Senior LIFE Social Worker: Home-Based Case Management

Senior LIFE PACE; Altoona (PA); On-site; USD 52,000 - 68,000; Full time

Job summary

Senior LIFE is seeking a Social Worker to join our home and community based Medicare/Medicaid program. The role includes case management for LIFE Center members and collaboration with interdisciplinary teams to assess needs and plan care.

You will document visits, maintain electronic records, and support families through counseling and referrals, while ensuring timely updates to care plans and compliance with program requirements.

Qualifications

• BSW or Psychology Degree from an accredited university.

Responsibilities

• Overseeing direct social work case management services for caseloads of up to 50-60 LIFE Center members
• Providing social service support including screenings, counseling and external referrals, as needed
• Reevaluating and updating Plans of Care based on change in members’ status, emergent conditions and other relevant circumstances
• Communicating changes to all relevant stakeholders (i.e. interdisciplinary teams, families, caregivers)
• Completing ongoing periodic assessments to ensure a thorough evolution of member care, in keeping with changing needs and requests
• Documenting all visits, including deviations from approved care plans and prescribed intervention techniques
• Documenting member medical records and maintaining electronic case management assessments for immediate and future use
• Identifying development areas, including individual member enhancements and overarching LIFE Center opportunities for growth and expansion, then developing and implementing these improvements
• Counseling families in both individual and group settings, and leading relevant activities to educate these care participants
• Visiting in-home members, assessing needs and developing/implementing comprehensive speech/language care plans accordingly
• General administrative duties, including completing and submitting 1768 documents to required agencies

Skills

Social work

Counseling

Team collaboration

Documentation

Education

BSW or Psychology Degree

Job description

Senior LIFE is seeking a Social Worker to join our home and community based Medicare/Medicaid program. The role includes case management for LIFE Center members and collaboration with interdisciplinary teams to assess needs and plan care.

You will document visits, maintain electronic records, and support families through counseling and referrals, while ensuring timely updates to care plans and compliance with program requirements.