Job Description
Job Description
JOB SUMMARY
This position is responsible for management of the PACE of West Baltimore Social Work department. As a member of the PACE interdisciplinary team this position provides the oversight and management of the Social Work department ensuring collaboration and coordination with the PACE team. Promotes professional working relationships with both internal and external customers. Adheres to and supports all organizational policies and procedures and standards. Promotes teamwork!
ESSENTIAL DUTIES AND RESPONSIBILITIES
ORGANIZATIONAL (CORE RATING FACTORS):
- Demonstrates support of the Company’s Mission, Vision and Core Values
- Ensures discretion with confidential information in accordance with HIPAA guidelines
- Supports a collaborative work environment including courteous, helpful and professional behavior
- Embraces Organizational Excellence through practicing individual time management, efficiency and effectiveness and participating in continuous improvement efforts
- Adheres to and supports all Company policies and procedures
- Supports and practices safe work habits in accordance with policies and procedures
- Brings ideas, problems and concerns forward and participates in resolution and implementation
- Participates in and completes regulatory compliance trainings within the prescribed deadlines
- Attends required meetings and actively contributes
- Maintains skills and knowledge required including written and verbal communication, best practices for industry standards, and computer competency
DEPARTMENTAL (JOB SPECIFIC TASKS):
- Participate 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 QAPI activities.
- In conjunction with the IDT, may conduct the initial intake, meeting with family members and others. Coordinate ongoing family meetings, as needed.
- Obtain extensive social history from participant and/or family member upon admission to program.
- Provide individual and family counseling as needed or prescribed in the plan of care; develop and lead group counseling and support activities.
- Provide crisis intervention and advocacy as required.
- In conjunction with the interdisciplinary team, coordinate discharge planning for participants returning home from hospital or nursing facility.
- Maintain current, written case management records, including ongoing documentation of services provided, reassessment of changing needs and participant’s expressed wishes.
- Act as liaison between the participant and other agencies such as Department of Aging, Social Security Administration, Medicaid, etc.
- Assist with money management.
- Assist with ongoing financial eligibility for participants, including recertification as needed.
- Participate in participant-related conferences in the community as designated.
- Maintain confidentiality of participant information.
- Additional responsibilities will be added at managers discretion, as career growth opportunities and responsibilities are constantly arising in our flexible and start-up environment.
Non-Essential Job Functions
- Attend and participate in all staff meetings, in-services, projects, and committees as assigned.
- Adhere to and support the center’s policies, practices, and procedures.
- Accept assigned duties in a cooperative manner and perform all other related duties as assigned.
- Be flexible in schedule of hours worked.
- May require use of personal vehicle
ABOUT PACE of West Baltimore
PACE of West Baltimore (Program of All-Inclusive Care for the Elderly) is an integrated, home and community-based care model designed to help seniors maintain their independence and remain part of their communities for as long as safely possible. We care for our participants through a harmony of center-based services and personalized in-home care, spanning clinical, behavioral, and social services.
PACE is a proven, cost-effective care model, saving states an average of 13% versus other Medicaid services, including nursing homes and community-based waiver programs. PACE of West Baltimore’s unique approach to PACE is enhanced by our deep expertise in in-home care, clinical geriatrics, data analytics, and virtual care technology, all for the purpose of improving the health and quality of life of our patients.
We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
PACE of West Baltimore is an Alcohol/Drug/Smoke-Free Workplace
Working Conditions and Physical Demands
- The working conditions and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Ability to access all areas of the center throughout the workday.
- Ability to lift up to 35 pounds occasionally, 15 pounds frequently, and 7 pounds constantly ;required to obtain assistance of another qualified employee when attempting to lift or transfer objects over 25 pounds.
- 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.
- Work is generally performed in an indoor, well-lighted, well-ventilated, heated, and air-conditioned environment.
Experience
- Minimum of one (1) year of documented experience in working with a frail or elderly 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.
- Knowledge of financing mechanisms such as Medicare, Medicaid, and Prospective Payment Systems.
- Knowledge of the Baltimore City 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, and providers of services, public, and private agencies.
- Energetic, dependable, resourceful, and flexible.
- Effective oral and written communication skills.
- Computer skills required.
Education and Certification
- Master’s degree in social work required.
- Must maintain current license in the state of Maryland.