Social Worker
About The Position
The Social Worker establishes a partnership with the client and their family/representatives to understand their goals, preferences, and needs for health and independent living. This role involves evaluating the client as a whole person, identifying socioeconomic and psychological challenges that may hinder independent living, and conducting in-depth assessments of psychosocial, rehabilitation, and environmental concerns to determine the necessary level of care. The Social Worker collaborates with a care management team to provide person-centered planning and services, including participation in interdisciplinary planning and case conferences. Key responsibilities include recording clinical notes, arranging community services, monitoring care quality, and ensuring adherence to approved plans of treatment (POT). The role also involves supporting participant self-determination, involving the 'circle of care,' referring clients for specialized consultations, and participating in quality assurance programs for the waiver program, all while maintaining patient confidentiality and adhering 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
- Ability 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
