Job Description

Job Description

Job Description

McGregor PACE (Program of All-inclusive Care for the Elderly) is a community-based service program that provides in-home healthcare services to the elderly as an alternative to nursing home placement, allowing Seniors to remain at home.

We are seeking a qualified Social Worker (MSW) who can manage a caseload of 55-62 senior program participants and families. McGregor PACE aims to have our participants remain in the community with the support of our Day Health Center services and staff. This candidate must be willing to conduct initial assessments of PACE applicants and assist with Care and Treatment plans. The MSW will also be responsible for communicating with community agencies, participants, and families on an ongoing basis.

Work Schedules: Monday – Friday (NO WEEKENDS! FIRST SHIFT ONLY!)

Responsibilities:

• Conducts initial assessment of PACE applicants and prepares bio-psychosocial evaluation.
• Conducts psychological testing as appropriate for the position, i.e., Folstein Mini-Mental Exam, and Geriatric Depression Scale Index.
• Performs semi-annual, annual, and periodic participant assessments; plans social work interventions; accordingly, views problem resolution from the standpoint of client benefit.
• Interdisciplinary team support including completion of initial comprehensive assessments of participants by enrollment date; formal reassessments with reevaluation of the care plans that are to be completed on discharges from any acute skill admission as needed; assist in the coordination and documentation of 24-hour care delivery for participants with input from all disciplines of the interdisciplinary team; initial and on-going assessments of participants with a focus on physical, mental, emotional and psychological changes that are to be reported to the interdisciplinary team and reflected on the plan of care as needed.
• Communicates with participants, caregivers, and guardians regarding concerns and issues; provides individual/ family counseling as determined by the treatment plan.
• Communicates with community agencies that offer services to participants or families.
• Corresponds with ODA and County Department of Jobs and Family Services, forwarding appropriate and timely required communication.
• Assimilates and maintains information on alternative care services, including methods for maintaining and distributing information to staff, families/caregivers, etc.
• Demonstrates ability to set priorities to manage caseload effectively.
• Identifies participant and family education needs and provides appropriate teaching/information.
• Utilizes community resources appropriately while problem-solving.
• Assists in departmental and participant outcome data collection and analysis; participates in performance improvement initiatives, as relevant.
• Facilitates partnership meetings
• Maintains contact with participants in long-term care; attends nursing home care conferences as needed, and assists in coordinating participants in appropriate discharge planning from facilities

Minimum Qualifications:

• Master's degree in social work required.
• Reliable transportation.
• Must possess strong assessment skills, ability to recognize mental and behavioral problems, and create effective treatment plans.

Preferred Qualifications:

• Minimum one year working with frail elderly or older population required
• Experience with dementia population, chronic illness, nursing home, adult day care, or partial hospitalization is required.
• Experience in an interdisciplinary care setting is desirable

We offer competitive compensation and EXCELLENT BENEFITS which include:

• Health Insurance
• HSA
• Dental
• Vision
• 403b Matching Retirement Plan
• Employer Paid Life Insurance
• Voluntary Life Coverage
• Short- and Long-Term Disability
• Critical Illness & Accident Coverage
• PTO
• Sick Time
• 6 Paid Holidays

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