Social Worker - Altoona

About the role

Senior LIFE is an innovative home and community based Medicare and Medicaid funded program that provides all‑inclusive healthcare services and support to seniors living in the community, enabling them to remain at home while receiving the care they need. Senior LIFE staff embody the program’s mission, partnering with seniors through open communication and shared decision‑making to deliver excellent care and services. The Social Worker will be a key participant in member interdisciplinary teams, contributing to medical, physical, social, and emotional assessments and Plans of Care.

Responsibilities

• Overseeing direct social work case management services for caseloads of up to 50-60 LIFE Center members
• Providing social service support including screenings, counseling and external referrals, as needed
• Reevaluating and updating Plans of Care based on change in members’ status, emergent conditions and other relevant circumstances, then communicating changes to all relevant stakeholders (i.e. interdisciplinary teams, families, caregivers)
• Completing ongoing periodic assessments to ensure a thorough evolution of member care, in keeping with changing needs and requests
• Documenting all visits, including deviations from approved care plans and prescribed intervention techniques
• Documenting member medical records and maintaining electronic case management assessments for immediate and future use
• Identifying development areas, including individual member enhancements and overarching LIFE Center opportunities for growth and expansion, then developing and implementing these improvements
• Counseling families in both individual and group settings, and leading relevant activities to educate these care participants
• Visiting in-home members, assessing needs and developing/implementing comprehensive speech/language care plans accordingly
• General administrative duties, including completing and submitting 1768 documents to required agencies

Requirements

BSW or Psychology Degree from an accredited university.

Schedule

Full Time, Daylight, Monday - Friday