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Time Type:
Full time
Department:
PACE Social Services
All Locations:
801 Broadway, Revere PACE - 10 Garofalo Street
Position Summary:
Join NeighborHealth's Neighborhood PACE program where the PACE Social Worker role is engaging with every day offering exciting new challenges. As part of a dynamic Interdisciplinary Team (IDT) in an innovative model of care, you will develop plans of care for participants who want to live safely in their communities. You will work with participants at the PACE Center and in their homes addressing issues ranging from high risk mental health, end of life, medical decision making, caregiver support, and more. Responsibilities include conducting psychosocial assessments, formulating treatment plans, providing counseling, with opportunities for running groups and coordinating care with interdisciplinary team members to support participants achieving their goals. You must have an MSW and be passionate about serving adults 55+. Experience working with older adults preferred. Must possess or be working toward licensure as a Licensed Certified Social Worker (LCSW) or Licensed Independent Clinical Social Worker (LICSW) in MA. Bilingual (Spanish speaking) required.
Essential Duties and Responsibilities:
1. Responsible for intake, including ability to administer a complete psychosocial assessment and identify factors that impact the participant’s current level of functioning.
2. Completes initial assessments and contributes to the plan of care by recognizing and articulating the way PACE can maintain or enhance a potential participant’s well-being and level of functioning in the community.
3. Provides caregiver support. Coordinates and demonstrates a leadership role in family meetings.
4. Participates actively as part of an Interdisciplinary team. Sharing Initial and Biannual assessments. Writes and follows up on stated treatment interventions reflected in the IDT care plan, collaborating with the participant in identifying their goals of care.
5. Develops and leads activities which demonstrate an area of clinical expertise. This may include but not be limited to group counseling, resource management, psychotherapy, end-of-life care, supervision of social work interns, or case presentation at the ethics committee. Furthers professional knowledge by participating in appropriate continuing education classes and applying learning to the work.
6. Coordinates admissions and discharges and provides care coordination for participants in need of psychiatric hospitalization.