Social Services Supervisor

About the role

The Social Services Supervisor provides on-site leadership and clinical support to their assigned center’s MSW team. This includes general oversight of psychosocial services delivered to InnovAge PACE Participants and family members. In addition, the Social Services Supervisor carries a caseload and provides direct practice interventions, organizes and implements social work services to an assigned caseload of participants and their caregivers in accordance with InnovAge policies and all applicable regulations.

Responsibilities

• Provides leadership and direction to members of their designated centers Social Services team.
• Carries out leadership responsibilities in accordance with the organization's policies and applicable state and federal employment laws.
• Interviews and trains employees.
• Plans, assigns, and directs work.
• Appraises performance.
• Recognizes and rewards employees.
• Supports coaching, addresses complaints and resolves problems.
• Schedule department, and staff 1:1 meetings as appropriate to provide leadership, development, and a forum for communication to ensure coordination and collaboration in meeting organization and individual goals.
• Assists with implementation of policies and procedures for their assigned Social Work team in collaboration with the Social Services Manager and Center Director.
• Partners with the Functional Manager of Social Work to implement best practice and standard processes.
• Maintains accuracy and timeliness of documentation and paperwork including participants' electronic medical records according to policies and procedures.
• Attends and actively participates in IDT meetings, Social Services department meetings, Cross Sites and Annual Competencies.
• Monitors and evaluates the provision of client services in their assigned catchment provided to IGCP participants and their families.
• Interviews participants when special problems arise, listens to concerns, grievances and recommends/takes appropriate action.
• Escalates needs to the Social Services Manager and Center Director as appropriate.
• Travels by personal car to attend various meetings such as the Operations Council, Social Work Cross-Site, Center Leadership and other committees and meetings requested by the Social Services Manager.
• Performs initial assessments of PACE participants to obtain a psychosocial history including cognitive status, mental health and substance use history, behavioral concerns, family dynamics, and current social supports.
• Participates within the interdisciplinary team in the formulation of Plans of Care for InnovAge PACE program participants, as well as in other interdisciplinary team settings that plan, coordinate and monitor the care of InnovAge PACE program participants.
• Conducts in-person reassessments of enrolled participants every six months or as determined by policy and best practice.
• Completes home visits at least annually and as needed to work proactively with participant, IDT, and community partners to maintain the participant’s functioning as independently as possible in their community.
• Develops collaborative relationships with internal and external partners.
• Utilizes a solution-oriented perspective to facilitate resolution of participant needs.
• Engages with CCT team, including Chaplain, CCT nurse and PCP for end-of-life support and coordination.
• Facilitates, mediates and documents participant care conferences, family meetings and facility partnership meetings.
• Actively and assertively manages respite and hospital length of stay.
• Collaborates with participants, caregivers, facilities and the IDT to ensure clear communication regarding participant status and plan.
• Works in collaboration with hospital discharge planners, primary care, IDT, families and caregivers regarding participant’s disposition from the hospital.
• Pairs with the InnovAge Mental Health Team when hospitalization is psychiatric.
• Provides referrals to and coordinates assessments with contracted facilities.
• Supports the participants in the tour and move planning process as clinically indicated.
• Completes Pre-Admission Screen and Resident Review (PASSR) for all nursing home admissions from the community.
• Pairs with the Innovage Medicaid Department to assist the participant in keeping resources within the guidelines of Medicaid eligibility and supports the recertification process.
• Advises the participant or financially responsible party about housing co-pays and notifies the Medicaid department of the need to generate a Supportive Housing Form.
• Sustains accurate and timely documentation and paperwork including participants’ electronic medical records according to policies and procedures.
• Attends and actively participates in IDT meetings, Social Services department meetings, Cross Sites and Annual Competencies.
• Monitors and evaluates the provision of client services in their assigned catchment provided to IGCP participants and their families.
• Interviews participants when special problems arise, listens to concerns, grievances and recommends/takes appropriate action.
• Escalates needs to the Social Services Manager and Center Director as appropriate.
• Travels by personal car to attend various meetings such as the Operations Council, Social Work Cross-Site, Center Leadership and other committees and meetings requested by the Social Services Manager.
• Performs initial assessments of PACE participants to obtain a psychosocial history including cognitive status, mental health and substance use history, behavioral concerns, family dynamics, and current social supports.
• Participates within the interdisciplinary team in the formulation of Plans of Care for InnovAge PACE program participants, as well as in other interdisciplinary team settings that plan, coordinate and monitor the care of InnovAge PACE program participants.
• Conducts in-person reassessments of enrolled participants every six months or as determined by policy and best practice.
• Completes home visits at least annually and as needed to work proactively with participant, IDT, and community partners to maintain the participant’s functioning as independently as possible in their community.
• Develops collaborative relationships with internal and external partners.
• Utilizes a solution-oriented perspective to facilitate resolution of participant needs.
• Engages with CCT team, including Chaplain, CCT nurse and PCP for end-of-life support and coordination.
• Facilitates, mediates and documents participant care conferences, family meetings and facility partnership meetings.
• Actively and assertively manages respite and hospital length of stay.
• Collaborates with participants, caregivers, facilities and the IDT to ensure clear communication regarding participant status and plan.
• Works in collaboration with hospital discharge planners, primary care, IDT, families and caregivers regarding participant’s disposition from the hospital.
• Pairs with the InnovAge Mental Health Team when hospitalization is psychiatric.
