- Involved in the development and implementation of QI activities.
- In conjunction with the IDT, may conduct the initial intake, meeting with family members
- Obtain extensive social history from participant and/or family member upon admission to
- Provide individual and family counseling as needed or prescribed in the plan of care; develop
- Provide crisis intervention and advocacy as required.
- In conjunction with the interdisciplinary team, coordinate discharge planning for participants
- Maintain current, written case management records, including ongoing documentation of
- Act as liaison between the participant and other agencies such as Department of Aging,
- Assist with money management.
- Assist with ongoing financial eligibility for participants, including recertification as needed.
- Participate in participant-related conferences in the community as designated.
- Maintain confidentiality of participant information.
- Attend and participate in staff meetings, in-services, projects, and committees as assigned.
- Adhere to and support the company's practices, procedures, and policies including assigned
- Accept assigned duties in a cooperative manner; and perform all other related duties as
- Be flexible in schedule of hours worked.
- May require use of personal vehicle.
- Interest in the risk-based long-term care program to serve frail elderly in a community-based
- Experience and thorough knowledge of social service principles and practices.
- Knowledge of psychosocial, behavioral, and family needs of the elderly population.
- Knowledge of financing mechanisms such as Medicare, Medicaid, and Prospective Payment
- Knowledge of the local and social service delivery systems and aging network.
- Proven ability to work in an interdisciplinary team.
- Ability to work effectively and harmoniously with the staff, the elderly, and providers of
- Energetic, dependable, resourceful, and flexible.
- Effective oral and written communication skills.
- Computer skills required.
- Minimum of one (1) year of documented experience in working with the frail or elderly
- Prefer experience in a community-based setting or geriatric program.
- Experience in substance abuse counseling
- Experience in working with the homeless population
- Master's degree in social work required.
- Is medically cleared for communicable diseases and has all immunizations up to date before
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Social Worker MSW - Bakersfield, United States - Innovative Integrative Health
Description
WHO WE ARE:
Are you interested in working for an organization whose mission it is to enable frail, underserved, and multicultural senior communities to live independently at home and in their communities, for as long as possible?
Bakersfield County Program of All-Inclusive Care for the Elderly (PACE) is dedicated to providing its participants with comprehensive health and social supports that are proven to effectively manage chronic conditions and to reduce the risk for premature institutionalization.
PACE staff are leaders in the "aging in place" industry and we have had the honor of serving Fresno, Bakersfield and Orange County seniors and their families/caregivers.
Job Summary
Under the direction of the social work manager, responsible for direct social work case
management services to participants.
Essential Job Functions
Participate as a member of the interdisciplinary team (IDT), conduct initial, semi-annual,
unscheduled, and annual assessments; attend morning updates and report changes in participants'
baseline status to appropriate staff on a daily basis.
Knowledge, Skills, and Abilities
Experience
Education and Certification
