Social Work Case Manager

BoldAge PACE; Evansville (IN); On-site; USD 42,000 - 68,000; Full time

Benefits offered by this job

Medical/Dental

Generous Paid Time Off

401K with Match*

Life Insurance

Tuition Reimbursement

Flexible Spending Account

Employee Assistance Program

Job summary

BoldAge PACE is seeking a Social Work Case Manager to provide comprehensive care coordination and advocacy for program participants and families. You will assess social and environmental needs, develop individualized plans, and connect participants to community resources, working closely with the interdisciplinary team to promote independence and quality of life.

The role emphasizes organizational and communication skills, with responsibilities spanning care plan implementation,

Qualifications

• Bachelor's degree in social work or related field.
• Current License in the required state.
• Experience on an interdisciplinary team preferred.
• 1 year of experience with frail or elderly population preferred; training provided if needed.

Responsibilities

• Coordinate participants' care plans and act as liaison between participants, caregivers, and IDT.
• Assist admissions and discharges to facilities, housing options, and referrals as needed.
• Educate participants and families about PACE services, benefits, and Medicaid/Medicare processes.
• Document clinical services and maintain records per PACE requirements.
• Support participants in maintaining housing and independence through home visits and coordination.

Skills

Organizational skills

Communication skills

Problem-solving

Education

Bachelor's degree in social work or related field

Job description

Join BoldAge PACE and Make a Difference!

Why work with us?

• A People First Environment:We make what is important to those we serve important to us.
• Make an Impact:Enhance the quality of life for seniors.
• Professional Growth: Access to training and career development.

Competitive Compensation:

• Medical/Dental
• Generous Paid Time Off
• 401K with Match*
• Life Insurance
• Tuition Reimbursement
• Flexible Spending Account
• Employee Assistance Program

BE PART OF OUR MISSION!

Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires.

Social Work Case Manager

SUMMARY:

The Social Work Case Manager is responsible for providing comprehensive care coordination, advocacy, and support to program participants and their families. This role involves assessing participants' social, emotional, and environmental needs, developing individualized care plans, and connecting participants to community resources and services. The Social Work Case Manager collaborates closely with the interdisciplinary team (IDT) to ensure participants' care plans address their holistic needs, promote independence, and enhance their quality of life. This position requires strong organizational, communication, and problem-solving skills, as well as a commitment to delivering participant-centered, high-quality care.

ESSESNTIAL DUTIES AND RESPONSIBILITIES:

• Support the implementation of participants' care plans and act as a liaison between participants, caregivers, community agencies, and the interdisciplinary team (IDT).
• Coordinate participant admissions and discharges to healthcare facilities, temporary respites, or permanent placements, including referrals to housing options and accompanying participants as needed.
• Provide education and ongoing support to participants and families regarding PACE services, resources, and benefits, including Social Security, Medicaid, and Medicare applications and renewals.
• Assist participants in maintaining housing and independence through interventions, home visits, and collaboration with caregivers and housing providers.
• Offer guidance to team members on topics like dementia, behavioral challenges, and care strategies.
• Manage documentation of clinical services, including placements, hospital admissions/discharges, home visits, and significant events, adhering to PACE requirements.
• Assist participants and caregivers with grievances, appeals, and maintaining Medicaid eligibility.
• Facilitate transitional care in the event of program termination, ensuring continuity of services and referrals to other providers.
• Provide case management services and coordinate appointments between social service staff and participants.
• Perform administrative tasks such as filing, scanning, faxing, and mailing documents.
• Follow organizational policies, safety guidelines, and confidentiality standards to maintain a safe and compliant work environment.
• Participate in Quality Improvement initiatives, continuing education, training, and maintaining professional certifications.

EXPERIENCE EDUCATION AND CERTIFICATIONS:

• Bachelor's degree in social work or related field
• Current License in the required state.
• Experience working on an interdisciplinary team in a hospital, nursing home or community-based setting is preferable.
• 1 year of experience working with a frail or elderly population preferred. If this is not present, training will be provided upon hiring (If applicable for the role).

PRE-EMPLOYMENT REQUIREMENTS:

• All Employees - Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance.
• Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.

BoldAge PACE 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.

* Match begins after one year of employment