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GENERAL SUMMARY :

Under the direction of the MSW, The Social Services Case Manager (SSCM) participates in the planning, implementation and evaluation of care plans that meet the objectives, standards and policies of the PACE model of care.  Demonstrates proficiency in providing traditional case management services in a professional and respectful manner with the assisting goal of helping older adults live safely and comfortably in their homes and communities for as long as they can.  The position entails extensive coordination, follow up and feedback to participants, IDT and community providers.  This position is full time Monday thru Friday 8am to 4pm with no weekend or holiday hours.

ESSENTIAL RESPONSIBILITIES :

• Attends IDT meetings; actively participates in team meetings by sharing pertinent information and providing follow up to assigned tasks. Supports the MSW team with the implementation of care plans to address older adults physical, social, emotional and environmental status needs by providing case management support. Consults with MSW appropriately.
• Shares knowledge regarding resources and services in the community that support participant wellness.   Researches available community resources, services and programs.
• Refers participants and families to appropriate community services and acts as liaison and / or advocate with community organizations for participants (i.e. Housing Authorities, Department of Transitional Assistance, Assurance Wireless, Social Security Administration, etc.).
• Maintains professional, accurate and timely social service documentation in the participants medical records.
• Works collaboratively with money management and fiscal departments to maintain participant insurance benefits and completes required documentation of fiscal information in the medical record.
• Completes authorizations for home care and other approved services timely and accurately.
• Provides timely communication to appropriate staff regarding the following : (disenrollment, conversion to long term care, transfer of sites, participant and / or caregiver demographic changes).
• Reports allegations of abuse to appropriate state agency; provides support and resources to participant as he / she will accept; completes required documentation.
• Assists with referrals to skilled nursing facilities for short-term and / or long term admissions.
• Communicates with hospital case management; assists with discharge planning
• Assists with referrals and installation of tablets (i.e. Avatar).
• Assist MSW with participant council meetings as scheduled.
• Ability to pass a fit test. Position requires mask where seal is critical. Incumbent is required to not have facial hair that interferes with a tight seal of the respirator.
• Performs other duties as required.
• Frequent local travel to homes and community visiting.

JOB SPECIFICATION :

EEO Statement

Element Care is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability.

Element Care is committed to valuing diversity and contributing to an inclusive working environment.

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