Social Work Coordinator

GENERAL STATEMENT OF DUTIES AND RESPONSIBILITIES:

The Immaculate Conception Monastery (aka ICM) Community residence is comprised of approximately 25 men living lives of religious consecration as vowed members of the Congregation of the Passion of Jesus Christ (aka Passionists), Province of St. Paul of the Cross (aka Province). Residents are at various levels of health and social service need from independent communal living to assisted, skilled and end of life. The Province maintains at ICM a model of home and community-based health and social services on behalf of the residents working in collaboration with private and public professional service providers. The model is further supported by public (Medicare, Medicaid) and commercial health insurance sources as well as private funding of care.

Under the authority of the Provincial and Provincial Council and with the support and supervision of the Province Health and Social Services Director, the Health and Social Services Clinical/Administrative Coordinator provides:

1) health and social service care management services which enable the residents of the Immaculate Conception Monastery (ICM) to address changing needs that impact their ability to exercise pastoral ministry effectively and safely, experience positive quality of life, and access facility and community-based provider services (as needed) and

2) on-site care management services including health and social service wellbeing and wellness assessment and treatment planning and residential health administration oversight (operations, billing, personnel, etc.) to enable members to access appropriate services to address and meet member healthcare and social service needs.

ESSENTIAL JOB FUNCTIONS

The following duties are illustrative of the essential functions of the job and are not exhaustive of related duties that may also be required. Modification of essential and related functions specific to this job may occur at any time in light of the changing needs of the Province and its members.

Care Management:

1. Conducts comprehensive wellbeing and wellness assessments of members as needed in their private residence, health care treatment settings and/or other locations with members and their immediate supporters for the purpose of developing, implementing, and monitoring action plans designed to meet members’ healthcare and social service needs.
2. Works in collaboration with and under the supervision of the Health and Social Service Director on behalf of the individual members as the professional advocate and liaison to the cross-continuum, multidisciplinary team of professionals who are chosen by the member and/or his designated health care proxy (as appropriate) to provide health and social service care on the behalf of members. As such, develops open, reciprocal, and sustainable channels of communication with these multidisciplinary healthcare teams and organizations including medical professionals (i.e., physicians, nurse practitioners, social workers, therapists, counselors, etc.), funding entities, home health agencies, skilled nursing facilities, pharmacies, and community-based service organizations to increase synergy of efforts to manage members’ health and social service needs.
3. Implements ‘facility to home’ care transitions processes including visitation with an ICM member who is hospitalized or in a rehabilitation stay to ensure direct communication with the hospital medical team including medical, administrative, care management, transportation, and other personnel as required.
4. Meets with members both individually and communally in order to identify diverse methodologies for meeting educational, psycho-social/spiritual, and/or recreational needs and goals. Weekly direct contact with each member and review of member status. Provides monthly, brief in-services/information updates to ensure member personal growth and understanding of topics relevant to members wellbeing and wellness.
5. Identify and provide when deemed appropriate, in-services that will serve as a means to educate the Passionists about health and social service topics such as palliation, advanced directives, psychosocial/behavioral health, end of life care, problem solving, and other topics.
6. Identify and facilitate therapeutic recreational and socialization activities on a weekly and/or monthly basis. These may include exercise/movement activities, movie/social media programming, development of life review narratives with members in group or individual formats. Suggest technology enhancements that will help improve delivery of related activities.
7. Collaborates with the Province Finance Office to ensure thorough and prompt completion of all member documentation, applications, forms, and additional documentation as required. This includes documentation related to clinical needs and related services, health insurance (Commercial, Medicare, Medicaid, etc), billing, NY State home and community-based program (HCBS) participation, advance directives, etc.
8. Collaborates with the Province Finance Office, professional grant writer, and Monastery leadership to identify potential grant funded projects related to enhancement of the Monastery building infrastructure and Monastery health and social service programming.
9. Maintains confidentiality of member, Province, and Community information.
10. Participates in in-service programs according to Province policy and procedure requirements. Participates in internal committees as assigned.

Other:

a. Performs other related projects or assignments as requested.

QUALIFICATIONS:

Education:

• Graduate of an accredited four-year college or university.
• A minimum of two years of experience in health care administration or social work care management services especially in working on behalf of older adults.
• Preference for a Master’s Degree in Social Work (MSW), in Healthcare Administration (MHA), or in Gerontology (MA; MSG) with particular concentration on geriatrics.
• Preference for current licensure (LCSW; LMSW) or certification (CMC; cHAP) in good standing. This includes following the scope of practice and practice standards required by licensure and/or certification.

Knowledge and Experience:

• Thorough knowledge of principles and practices of the individual's specific social service and/or health administration discipline.
• Knowledge and understanding of psychological, social, health, economic and spiritual factors influencing the attitudes and behavior of individuals and families, especially as they relate to the gerontological population;
• Knowledge and skill in interviewing and assessment techniques;
• Understanding of chronic illness and its effect on the individual and family;
• Knowledge of community and NY State resources available to individuals and families;
• Ability to mobilize resources into a coordinated and comprehensive system;
• Knowledge of public health principles and knowledge and skill in health assessment technique;
• Ability to work in a team relationship essential;
• Familiarity with funding sources, including but not limited to Title XVIII (Medicare) and XIX (Medicaid), provisions of the Older Americans’ Act, HIPAA, and PPACA;
• Computer experience with Mac and/or HP systems required. Well versed in Word and Excel.

Other

· Reliable transportation, valid driver’s license and current automobile insurance.

Member Health and Social Service Records Privacy/Confidentiality Classification:

Full on-site access.

Typical Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk and hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools or controls and reach with hands and arms.

The employee may lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.

Typical Working Conditions

Work is performed in various environments including office, member residences, hospitals, nursing homes, primary care offices and other locations. Employees can be exposed to adverse travel conditions and the varying conditions associated with a wide range of treatment locale situations.

The physical requirements and description of the work environment are representative of what an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.