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Element Care PACE · 13 hours ago

Social Worker - Mandarin speaking

Brighton, Massachusetts

Full-time

Onsite

Entry Level

$69K/yr - $97K/yr

1+ years exp

Element Care PACE is a company focused on providing care for older adults. They are seeking a Social Worker who will participate in the planning, implementation, and evaluation of care plans, ensuring that participants can live safely and comfortably in their homes and communities.

Elder CareHealth CareHome Health CarePersonal HealthService Industry

Responsibilities

Participates on the IDT’s initial assessments, care planning and on-going re-assessments of participant care

Attends IDT meetings; actively participates in team meetings by sharing pertinent information, providing follow up to assigned tasks and helps to develop participant’s plan of care

Completes all assigned assessments – (initial, semi-annual, annual, service request and/or significant event)

Assesses the psychosocial needs of the participant and provides supportive counseling, working collaboratively with behavioral health providers

Facilitates hospital, rehabilitation and nursing home (NH) admissions and discharges as determined by the Interdisciplinary Team. Ensures that PASRR documentation is completed for NH admission

Assists in the conversion process of the participant from community to long-term care. Works collaboratively with Medicaid Specialist, skilled nursing facility, and participant’s caregiver to complete conversion

Arranges and facilitates family meetings, as needed

Refers participants and families to appropriate community services and acts as liaison and/or advocate with community organizations for participants

Maintains professional, accurate and timely social service documentation in the participants’ medical records

Conducts participant council meetings as assigned

Works collaboratively with Director of Social Work and Behavioral Health provider to ensure guardianship is up to date. Educates participant regarding health care proxy (HCP). Assists participant in completion of HCP form

Works collaboratively with fiscal department to maintain participant insurance benefits and completes required documentation of fiscal information in the medical record

Reviews plan of care with participants, guardian, and/or activated health care proxy as assigned

Complete authorizations for home care and other approved services timely and accurately

Completes home and/or skilled nursing facility visits to assess participant as indicated

Works collaboratively with Palliative care team; Assists with end of life planning as indicated

Provides timely communication to appropriate staff regarding the following: (disenrollment, conversion to long term care, transfer of sites, participant and/or caregiver demographic changes)

Reports allegations of abuse to appropriate state agency; provides support and resources to participant as he/she will accept; completes required documentation

Ability to pass a fit test. Position requires mask where seal is critical. Incumbent is required to not have facial hair that interferes with a tight seal of the respirator

Performs other duties as required

Frequent local travel

Qualification

Social Work licensureMandarin speakingClinical services experienceCase Management servicesC.P.R. CertificationMulti-tasking abilityVietnamese speakingKhmer speakingCommunication skills