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PACE Southeast Michigan

Social Worker, Lead

PACE Southeast Michigan, Detroit, Michigan, United States, 48228

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Overview Position Title:

Social Worker, Lead (Licensed Master’s Social Worker)

Reports To:

Social Work Manager

Under the leadership of the Social Work Manager, the Lead Social Worker (Licensed Master’s Social Worker) (LMSW) works independently to assess the needs of, coordinate, and deliver social services for participants and families/caregivers. The LMSW 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. The LMSW also assists the IDT in determining eligibility and care needs. The LMSW provides care through a variety of modalities, including the bio-psychosocial assessment, interventions that include individual and group counseling utilizing motivational interviewing, and cognitive behavioral techniques, psychoeducation, consultation, and care planning/case management. Additionally, the Lead Social Worker is responsible for daily clinical management, supervision, and oversight of social workers.

Responsibilities

Carry a full social work caseload and be responsible for associated roles and responsibilities (see below), including daily clinical management, supervision, and oversight of social workers.

Provide direct oversight at their respective center under the leadership of the Social Work Manager.

Form the Social Work Leadership Council with the Social Work Manager to formulate and monitor departmental goals and outcomes and revise strategy based on performance outcomes.

Ensure social work staff are effectively participating on the Participant Care Team (PCT) and Interdisciplinary Team (IDT) for participant care and coordination.

Partner with the Center Manager and the Social Work Manager to ensure effective operations and PCT and IDT participation.

Provide clinical supervision to limited licensed social workers and interns and ensure professional development and continuing education for all social workers at the Lead’s respective center.

Represent the department on various process/quality improvement projects, initiatives, and committees.

Ensure compliance with departmental and organizational standards and all state and federal regulatory requirements.

Routinely audit social work care plans, assessments, progress notes, LOCD paperwork, and disenrollment paperwork; ensure accurate, clinically appropriate, and timely documentation.

Perform other related duties, as assigned by leader(s).

LMSW responsibilities:

The LMSW is a member of the PCT and IDT and performs a comprehensive biopsychosocial assessment upon enrollment and at 6 and 12-month intervals thereafter. Acute assessments are completed on an as-needed basis and aim to answer specific referral questions. Utilizes measurement-based care.

Develops and implements appropriate, individual treatment plans for both Participants and caregivers, including but not limited to:

Individual and/or group counseling (utilizing Motivational Interviewing and CBT techniques)

Education

Consultation services to the Care Team

Risk Assessment/Crisis Intervention

Directs case management issues, including but not limited to housing issues, financial issues, 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)

Psychiatric: Changes in mood, behavior, cognition/mental status; suicidal/homicidal ideation; substance use/misuse

Caregiver Burden

Identifies the need to transfer to a higher level of care (e.g., Behavioral Health Services).

Assists in coordinating discharge planning activities and processes.

Assists in coordinating 24-hour care as indicated by interdisciplinary team and/or the Care Team.

Educates and counsels the participant and/or caregiver regarding care needs, options and other related problems.

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.

Helps to develop and complete the plan of care with the IDT, participant, and/or caregiver.

Completes timely and accurate documentation in the electronic health record (EHR).

Communicates changes in participants with IDT and family members.

Evaluates participant outcomes and progress toward achieving the objectives and goals of the care plan and communicates this information among other members of the PCT and IDT.

Performs other related duties, as assigned by leader(s).

Qualifications (knowledge, skills, abilities)

Master’s Social Worker from an accredited school of social work.

Licensed to practice in the State of Michigan. LMSW required.

Three years' experience working as a clinical social worker, preferably in the field of geriatrics. Knowledge of the principles of human behavior, individual and group therapy techniques (preferably CBT and DBT), short-term interventions, and substance use disorder assessment and treatment.

One year experience in supervision/management/leadership. May be substituted by Other Demonstration Of Leadership Potential And/Or Abilities.

Other Demonstration Of Leadership Potential And/Or Abilities.

Skilled facilitator and problem solver with excellent communication and interpersonal skills.

Demonstrated knowledge and skill in evaluating, planning, implementing, and monitoring patient-centered approaches to care.

Knowledge of and compliance with applicable local, state, and federal laws and regulations.

Cultural competence and an ability to care for a diverse population.

Ability to learn and use electronic health record system. Auditing experience preferred.

Proficient in Microsoft Word, Excel, Outlook, PowerPoint.

Positive, flexible, and solution-focused attitude with ability to collaborate effectively in a team setting.

Job details

Seniority level: Mid-Senior level

Employment type: Full-time

Job function: Other

Industries: Hospitals and Health Care, Individual and Family Services, and Hospitality

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