Senior Community Care - PACE - of Lansing, MI is hiring a full time BSW Intake Social Worker. We Are Inspired to Serve. Join us as we work to serve the elderly. we have been nominated by our employees for the 3rd year in a row as a Great Place to Work-Certified™. We have excellent benefits, great pay, and full time hours for you! Insurance Benefits offered: Retirement Medical (30 hours or more a week) Benefits available when hired to work 24 or more hours a week: Dental Vision Legal Life Accident Critical Illness Short-Term Disabilities ID Theft Loan Program OBJECTIVE: To support the Social Service and Enrollment Department in the care and treatment of participants entrusted to the facility and to attain or maintain the highest practicable physical, mental and psycho-social well-being of each resident. To serve as a liaison and role model to the community for the facility. Represents the Social Service and Enrollment departments, other care center staff, interdisciplinary team members and the facility as a whole to the community. Upholds the values and mission of Volunteers of America National Services to peers and the public. Customers include PACE participants and their families, local healthcare professionals who work with the facility and staff, and the facility staff managers. ESSENTIAL FUNCTIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Responsible for all aspects of the initial intake process including responding to inquiry calls, providing information & referrals, conduct Level of Care Determination (LOCD) assessment, and complete intake assessment paperwork. 2. Ensure the accurate completion of the Level of Care assessment tool for all potential participants through use of social work assessment skills to determine PACE eligibility. 3. Develops input to IDT on care plan development based on intake and LOCD assessments. 4. Coordinates timely follow-up with referral sources, families, and participants through phone contact, letters, and all other appropriate documentation. 5. Coordinates and conducts PACE tours and visits. Meets with prospective participants/families. 6. Assists in community outreach activities as assigned. 7. Updates appropriate tracking tools to depict referrals and prospective participant status. 8. Responsible for completing necessary paperwork and data entry related to participant enrollment and for transmitting data to external systems including State of Michigan. 9. Participates in Care Team meetings as needed or directed. 10. Gathers all necessary documentation for Medicaid application and completes the application in a timely manner. 11. Works closely with MDHHS Medicaid Eligibility Specialist Medicaid & Medicare eligibility upon intake. 12. Responsible for developing and maintaining effective working relationships with MDHHS, CMS, MPRO, SOM, and all other agencies relating to the intake process. 13. Professionally represents SCCM PACE in the community. 14. Keeps confidential all PACE information pertaining to potential participants, current participants, issues, or business practices. 15. Completes other assessments needed to determine eligibility (SLUMS, etc.). 16. Able to work flexible hours (weeknights) as needed to meet job expectations. 17. Meet or exceed monthly enrollment goals. 18. Work closely in collaboration with the Enrollment Coordinator to support all aspects of the enrollment process. 19. Maintain close contact with new enrollees/families and work closely with IDT members to ensure smooth transition into PACE services. 20. Preloading assessments for Social Work department execute partnership agreements in annual packets necessary. May assist in Planning, and other required documents. Identifies, provides and/or coordinates for the medically-related social, psychological and spiritual needs of the participants. 21. Coordinate invitation of Participants, Families and/ or Interdisciplinary Staff for Care Conferences. a. Serves as participant advocate. b. Implements case management and support as delegated. c. Maintains confidential records. d. Prepares written summaries of conferences and meetings 22. Maintains a current Community Resource and Advocacy Agency File and refers. a. Provides community resource information to participants and families relating to alternative health care services or facilities, clinics, housing and other community resources etc. a. Assist with forms and applications b. Facilitates Medicaid application and redetermination process with Michigan Department of Human Services 23. Coordinates respite and facility admissions with SCCM staff, community partners, participants and families 24. Completes home visits for case management, including: completion of forms and obtaining signatures 25. Assists participants and caregivers to complete Medical Durable Power of Attorney (MDPOA) Proxy, and guardianship. 26. Maintains resource and education packets to provide to families a. Provides ongoing support and education to participants and family regarding a variety of issues, including but not limited to: the aging process, dementia, grief and loss, end of life, disease processes, difficult family dynamics and changing roles, PACE model and PACE health services. b. Provides on-going education on topics such as Participant Bill of Rights, grievance and appeal process to participants, families and staff 27. Attends required in-services and completes assigned on-line modules. 28. Serves on committees as requested 29. Actively participates on performance and quality improvement initiatives 30. Performs other duties or special assignments as requested. 31. Acts within scope of his or her authority to practice. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Bachelor's degree in Social Work or related degree in social sciences LLBSW or LBSW required. 2. Licensed where applicable by the State; State requirements may dictate supervision and degree type. 3. Minimum of one year experience in a long-term healthcare setting preferred. 4. Knowledge of long-term health care and public health settings and familiarity with Federal and State regulations and requirements for long-term care. 5. Ability to read, speak and write fluently in English. Bilingual preferred. 6. Excellent interpersonal communication and phone skills; ability to prepare written assessments and correspondence; ability to read and interpret rules and regulations. 7. Must demonstrate ability to work with a diverse team and flourish in a flexible work environment. 8. Ability to add, subtract, multiply and divide in all units of measure using whole numbers, common fractions and decimals; ability to comprehend and execute simple statistical functions to create standard graphs and tables. 9. Ability and willingness to work in various locations, for planned activities or special events, family meetings and conferences, admission calls, admissions and tours. 10. Negotiation skills and ability to carry on several levels of reasoning at once during problem solving sessions; ability to think quickly and to write complex written arguments. 11. Ability to work with participants of varying levels of responsiveness. 12. Familiarity with word processing, data processing and computer entry skills to match existing clinical management software at facility. 13. Abili To view the full job description please use the link below. https://www.aplitrak.com/?adid=YmJnZW5lcmljLjk4MzE3LjEyMjQ4QHZvYW5zY29tcC5hcGxpdHJhay5jb20
