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Case Manager MSW

Senior TLC PACE Program | Gastonia, NC | Full Time

Job Description

Case Manager (MSW)

Job Summary  

Responsible for the direct social work case management services to the participants of the Senior Total Life Care program.  Provides such social services support as participant screening, case management, counseling and referral. Links participants with appropriate community resources.  Reports to Program Director.  All employees are expected to be knowledgeable and compliant with Senior Total Life Care values of compassion, dignity, excellence, integrity and teamwork.

Our ideal candidate will...

  • Participates in the Multidisciplinary Team's initial assessments, care planning and periodic re-assessments (minimally every 6 months) of participant's case.  Assessments are to be completed prior to the scheduled team meeting.  

  • Maintains current written case management records,  including periodic reassessments of program participants.

  • Coordinates 24-hour care delivery.  Provides individual and family counseling, develops and leads group counseling and activities.

  • Assists and advocates for participants access to services.   Refers participants and families to appropriate community agencies or facilities, acts as liaison with such organizations and as advocate for participants.

  • Encourages effective relationships among staff geared to team building and maintenance of a cohesive team.

  • Consults with and advises staff members as to the relationship of social, emotional and cultural factors to health and medical care, and as to the availability of social services in the community.

  • Participates in Program and Policy development of Social Work component.

  • Documents participant changes appropriately in the medical record.

  • Participates, collaborates and contributes as a member of the Interdisciplinary team.

  • Emphasizes teamwork and collaboration in all clinic and Interdisciplinary interactions.  

  • Supports his/her Interdisciplinary Team and promotes unity among the team while interacting with the    team, other co-workers, and/or participants.

  • Supports the Senior TLC mission by enhancing mobility, independence, quality of life, and quality of end of life for the participants.

  • Participates in participant care planning including the implementation of SMART goals/interventions for the participants’ care plans and enters all care plan information in a timely manner as per organizational protocols.

  • Updates participants’ care plans appropriately throughout the reassessment period.

Experience

  • Education: Prefer Candidate with Master's Degree from an accredited School of Social Work or Licensed Clinical Social Worker.  Minimum requirement is a four year degree in Social Work  with 3 years experience, preferable in a health and human services field with a geriatric population.

  • Experience Required: 2 years experience in a health related area.  Minimum of 1 year experience working with the frail elderly population.

  • Professional Licensure: LCSW or LCMSW valid NCDL and vehicle

  • Special Training:  Individual therapy skills for geriatric participants, analytical thinking and problem solving abilities.  Experience in linking clients with appropriate community resources.  Includes Home Visits to private homes of STLC participants, frequent travel in Gaston, Cleveland and Lincoln counties.  Only act within the scope of his or her authority to practice.  Meet a standardized set of competencies for the specific position description established by Senior Total Life Care and approved by CMS before working independently.

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