Social Work Case Manager

Boldage-Pace; Evansville (IN); On-site; USD 52,000 - 70,000; Full time

Benefits offered by this job

Paid Time Off

401K with Match

Life Insurance

Tuition Reimbursement

Flexible Spending Account

Employee Assistance Program

Job summary

BoldAge PACE is actively seeking a compassionate Social Work Case Manager to coordinate comprehensive care for program participants in Evansville. You will assess social, emotional, and environmental needs, develop individualized care plans, and connect participants to community resources.

Working with the interdisciplinary team, you will promote independence and quality of life, guide families through Medicaid/Medicare benefits, and ensure documentation meets PACE standards.

Qualifications

• Bachelor's degree in social work or related field.
• Experience on an interdisciplinary team in hospital, nursing home or community setting is preferable.
• 1 year of experience with frail or elderly populations preferred; training may be provided.

Responsibilities

• Support the implementation of participants’ care plans and act as liaison between participants, caregivers, community agencies, and the interdisciplinary team (IDT).
• Coordinate participant admissions and discharges to facilities, respite care, or permanent placements, including housing referrals.
• Provide education on PACE services, resources, and benefits (Social Security, Medicaid, Medicare).
• Assist participants in maintaining housing and independence through home visits and collaboration with caregivers and housing providers.
• Advise team members on dementia, behavioral challenges, and care strategies.
• Document clinical services and placements, hospitalizations, and major events per PACE requirements.
• Assist with Medicaid eligibility, grievances, and appeals.
• Coordinate transitions when program ends and ensure continuity of services.
• Provide case management and coordinate appointments between social service staff and participants.
• Perform administrative tasks like filing, scanning, and mailing.

Skills

Organizational skills

Communication skills

Problem solving

Interdisciplinary teamwork

Education

Bachelor's degree in social work

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Social Work Case Manager

Full Time Evansville, IN, US

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:

• 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.

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
• 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

Monday- Friday 8am-4:30pm
Monday- Friday 8am-4:30pm