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Provide one-to-one, compassionate care and love your job

About Trinity Health PACE

Trinity Health PACE programs are nationally recognized for providing high quality, comprehensive care in the communities we serve. Our services are built upon a 30-year history of Programs of All-Inclusive Care (PACE) for the elderly in the United States. Trinity Health PACE is one of the largest PACE providers in the country. With new strategy, vision and technology, we are growing and shaping the future of healthcare!

We have a pioneering care model here at Trinity Health PACE programs offer continuous, quality care to the elderly, allowing them the independence of living at home. Seniors who qualify for nursing home care alternatively have the option to receive comprehensive care from an interdisciplinary team of experts, all focused on improving participants’ health. At our centers, seniors receive clinical and rehabilitation therapy and build relationships with doctors, nurses and fellow participants – all under one roof.

Social Worker Manager position summary

The primary purpose of your job position is to plan, organize, develop, and direct the overall operation of Social Services within the PACE Organization (PO). Provides training, supervision, oversight and evaluation to Social Workers and other case management services. Responsibilities include but are not limited to assessment, treatment, teaching and counseling to participant, caregiver or other appropriate representatives. The Social Work Manager will carry a caseload.

Your opportunity

• Provide one-to-one care with your patients in their homes or in a clinical setting
• Warm and supportive environment
• Enjoy a truly patient-centered focus
• Excel with supportive, motivated colleagues in an inspiring environment
• Flexibility
• Competitive salary
• Career paths and professional development
• Learn the industry's best, easy-to-use, advanced technology

Other benefits

• Health, dental and vision insurance
• Short and long-term disability
• 403b
• Generous paid time off
• Mileage reimbursement
• Comprehensive orientation

Essential Functions

• Perform initial, semi-annual, unscheduled, and annual assessments of participants. Coordinates with IDT to develop comprehensive plan of care for each participant.
• Involved in the development and implementation of QAPI activities.
•  Conduct initial intake meeting with family members and others, while coordinating ongoing family meetings as needed.
• Provide individual and family counseling as needed or prescribed in the plan of care; develop and lead group counseling and support activities.
• Provide ongoing support, counsel, and education to participants and family regarding a variety of issues, including but not limited to: the aging process, dementia, grief and loss, end of life, disease processes, difficult family dynamics and changing roles, PACE model and PACE health services.
• Maintain current, written case management records, including ongoing documentation of services provided, reassessment of changing needs and participant's expressed wishes.
• Perform home visits periodically or as needed to asses living environment and support system.
•  Assist with ongoing financial eligibility for participants, including recertification as needed.
• Provide training, supervision, oversight and evaluation to Case Managers and case management to participants and families.
• Act as liaison between the participant and other agencies such as Department of Aging, Social Security Administration, Medicaid, etc.
• Assist participants and caregivers in filing grievances and appeals.
• Act as a resource to other team members, and day center staff regarding topics such as dementia, difficult behaviors, and difficult personalities.
• Assure that any personal care needs are communicated to the family with special attention to clothing and DME needs while participants are in hospital or short-term rehab stays and communicate relevant information to the interdisciplinary team about participants while they are admitted.

Minimum qualifications

• Must possess a comprehensive knowledge of social work as normally obtained through a Master's degree in social work and two (2) years of experience, including one (1) year working with the frail or elderly population.
• Current license in social work within the state of PACE Organization preferred. A combination of education and experience may be acceptable.
• Experience working on a multidisciplinary team in a hospital, nursing home or community based setting is preferred.
• Experience and thorough knowledge of social service principles and practices.
• Knowledge of financing mechanisms such as Medicare, Medicaid and other payment systems.
• Valid driver's license and ability to provide a reliable means of transportation required.

Apply now!

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.