Job Description
PACE is currently hiring for a Social Worker in Dearborn.
PACE is a "Best Place to Work" certified company. PACE (Program of All-Inclusive Care for the Elderly) is a unique health plan and care provider, committed to keeping aging adults with challenging healthcare conditions in their homes, by caring for their medical, physical, and social needs. PACE Southeast Michigan provides care and services in the home, the community, and our day health center.
The Master’s Social Worker (MSW) works independently to assess the needs of, coordinate, and deliver social services for participants and families/caregivers. The MSW is a member of the Participant Care Team (PCT) and the Interdisciplinary Team (IDT) and participates in the assessment, intervention, management, and review of social service needs.
Summary of Duties and Functions:
•Develops and implements appropriate, individual treatment plans for both Participants and caregivers, including but not limited to:
o Individual and/or group counseling (utilizing Motivational Interviewing and CBT techniques)
o Education
o Consultation services to the Care Team
o Risk Assessment/Crisis Intervention
•Directs case management Issues, including but not limited to:
o Housing Issues
o Financial Issues
o Safety Issues including, but not limited to: symptoms of abuse, neglect or exploitation; ability to live independently; decision-making capacity; any other issues warranting involvement of Adult Protective Services (APS)
o Psychiatric: Changes in mood, behavior, cognition/mental status; suicidal/homicidal ideation; substance use/misuse
o Caregiver Burden
o Identifies the need to transfer to a higher level of care (e.g., Behavioral Health Services).
o Assists in coordinating discharge planning activities and processes.
o Assists in coordinating 24-hour care as indicated by interdisciplinary team and/or the Care Team.
o Educates and counsels the participant and/or caregiver regarding care needs, options and other related problems.
o Advocates to others on behalf of the participant, and demonstrates accountability in resolving participant concerns or issues.
•Works collaboratively to develop and communicate initial impressions, plans of care, changes in care, and progress in a timely fashion.
o Helps to develop and complete the plan of care with the IDT, participant, and/or caregiver.
o Completes timely and accurate documentation in the electronic health record (EHR).
o Communicates changes in participants with IDT and family members.
Company Description
PACE is a "Best Place to Work" certified company. PACE (Program of All-Inclusive Care for the Elderly) is a unique health plan and care provider, committed to keeping aging adults with challenging healthcare conditions in their homes, by caring for their medical, physical, and social needs. PACE Southeast Michigan provides care and services in the home, the community, and our day health center.
PACE is a "Best Place to Work" certified company. PACE (Program of All-Inclusive Care for the Elderly) is a unique health plan and care provider, committed to keeping aging adults with challenging healthcare conditions in their homes, by caring for their medical, physical, and social needs. PACE Southeast Michigan provides care and services in the home, the community, and our day health center.
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