Social Work Care Manager-MSW

Carolina SeniorCare-New Bern Is Hiring! PACE (Program of All Inclusive Care for the Elderly) programs operate in 33 states with the mission to provide comprehensive, personalized healthcare services including primary care to elderly people 55+ who are at risk for needing placement in a skilled nursing facility. A primary goal of PACE is to keep these vulnerable individuals in the community setting so long as they can safely be cared for in the community. Social Work Care Manager, Per Diem classification

General Summary:

Under the supervision of the Center Administrator, plans, organizes and implements social work services to Carolina SeniorCare participants and families. Responsibilities include but are not limited to assessment, treatment, teaching and counseling to participant, caregiver or other appropriate representatives. The Social Worker Interventions could include individual participant contacts; appropriate collateral contact; participant and family education, assessment, and counseling; provision of resources; addressing mental health needs as they arise; ongoing case management; advocacy to ensure participant and caregiver needs are met and addressed; and disenrollment procedures. The Social Worker is the liaison between the interdisciplinary team, caregiver representatives, and community agencies.

Qualifications:

• 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 a reliable means of transportation. Must be able to meet Carolina SeniorCare's auto insurance carrier's standards for coverage.

Education:

• Master’s degree in social work from an accredited school of social work Member of the Academy of Certified Social Workers (ACSW) or other NASW-recognized certification preferred.
• Cardio Pulmonary Resuscitation (CPR) and First Aid certification required. (CSC NB will provide if needed)

Experience:

• 2 years’ experience working on an interdisciplinary team in a hospital, nursing home or community-based setting is preferable.
• Minimum of 1 year working with the frail or elderly

Essential Duties and Responsibilities:

• Performs in person initial assessments for enrollment of potential Carolina SeniorCare participants to obtain a complete psycho-social history, which may include descriptions of cognitive status, social supports, family dynamics, mental health and substance dependency, and other current issues and needs. Coordinates with the interdisciplinary team to develop a comprehensive care plan for each participant.
• Conducts in person reassessments of enrolled participants every six months and as needed.
• Shares the responsibility of performing Utilization Review at SNF, ALF, and hospitals
• Functions as a member of the interdisciplinary team. Maintains regular attendance at, and participants in interdisciplinary team meetings; communicates participant changes, collaborates on care planning decisions and coordination for 24 hour care delivery.
• On an annual basis (during annual or semiannual reassessment) presents the written participant rights documentation to assigned participants and or caregiver. In the event the participant is unable to understand the information, the social worker will ensure the caregiver or representative understands the participant rights. If there is a language barrier the Social Worker will provide the appropriate interpreter.
• Shares the responsibility with RN Care Manager to coordinate skilled/assisted living facility admissions for short term or long term care needs, as well as for approved respite services.
• Attends and actively participates in a variety of organizational meetings related to participant care or daily operations, in various in-services and community agency meetings. Serve as a resource to other team members and Day Center staff regarding topics such as dementia, difficult behaviors, and difficult personalities.
• Acts as facilitator for meetings with participant, family, caregivers, and community agencies to clarify, or problem solve issues regarding the Plan of Care. Mediates discussions between all parties.

EOE/Disability/Vets Work Location: In person

Job Type: Per Diem PER DIEM EMPLOYEES: Employees who elect to work on a per diem status chose more flexibility in their work schedule in lieu of certain company-sponsored benefits. Per diem employees cannot work more than six (6) shifts scheduled for 8 hours or seven (7) shifts scheduled for 7.5 hours each 14-day per period.

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