Social Services Supervisor in San Bernardino

Responsibilities The Social Services Supervisor provides on-site leadership and clinical support to their assigned center’s MSW team. This includes general oversight of psychosocial services delivered to InnovAge PACE Participants and family members. In addition, the Social Services Supervisor carries a caseload and provides direct practice interventions, organizes and implements social work services to an assigned caseload of participants and their caregivers in accordance with InnovAge policies and all applicable regulations. Conducts psychosocial assessments, participates in care planning and acts as a liaison between the participant and the interdisciplinary team. Client Care Estimated Percent of time Spent – 20% Assessment and Care Planning Social Work Supervisor will carry a 1:30 participant panel of complex cases that require advanced reasoning and experience. Performs initial assessments of PACE participants to obtain a psychosocial history including cognitive status, mental health and substance use history, behavioral concerns, family dynamics, and current social supports. Participates within the interdisciplinary team in the formulation of Plans of Care for InnovAge PACE program participants, as well as in other interdisciplinary team settings that plan, coordinate and monitor the care of InnovAge PACE program participants. Conducts in-person reassessments of enrolled participants every six months or as determined by policy and best practice. Assessments include collaboration with caregivers and assessment of housing risk. Completes home visits at least annually and as needed to work proactively with participant, IDT, and community partners to maintain the participant’s functioning as independently as possible in their community. Case Management Develops collaborative relationships with internal and external partners. Utilizes a solution-oriented perspective to facilitate resolution of participant needs. Engage with CCT team, including Chaplain, CCT nurse and PCP for end-of-life support and coordination Facilitates, mediates and documents participant care conferences, family meetings and facility partnership meetings. Actively and assertively manages respite and hospital length of stay. Collaborates with participants, caregivers, facilities and the IDT to ensure clear communication regarding participant status and plan. Works in collaboration with hospital discharge planners, primary care, IDT, families and caregivers regarding participant’s disposition from the hospital. Partners with the InnovAge Mental Health Team when hospitalization is psychiatric. Provides referrals to and coordinates assessments with contracted facilities. Supports the participants in the tour and move planning process as clinically indicated. Completes Pre-Admission Screen and Review (PASSR) for all nursing home admissions from the community. Partners with the Innovage Medicaid Department to assist the participant in keeping resources within the guidelines of Medicaid eligibility and supports the recertification process. Advises the participant or financially responsible party about housing co-pays and notifies the Medicaid department of the need to generate a Supportive Housing Form. Supports the inter-center transfer process for participants who move between catchment areas, relaying participant history and care plan issues to the receiving social worker. Provides referral support to community resources and participates in inter-agency coordination of care. Proactively supports the participant grievance process, involving the Center Director in all potential voluntary disenrollments due to dissatisfaction. Assists participants who are disenrolling with transition to outside services, including timely referral back to the single entry point and completion of disenrollment paperwork. Maintains accurate and timely documentation and paperwork including participants’ electronic medical records according to policies and procedures. Attends and actively participates in IDT meetings, Social Services department meetings, Cross Sites and Annual Competencies. Psychosocial Support Monitors changes in the patient's condition and needs. Assists physician, or intermediate care provider, and other team members in understanding the significant social and emotional factors related to the health problems. Provides psychosocial services in accordance with established standards. Evaluates quality of psychosocial services provided and adjusts interventions as clinically indicated. Schedules home visits as necessary according to patient needs. Acts as a resource to other team members and staff regarding topics such as dementia, difficult behaviors, and difficult personalities. Supports the IDT in establishing behavior management plans. Strive for continuous growth and development of Cultural Competency exhibiting an understanding, awareness, and respect for . Performs other duties as assigned. Supervision Estimated Percent of time Spent – 40% Provides leadership and direction to members of their designated centers Social Services team. Carries out leadership responsibilities in accordance with the organization's policies and applicable state and federal employment laws. Responsibilities include, in partnership with the Social Services Manager, interviewing and training employees; planning, assigning, and directing work; appraising performance; recognizing and rewarding employees; supportive coaching, addressing complaints and resolving problems. Ensures annual employee performance reviews are conducted in a timely and effective manner in partnership with the Social Services Manager. Evaluates performance of employees for compliance with established policies and objectives of the organization and contributions in attaining objectives. Helps set the tone of the department to ensure morale, teamwork, and that the positive employment culture of the organization is maintained. Schedule department, and staff 1:1 meetings as appropriate to provide leadership, development, and a forum for communication to ensure coordination and collaboration in meeting organization and individual goals. Administration Estimated Percent of time Spent – 40% Assists with implementation of policies and procedures for their assigned Social Work team in collaboration with the Social Services Manager and Center Director. Will distribute work to the Social Work Assistant to support the social workers and Comfort Care end of life coordination Partners with the Functional Manager of Social Work to implement best practice and standard processes Ensures that staff is interpreting and adhering to agency and/or state policies, rules, and regulations by reviewing case records. Monitors and evaluates the provision of client services in their assigned catchment provided to IGCP participants and their families. Interviews participants when special problems arise, listens to concerns, grievances and recommends/takes appropriate action. Escalates needs to the Social Services Manager and Center Director as appropriate Travels by personal car to attend various meetings such as the Operations Council, Social Work Cross-Site, Center Leadership and other committees and meetings requested by the Social Services Manager. Travel Requirements Travel may be required Overnight travel may include local or out of state Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. Master’s degree from a school of social work accredited by the Council on Social Work Education 2+ yrs practicing social work with 1 yr in a healthcare setting Experience providing case management, counseling and psychosocially related services to the elderly in addition to knowledge of mental health practices and techniques related to elderly care. Requires valid state issued driver’s license, personal transportation, good driving record and auto insurance as required by law. REQUIRED LICENSURE for NEW MEXICO CPR/BLS and First Aid required in California only. Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) from The New Mexico Board of Social Work-LMSW License 5+ yrs in Social Services 3+ yrs working with frail and elderly 2+ yrs supervising staff Experience working in an IDT environment Bi-lingual #J-18808-Ljbffr