GENERAL SUMMARY
Receives and processes incoming referrals and completes case coordination and support forms; assesses applicants’ needs for service through home visits, on-site visits, or in facilities; develops a comprehensive care plan, and conducts periodic reassessments of each client. Makes referrals to various service agencies and provides direct services to clients, such as assisting in completing applications for services, helping obtain financial assistance, assigning in-home care workers, and providing related services.
ESSENTIAL DUTIES & RESPONSIBILITIES
The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Employees may be requested to perform job-related tasks other than those specifically presented in this description.
- Assesses clients in their living environment and interviews caregivers to identify service needs, gaps in existing support networks and goals of individual.
- Implements intake procedures for multiple need population regarding agency services and community support network and links to appropriate service providers.
- Monitors implementation of client service plan through frequent communication with client, service providers and caregivers. Provides regular in person follow up reviews in relation to the goals and objectives of the comprehensive care plan.
- Assists clients who are no longer able to live alone by making referrals to geriatric assessments and reviewing long term care facilities. Assists with Nursing Home Medicaid and/or Waiver/PACE applications and works with Department of Health & Human Services, Medicaid Waiver/PACE teams and Long-Term Care Insurance companies to coordinate and secure services.
- Develops a client centered comprehensive care plan based on assessment results and input from support network.
- Assists clients in obtaining both public and private financial benefits. Advocates for clients in regards to medical support and adequate housing choices to promote wellbeing and safety. Connects to food-based programs.
- Maintains complete and detailed confidential case records in accordance with Federal & State policies & procedures and consistent with Commission on Aging standards, social work ethical principles and requirements for third party funding sources.
- Prepares reports, correspondence and documents.
- Participates in employee hiring, training, and work assignments including scheduling for Personal Care/Respite Care aides.
- Assist Isabella County residents with insurance needs including Medicare/Medicaid and Coordination of Benefits Issues.
- Assists clients in applying for state and government programs including, but not limited to, Medicaid, Social Security benefits, Food assistance Programs, Housing Vouchers, Medicare, Care Store referrals and Rural Development.
- Hybrid/remote options available with Director approval.
- Performs other duties as assigned.
MINIMUM ENTRANCE QUALIFICATIONS
Education and Experience
- Bachelor’s degree in Social Work or a related field.
- One (1) to three (3) years of experience working with multiple needs older adults and their families in a casework capacity.
- Any equivalent combination of training, education, and experience that provides the required skills, knowledge and abilities.
Licenses or Certifications
PREFERRED QUALIFICATIONS
- Licensed Bachelor of Social Work through State of Michigan.
- AED, First Aid, & CPR certification.
- Michigan Medicare/Medicaid certification.
COMPETENCIES FOR SUCCESSFUL PERFORMANCE OF JOB DUTIES
Knowledge of:
- Human services procedures, policies, and resources.
- Modern office equipment, procedures and applicable software packages.
- Private, state and federal policies and procedures.
- Professional best practices.
- Departmental policies and procedures.
- Applications for Community and Nursing Home Medicaid, Low Income Subsidies, Housing, Adult Home Help, Heat and Utility Assistance, Social Security benefits and Advanced Directive Forms.
- Working with the elder population, persons with developmental disabilities and those with physical and mental health diagnosis.
- Mandatory reporting for the abuse and neglect of older adults and central intake procedures.
- Social Work Code of Ethics.
Skill in:
- Maintaining confidentiality.
- Organization and time management.
- Following written and oral instruction.
- Establishing and maintaining effective working relationships.
- Written and verbal communication.
- Problem solving and conflict resolution.
- Interviewing
- Accessing and utilizing grant monies.
- Researching community resources.
