- Generous pay and a comprehensive benefits package focused on your health and wellness.
- 11 paid holidays, 13 days of PTO, and 5 days of sick time.
- A 5% employer match to our 403(b) retirement plan.
- No on-call time - because your time matters.
- Participate as a member of the interdisciplinary team (IDT) and in initial, semi-annual, unscheduled, and annual assessments; attend morning updates and report changes in participants' baseline status to appropriate staff on a daily basis.
- Involved in the development and implementation of QAPI activities.
- In conjunction with the IDT, may conduct the initial intake, meeting with family members and others. Coordinate ongoing family meetings, as needed.
- Obtain extensive social history from participant and/or family member upon admission to program.
- Provide individual and family counseling as needed or prescribed in the plan of care; develop and lead group counseling and support activities.
- Provide crisis intervention and advocacy as required.
- In conjunction with the interdisciplinary team, coordinate discharge planning for participants returning home from hospital or nursing facility.
- Maintain current, written case management records, including ongoing documentation of services provided, reassessment of changing needs and participant's expressed wishes.
- Act as liaison between the participant and other agencies such as Department of Aging, Social Security Administration, Medicaid, etc.
- 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 all staff meetings, in-services, projects, and committees as assigned.
- Adhere to and support the center's policies, practices, and procedures.
- Accept assigned duties in a cooperative manner; and perform all other related duties as assigned.
- Be flexible in schedule of hours worked.
- Will require use of personal vehicle.
- Master's degree in social work required.
- Original valid driver's license with proof of auto insurance.
- Bilingual English/Spanish preferred.
- Minimum of one (1) year of documented experience in working with a frail or elderly population required.
- Prefer experience in a community-based setting or geriatric program.

