Social Services Professional

10 hours ago


Gloucester, Massachusetts, United States Element Care Full time
Job Title: Social Worker

Element Care is seeking a skilled Social Worker to join our team. As a Social Worker, you will play a vital role in providing high-quality care to our participants.

Job Summary:

The Social Worker will be responsible for participating in the planning, implementation, and evaluation of care plans that meet the objectives, standards, and policies of the PACE model of care. This includes providing traditional social work services in a professional and respectful manner, with the goal of helping older adults live safely and comfortably in their homes and communities for as long as they can.

Key Responsibilities:
  • Participate in IDT meetings and actively contribute to team discussions.
  • Complete all assigned assessments, including initial, semi-annual, annual, service request, and significant event assessments.
  • Assess the psychosocial needs of participants and provide supportive counseling, working collaboratively with behavioral health providers.
  • Facilitate hospital, rehabilitation, and nursing home admissions and discharges as determined by the Interdisciplinary Team.
  • Assist in the conversion process of participants from community to long-term care, working collaboratively with Medicaid Specialists, skilled nursing facilities, and participant caregivers.
  • Arrange and facilitate family meetings as needed.
  • Refer participants and families to appropriate community services and act as a liaison and/or advocate with community organizations.
  • Maintain professional, accurate, and timely social service documentation in participants' medical records.
  • Conduct participant council meetings as assigned.
  • Work collaboratively with the Director of Social Work and Behavioral Health providers to ensure guardianship is up to date and educate participants regarding healthcare proxies.
  • Work collaboratively with the fiscal department to maintain participant insurance benefits and complete required documentation of fiscal information in medical records.
  • Review plans of care with participants, guardians, and/or activated healthcare proxies as assigned.
  • Complete authorizations for home care and other approved services timely and accurately.
  • Complete home and/or skilled nursing facility visits to assess participants as indicated.
  • Work collaboratively with the Palliative Care team and assist with end-of-life planning as indicated.
  • Provide timely communication to appropriate staff regarding disenrollment, conversion to long-term care, transfer of sites, participant and/or caregiver demographic changes, and allegations of abuse.
Qualifications:
  • Current Social Work licensure in the Commonwealth of Massachusetts at the Master's level (L.I.C.S.W. or L.C.S.W.) required.
  • Minimum of 1 year of experience in Social Work providing traditional clinical or case management services with a geriatric population.
  • Current C.P.R. Certification or ability to become certified.
  • Treat all participants in a welcoming and professional manner.
  • Strong verbal, written, and listening skills with the ability to multi-task in a fast-paced environment.
Benefits:
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Paid time off
  • Retirement plan
  • Supplemental benefits


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