Manager, Social Work

Fallon Community Health Plan, Inc.; Worcester, Northern (MA, KY); Hybrid; USD 107,000 - 110,000; Full time

Job summary

Fallon Health, a leading health plan in Worcester, MA, seeks a Social Work Supervisor for Summit ElderCare, a PACE program. The role guides the Social Work Department within an interdisciplinary team and ensures regulatory compliance and high-quality care for elderly participants.

The ideal candidate holds an MSW and an MA social work license (LCSW/LICSW), with at least five years in social work and two years in supervision, and is committed to ethical care and program outcomes.

Qualifications

• Must possess a Master of Social Work (MSW) degree from an accredited college or university.
• Valid and unrestricted license to practice social work in Massachusetts (LCSW or LICSW).
• At least five years of experience in a social work capacity, preferably in a medical setting.
• Minimum of 2 years of supervisory experience.
• Driving your personal vehicle is an essential job function and you must meet driving requirements.

Responsibilities

• Participates in Interdisciplinary Team’s initial assessments, care planning and ongoing re-evaluations.
• Provides clinical social work services, psychosocial assessment and treatment to participants and families.
• Provides ongoing case management as needs and status change.
• Identifies resources and refers participants and families to community/government services, advocating for needed services.
• Participates in care planning, family meetings, enrollment/disenrollment and reassessments to meet regulatory requirements.
• Supervises social work staff; conducts meetings, performance appraisals and ensures compliance.

Skills

Supervisory skills

Interdisciplinary collaboration

Case management

Clinical social work

Education

MSW degree

LCSW/LICSW license (MA)

Job description

Overview

Fallon Health is a company that cares. We prioritize our members--always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the nation’s top health plans for member experience, service, and clinical quality.

About us:

Fallon Health’s Summit ElderCare® is a Program of All-Inclusive Care for the Elderly–PACE for short. PACE, an alternative to nursing home care, is a program that helps people 55 and older continue living safely at home. At Fallon Health, we believe our individual differences, life experiences, knowledge, self-expression and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status and other characteristics that make people unique.

Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE— in the region.

Summary of purpose:

Functions as a member of the PACE Interdisciplinary Team and provides social work services, support and counseling to participants, families and other caregivers. Supervises and directs the Social Work Department in accordance with accepted social work practice. Collaborates with IDT and SE management team to ensure utilization and MLR targets are met.May provide support, training and coverage to other PACEsites as needed.

Responsibilities

Primary Job Responsibilities:

• Participates in Interdisciplinary Team’s initial assessments, care planning and on-going re-evaluations.
• Provides clinical services to participants and families in the form of psychosocial assessment and treatment.
• Provides on-going case management for participants as needs and status changes.
• Identifies and coordinates resources for participants and their families. Refers participants and their families to appropriate community/government agencies. Acts as advocate and liaison to obtain needed services.
• Participates in care planning, family meetings, enrollment/disenrollment, and reassessments of SE participants to meet regulatory requirements.
• Assures that participants rights are reviewed during the intake process.
• Participates in meetings, committees, in-services, orientation etc. as required.
• Participates in policy/procedure and job description development for Social Work Department.
• Establishes and maintains effective collegial relationships with interdisciplinary team members.
• Develops collaborative relationships with other health and human services agencies and community providers.
• Consults with and advises staff members of the relationship of social, emotional, and cultural factors of health and medical care.
• Participates in Quality Improvement initiatives. Encourages and facilitates subordinates’ ability to participate.
• Directly supervises and provides clinical supervision to other social workers. Interviews, hires, and trains employees. Conducts regular touchpoint meetings, completes performance appraisals, ensures employee competencies, and addresses employee relations issues immediately and directly. Keeps Site Director informed of all employee relations issues and other issues as necessary.
• Keeps current on changing rules and regulations regarding Medicare/Medicaid eligibilities.
• Communicates changes in regulations affecting the PACE program to Social Workers.
• Pursues relevant professional development. Attends appropriate workshops and in-services activities to maintain current professional status.
• Consistently follows Social Work Code of Ethics.
• Performs all duties in accordance with FH and Summit ElderCare policies and procedures.

Qualifications

Education:

Must possess a Master of Social Work (MSW) degree from an accredited college or university

License:

Valid and unrestricted license to practice social work from the Board of Registration of Social Work of the Commonwealth of Massachusetts (i.e., LCSW or LICSW)

Driving your personal motor vehicle is an essential job function of this position and the following requirements apply:

• Must possess a valid drivers’ license
• Must attest to no disqualifiers per Driver Safety Policy
• Must possess and provide proof of minimal state required auto insurance
• Must have reliable transportation

Experience:

At least five years of experience in a social work capacity, preferably in a medical setting, with a minimum of 2 years of experience working with a frail or elderly population. At least 2 years of supervisory experience preferred.

Pay Range Disclosure:

In accordance with the Massachusetts Wage Transparency Act, the pay for this position is $ 107,000-$110,000 annually which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and fit with the role’s responsibilities.

Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Location US-MA-Worcester