Element Care
The Element Care Social Worker participates in the planning, implementation and evaluation of care plans that meet the objectives, standards and policies of the PACE model of care. The social worker demonstrates proficiency in providing traditional social work services in a professional and respectful manner with the goal of helping older adults live safely and comfortably in their homes and communities for as long as they can. This position is full time M-F 8am to 4pm. Mandarin speaking required. Participates on the IDT’s initial assessments, care planning and on-going re-assessments of participant care.
actively participates in team meetings by sharing pertinent information, providing follow up to assigned tasks and helps to develop participant’s plan of care.
Facilitates hospital, rehabilitation and nursing home (NH) admissions and discharges as determined by the Interdisciplinary Team. 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.
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.
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). 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; disenrollment, conversion to long term care, transfer of sites, participant and/or caregiver demographic changes).
Frequent local travel.
Current Social Work licensure in the Commonwealth of Massachusetts at the Masters level (L.Minimum of 1 experience in Social Work providing traditional Clinical or Case Management services with a geriatric population
Vietnamese and/or Khmer speaking but all MSW eligible candidates to apply.
Covid vaccinated preferred.
Health insurance
Dental insurance
Retirement plan
Element Care is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability. Element Care is committed to valuing diversity and contributing to an inclusive working environment.
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To learn more about Element Care, please click this link: Element Care 30th Anniversary Video