• Provides referrals to and coordinates assessments with contracted facilities.
• Supports the participants in the tour and move planning process as clinically indicated.
• Completes Pre-Admission Screen and Resident Review (PASSR) for all nursing home admissions from the community.
• Pairs with the Innovage Medicaid Department to assist the participant in keeping resources within the guidelines of Medicaid eligibility and supports the recertification process.
• Advises the participant or financially responsible party about housing co-pays and notifies the Medicaid department of the need to generate a Supportive Housing Form.
• Sustains accurate and timely documentation and paperwork including participants’ electronic medical records according to policies and procedures.
• Attends and actively participates in IDT meetings, Social Services department meetings, Cross Sites and Annual Competencies.
• Monitors and evaluates the provision of client services in their assigned catchment provided to IGCP participants and their families.
• Interviews participants when special problems arise, listens to concerns, grievances and recommends/takes appropriate action.
• Escalates needs to the Social Services Manager and Center Director as appropriate.
• Travels by personal car to attend various meetings such as the Operations Council, Social Work Cross-Site, Center Leadership and other committees and meetings requested by the Social Services Manager.
• Performs initial assessments of PACE participants to obtain a psychosocial history including cognitive status, mental health and substance use history, behavioral concerns, family dynamics, and current social supports.
• Participates within the interdisciplinary team in the formulation of Plans of Care for InnovAge PACE program participants, as well as in other interdisciplinary team settings that plan, coordinate and monitor the care of InnovAge PACE program participants.
• Conducts in-person reassessments of enrolled participants every six months or as determined by policy and best practice.
• Completes home visits at least annually and as needed to work proactively with participant, IDT, and community partners to maintain the participant’s functioning as independently as possible in their community.
• Develops collaborative relationships with internal and external partners.
• Utilizes a solution-oriented perspective to facilitate resolution of participant needs.
• Engages with CCT team, including Chaplain, CCT nurse and PCP for end-of-life support and coordination.
• Facilitates, mediates and documents participant care conferences, family meetings and facility partnership meetings.
• Actively and assertively manages respite and hospital length of stay.
• Collaborates with participants, caregivers, facilities and the IDT to ensure clear communication regarding participant status and plan.
• Works in collaboration with hospital discharge planners, primary care, IDT, families and caregivers regarding participant’s disposition from the hospital.
• Pairs with the InnovAge Mental Health Team when hospitalization is psychiatric.
• Provides referrals to and coordinates assessments with contracted facilities.
• Supports the participants in the tour and move planning process as clinically indicated.
• Completes Pre-Admission Screen and Resident Review (PASSR) for all nursing home admissions from the community.
• Pairs with the Innovage Medicaid Department to assist the participant in keeping resources within the guidelines of Medicaid eligibility and supports the recertification process.
• Advises the participant or financially responsible party about housing co-pays and notifies the Medicaid department of the need to generate a Supportive Housing Form.
• Sustains accurate and timely documentation and paperwork including participants’ electronic medical records according to policies and procedures.
• Attends and actively participates in IDT meetings, Social Services department meetings, Cross Sites and Annual Competencies.
• Monitors and evaluates the provision of client services in their assigned catchment provided to IGCP participants and their families.
• Interviews participants when special problems arise, listens to concerns, grievances and recommends/takes appropriate action.
• Escalates needs to the Social Services Manager and Center Director as appropriate.
• Travels by personal car to attend various meetings such as the Operations Council, Social Work Cross-Site, Center Leadership and other committees and meetings requested by the Social Services Manager.
• Performs initial assessments of PACE participants to obtain a psychosocial history including cognitive status, mental health and substance use history, behavioral concerns, family dynamics, and current social supports.
• Participates within the interdisciplinary team in the formulation of Plans of Care for InnovAge PACE program participants, as well as in other interdisciplinary team settings that plan, coordinate and monitor the care of InnovAge PACE program participants.
• Conducts in-person reassessments of enrolled participants every six months or as determined by policy and best practice.
• Completes home visits at least annually and as needed to work proactively with participant, IDT, and community partners to maintain the participant’s functioning as independently as possible in their community.
• Develops collaborative relationships with internal and external partners.
• Utilizes a solution-oriented perspective to facilitate resolution of participant needs.
• Engages with CCT team, including Chaplain, CCT nurse and PCP for end-of-life support and coordination.
• Facilitates, mediates and documents participant care conferences, family meetings and facility partnership meetings.
• Actively and assertively manages respite and hospital length of stay.
• Collaborates with participants, caregivers, facilities and the IDT to ensure clear communication regarding participant status and plan.
• Works in collaboration with hospital discharge planners, primary care, IDT, families and caregivers regarding participant’s disposition from the hospital.
• Pairs with the InnovAge Mental Health Team when hospitalization is psychiatric.
• Provides referrals to and coordinates assessments with contracted facilities.
• Supports the participants in the tour and move planning process as clinically indicated.
• Completes Pre-Admission Screen and Resident Review (PASSR) for all nursing home admissions from the community.
• Pairs with the Innovage Medicaid Department to assist the participant in keeping resources within the guidelines of Medicaid eligibility and supports the recertification process.
• Advises the participant or financially responsible party about housing co-pays and notifies the Medicaid department of the need to generate a Supportive Housing Form.
• Sustains accurate and timely documentation and paperwork including participants’ electronic medical records according to policies and procedures.
• Attends and actively participates in IDT meetings, Social Services department meetings, Cross Sites