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Social Worker ll -Growing Elder Service PACE Program

Company: Fallon Health
Location: Springfield
Posted on: November 16, 2023

Job Description:

About us:Fallon Health is a company that cares. We prioritize our members--always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the nation's top health plans for member experience, service, and clinical quality. -Fallon Health's Summit ElderCare - is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an alternative to nursing home care, is a program that helps people 55 and older continue living safely at home. At Fallon Health, we believe our individual differences, life experiences, knowledge, self-expression and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status and other characteristics that make people unique. - -Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE- in the region. - -Social Worker, LCSW/LICSW, Competitive Salary, Generous Paid Holidays, -Great company with a great mission to keep Seniors in their homes!(Springfield MA)Opportunity to work with a growth-centered team in a positive work environment! -LICSW supervision offered to advance licensure.Anchor position with opportunities to incorporate remote flexibility in your daily scheduleManage a caseload of only 65 participants in collaboration with your team which includes a provider and primary care nurse.Assessments completed only semi-annually or for a significant changeAssist with the supervision and training of MSW student interns -Summary:Functions as a member of the PACE Interdisciplinary Team and provides social work services and support to participants, families and other caregivers. Primary job responsibilities:

Participates in the intake and evaluation process by conducting the initial social work assessment, administering MSQs, developing an intake summary and presenting the social work perspective to the Interdisciplinary Team. Assures that participants rights are reviewed during the intake process.Conducts reassessments at least semiannually and whenever there is a change in participant status or the participant /caregiver requests it.Develops and implements a social service plan of care for each participant and updates it based on the results of reassessments or on-going changes in status.Responsible for the maintenance of appropriate records and documentation in the medical record including at least the initial assessment, quarterly progress notes, significant changes and all participant-related interactions.Participates as a member of the Interdisciplinary Team at daily team meetings and care planning meetings.Assists team members to understand the social, emotional, cultural and psychosocial aspecst of participants' situations.Acts as an advocate and liaison when counseling services are needed.Completes documentation and record-keeping related to disenrollment's, deaths and permanent placement;distributes relevant notifications.Participates in the development, promotion and implementation of caregiver support groups or programs; leads or co-leads groups as necessary.Assists in managing referral telephone calls as needed.Implements program policies and procedures as directed.---Assists in the conversion of participants from community based Medicaid to long-term care Medicaid when necessary. Works collaboratively with the Operations Support Representative to assure appropriate access to Medicaid benefits.------------Pursues relevant professional development. Attends appropriate workshops and in-service activities to maintain current professional status.Consistently follows the Social Work Code of Ethics.Performs all duties in accordance with Fallon Health and Summit ElderCare policies and procedures. -Education: -Masters degree in Social Work--------------- -License: Valid and unrestricted license to practice social work from the Board of Registration of Social Work of the Commonwealth of Massachusetts. -Valid Driver's License and reliable vehicle required.--------- -Certification: -CPR and Alzheimer's certification or willingness to be certified.--------------- -Experience: -At least two years experience in a Social Work capacity, preferably in a community setting, with a minimum of one year experience working with a frail or elderly population. - -Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. -Fallon Health Vaccination Requirements:To protect the health and safety of our workforce, members and communities we serve, Fallon Health now requires all employees to disclose COVID-19 vaccination status. As of 2/1/2022 all roles not designated as "Remote" require full COVID-19 vaccination and Fallon Health will obtain the necessary information from candidates prior to employment to ensure compliance. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment. - -#AP23

Keywords: Fallon Health, Springfield , Social Worker ll -Growing Elder Service PACE Program , Healthcare , Springfield, Massachusetts

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