Field Social Worker (REMOTE)

Social Worker The Center for Elders’ Independence is a PACE (Program of All-Inclusive Care for the elderly) organization (PO) that uses an interdisciplinary team approach for care planning and implementing purposeful high quality, affordable, and integrated health care services to the elderly. Our elderly meet PACE requirements as prescribed by CMS and are referred to as participants. Our PO includes Adult Day Health Centers and primary care clinics, promoting participant autonomy, quality of life and the ability for individuals to live in their communities. Under the general supervision of the Social Work Supervisor, the Social Worker is a mental health professional, helping the frail and elderly PACE participants find solutions to a wide range of social problems, serves as an integral member of an Interdisciplinary Team (IDT) and is responsible for performing psychosocial assessments, developing and implementing plans of care, and facilitating communication between the participant, family and CEI staff. The hourly rate for the Social Worker role at Center for Elders Independence is $37.97 to $56.95 per hour. Placement within the range is determined based on job-related factors such as relevant experience, skills, abilities, internal equity, and market data, consistent with CEI’s annual compensation review and established compensation practices. Serves as an interdisciplinary team (IDT) member responsible for developing and implementing a comprehensive, integrated plan of care, monitors progress toward objectives by evaluating behavioral adjustments and communicates participant changes to team members. Participates in regularly scheduled behavioral management meetings with other mental health professionals. Completes initial assessments, re-assessments, and care plan updates for participants while continually evaluating the participants' social service needs and their families. Makes referrals to community resources, including those necessary for financial management, benefit eligibility, and to address related participant needs. Review historical information, including requisitions for prior medical records; prepares narrative and other reports, documents, and correspondence regarding client status; documents case files. Responds to, investigates, and reports complaints of elder abuse. Develops and maintains working relationships with other agencies, such as the Department of Social Services, psychiatric facilities, hospitals, social agencies, and may participate in hospital and/or SNF discharge planning. Maintains the confidentiality of all company procedures, results and information about participants, clients or families in conformance with Health Insurance Portability and Accountability (HIPPAA) principles. Makes home visits, hospitals, and travels to other places to meet with participants and service providers. Master’s degree in social work from an accredited school of social work Ability to work with minimal supervision. Bilingual ability preferred (Spanish, Korean, Cantonese, and/or Mandarin). Current CPR and First Aid CEI reserves the right to change job descriptions, site assignments, and or work hours as required by the needs of the program.