Certified Social Worker

About the role

The Social Worker Routinely assesses the needs of participants and families and determines the most appropriate and effective social services interventions to meet participant goals. Based on the assessment and/or evaluation of the participant, the Social Worker works in coordination with the IDT, Behavioral Health Specialist, Chaplain, contracted providers, and others to implement the plan of care and to provide psych/social interventions. The Social Worker acts as an education resource for the PACE team and supports the organizations goal to provide high-quality, person-centered care to all participants.

Responsibilities

• Routinely assesses the needs of participants and families and determines the most appropriate and effective social services interventions to meet participant goals.
• Works in coordination with the IDT, Behavioral Health Specialist, Chaplain, contracted providers, and others to implement the plan of care and to provide psych/social interventions.
• Acts as an education resource for the PACE team and supports the organizations goal to provide high-quality, person-centered care to all participants.
• Regularly attends meetings and provides meaningful input.
• Performs in-person initial assessments for enrolling participants to obtain a complete psychosocial history, which may include descriptions of cognitive status, social supports, family dynamics mental health and substance dependency and other issues and needs.
• Coincides with the IDT to develop a comprehensive plan of care for each participant.
• Reassesses participants on a semi-annual and as-needed basis and coordinates with the IDT to update the plan of care for each participant.
• Responsible for the psychosocial wellbeing of participants in coordination with the IDT.
• Provides ongoing support and education to participants and family regarding a variety of issues, including but not limited to: the aging process, dementia, grief and loss, end of life, disease processes, difficult family dynamics and changing roles, PACE model and PACE health services.
• Identifies, provides and/or coordinates for the medically-related social, psychological and spiritual needs of the participants.
• Implements social work interventions, case management, or psychosocial support.
• Supports the IDT with acute and complex case management.
• Acts as facilitator for meetings with participant, family, caregivers, and community agencies to clarify, or problem solves issues regarding the plan of care. Mediates discussions between all parties.

Requirements

• Must be licensed in Kentucky as a Certified Social worker or Licensed Clinical Social worker
• Must have current Cardiopulmonary Resuscitation (CPR) certification
• Must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact
• Must have a valid driver’s license, proof of insurance and have means of transportation
• A minimum of one year experience working with frail or elderly population required

Qualifications

• ALL Required Qualifications Will Be Verified Before Start Date.

Skills

• Experience working on a multi-disciplinary team in a hospital, nursing home or community-based setting is preferable.

Benefits

403(b) Retirement Plan
Career scholarships
Quality training, continuing career education and leadership programs
Medical, Dental and Vision Insurance
Paid Time Off (Vacation, Holiday & Sick Days)

Pay

$65,000 - $74,000 (Based on Experience)

Schedule

Monday - Friday 8:30am - 5:00pm