Masters of Social Work

POSITION SUMMARY:

Under the direction of the Social Worker Director, the Social Worker is responsible for direct social work case management services to PACE participants.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

The following represents most of the duties performed by the position but is not meant to be all-inclusive or prevent other duties from being assigned when necessary:

• Participates 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 QI activities.
• In conjunction with the IDT, may conduct the initial intake, meeting with family members and others. Coordinate ongoing family meetings, as needed.
• Acts as a liaison between participant and internal/external service providers.
• Obtains extensive psychosocial[KH1] history from participant and/or family member upon admission to program.
• Provides individual and family counseling as needed or prescribed in the plan of care; develop and lead group counseling and support activities.
• Provides crisis intervention and advocacy as required.
• In conjunction with the IDT, coordinates discharge planning for participants returning home from hospital or nursing facility.
• Maintains current, written case management records, including ongoing documentation of services provided, reassessment of changing needs and participant’s expressed wishes.
• Demonstrates a thorough understanding of HIPAA/HITECH laws and the related policies and procedures within the agency. Attends and successfully completes mandatory HIPAA/HITECH training at least annually.
• Assists with ongoing financial eligibility for participants, including recertification as needed.
• Participates in participant-related conferences in the community as designated.
• Attends and participates in all staff meetings, in-services, projects, and committees as assigned.
• Adheres to and supports the center’s policies, practices, and procedures.
• Maintains flexibility in schedule of hours worked.
• Participates in special projects and performs additional duties as required or assigned.

Requirements:

CERTIFICATION, LICENSES, REGISTRATIONS:

• Hold and maintains a current Driver’s license.

EDUCATION AND EXPERIENCE:

• Master’s degree in social work required.
• Minimum of one (1) year of documented experience in working with senior adult population required.
• Prefer experience in a community-based setting or geriatric program.

KNOWLEDGE, SKILLS, and ABILITIES:

• Interest in the risk-based long-term care program to serve frail elderly in a community-based setting.
• Experience and thorough knowledge of social service principles and practices.
• Knowledge of psychosocial, behavioral, and family needs of the elderly population.
• Experience in supervising staff.
• Knowledge of financing mechanisms such as Medicare, Medicaid, and Prospective Payment Systems.
• Knowledge of the Tulsa County health 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, providers of services, and public and private agencies.
• Effective oral and written communication skills.
• Computer skills required.

PHYSICAL REQUIREMENTS: Requires constant hand grasp and finger dexterity; frequent sitting, standing, walking and repetitive leg and arm movements, occasional bending, reaching forward and overhead, squatting and kneeling. Ability to communicate verbally, with an excellent comprehension of the English language. Has access to and ability to drive one’s own vehicle.

WORK ENVIRONMENT: The main work environment is an office setting of a non-profit organization providing a variety of services to seniors and their families. The activity level is high and the noise level is moderate. The work environment will include a variety of clinician settings, day centers, hospitals, nursing homes and individuals’ homes. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position. Daily travel may be necessary.

ACKNOWLEDGEMENT: I have read the above job description and fully understand the requirements set forth therein. I meet all the requirements of this position, and I can perform all essential functions of the job. I agree to abide by the requirements set forth in this document. I understand the contents of this job description are presented as a matter of information only and as guidance as to LSS & AFFILIATES program’s expectations for this position. This job description is not intended to give rise to contractual rights or obligations, or to be construed as a guarantee of employment for any specific period of time or for any specific type of work. Furthermore, LSS & AFFILIATES program reserves the right to interpret, amend, modify, or cancel or withdraw any or all sections or provisions of this job description at any time with or without notice.

I understand that employment at LSS & AFFILIATES program is “at will”, meaning that employment is for no definite period of time and may be terminated by me or LSS & AFFILIATES program at any time and for any reason.