent living
Evaluates the potential client as a total person and identifies socioeconomic and psychological challenges that impede independent living
Conducts in-depth assessments, reassessments covering psychosocial, rehabilitation, and environmental concerns to determine level of care required
Works as part of care management team to provide person-centered planning and services including participation in interdisciplinary planning and case conference meetings
Record clinical notes for the client within established program guidelines
Arranges community services and monitors quality of care and adherence to approved POT
Works with participant, family and caregivers to maximize self-determination and provision of informal services
Ensures POT is as self-directed as the participant desires and involve the circle of care as invited or if participant is unable or unwilling to make decisions.
Refers clients to special consultants to provide detailed evaluations and recommendations to improve the client’s functional level
Supports the waiver program by participating in quality assurance programs including peer review
Maintain patient confidentiality
Adhere to HIPAA regulations