Social Work Case Manager

About the Role

BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires.

Responsibilities

• Support the implementation of participants' care plans and act as a liaison between participants, caregivers, community agencies, and the interdisciplinary team (IDT).
• Coordinate participant admissions and discharges to healthcare facilities, temporary respites, or permanent placements, including referrals to housing options and accompanying participants as needed.
• Provide education and ongoing support to participants and families regarding PACE services, resources, and benefits, including Social Security, Medicaid, and Medicare applications and renewals.
• Assist participants in maintaining housing and independence through interventions, home visits, and collaboration with caregivers and housing providers.
• Offer guidance to team members on topics like dementia, behavioral challenges, and care strategies.
• Manage documentation of clinical services, including placements, hospital admissions/discharges, home visits, and significant events, adhering to PACE requirements.
• Assist participants and caregivers with grievances, appeals, and maintaining Medicaid eligibility.
• Facilitate transitional care in the event of program termination, ensuring continuity of services and referrals to other providers.
• Provide case management services and coordinate appointments between social service staff and participants.
• Perform administrative tasks such as filing, scanning, faxing, and mailing documents.
• Follow organizational policies, safety guidelines, and confidentiality standards to maintain a safe and compliant work environment.
• Participate in Quality Improvement initiatives, continuing education, training, and maintaining professional certifications.

Qualifications

• Bachelor's degree in social work or related field.
• Experience working on an interdisciplinary team in a hospital, nursing home or community-based setting is preferable.
• 1 year of experience working with a frail or elderly population preferred. If this is not present, training will be provided upon hiring (If applicable for the role).

Requirements

• Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance.
• Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.

Benefits

• Medical/Dental
• Generous Paid Time Off
• 401K with Match (match begins after one year of employment)
• Life Insurance
• Tuition Reimbursement
• Flexible Spending Account
• Employee Assistance Program