Social Work Manager: Elder Care Leader & Home Visits

Trinity Health; Pennsauken Township (NJ); On-site; USD 70,000 - 100,000; Full time

Job summary

Trinity Health PACE in New Jersey seeks a Social Worker Manager to plan, organize, and direct social services within the PACE Organization. You will supervise social workers, assess participants, coordinate care plans with the IDT, and support families in counseling and education.

The role involves leading the social services team, overseeing case management, and ensuring compliance with PACE standards. A Master's in Social Work and relevant experience are required.

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.

Responsibilities

• 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.

Skills

Two years of experience with frail/eld

Knowledge of social work principles

Valid driver's license

Education

Master's degree in social work

Job description

Trinity Health PACE in New Jersey seeks a Social Worker Manager to plan, organize, and direct social services within the PACE Organization. You will supervise social workers, assess participants, coordinate care plans with the IDT, and support families in counseling and education.

The role involves leading the social services team, overseeing case management, and ensuring compliance with PACE standards. A Master's in Social Work and relevant experience are required.