Social Worker

Kintegra Health; Shelby (NC); On-site; USD 52,000 - 78,000; Full time

Job summary

Kintegra Health in Shelby, NC is seeking a Social Worker (MSW) to provide direct case management to Senior Total Life Care participants in a home- and community-based model of care. You will screen participants, coordinate referrals, conduct home visits, and collaborate with an interdisciplinary team under the Center Manager.

Must hold a Master’s in Social Work and have a valid NC driver’s license with a vehicle; travel may be required.

Qualifications

• Master's Degree from an accredited School of Social Work required.
• 2 years health-related experience preferred; 1 year with frail elderly.
• Valid NC Driver's License or equivalent and vehicle.

Responsibilities

• Participates in interdisciplinary assessments, care planning and reassessments for participants.
• Maintains written case management records and updates care plans as needed.
• Provides individual/family counseling and leads group activities.
• Advocates for access to services and referrals to community resources.
• Collaborates with staff on social, emotional and cultural factors affecting care.
• Coordinates 24-hour care delivery and communicates changes to the team.
• Documents participant changes in medical records timely.
• Promotes teamwork and alignment with Senior TLC's mission and values.

Skills

Case management

Home visits

Interdisciplinary teamwork

Counseling

Education

Master's Degree in Social Work

Job description

Job Title

Social Worker (MSW)

Supervisor

Center Manager

FLSA Status

Exempt

Salary Range

See Salary Scale

Job Summary

Responsible for providing direct social work case management services to the Senior Total Life Care (TLC) participants in a home and community-based model of care. Provides such social services support as participant screening, case management and referral. Links participants with appropriate community resources . Makes home visits to private homes of STLC participants, which may necessitate frequent travel. Reports directly to the Center Manager.

Education

Master's Degree from an accredited School of Social Work required.

Experience

2 years experience in a health related area preferred. Minimum of 1 year experience working with the frail elderly population.

Number and Type of Employees Supervised (optional)

None.

Licensure, Registry or Certification Required

A valid NCDL and vehicle.

Special Training

Individual therapy skills for geriatric participants, analytical thinking and problem solving abilities. Experience in linking clients with appropriate community resources. Only act within the scope of his or her authority to practice. Meet a standardized set of competencies for the specific position description established by Senior TLC and approved by CMS before working independently.

Immunizations

Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.

Ages Of Patients Rendered Care

Neonate/Infant Early Childhood Adolescent Adult Geriatric All Age Groups

Key Responsibilities

• Participates in the Interdisciplinary Team's initial assessments, care planning and periodic re-assessments (minimally every 6 months) of participants’ cases. Assessments are to be completed prior to the scheduled team meeting.
• Maintains current written case management records, including periodic reassessments of program participants.
• May Provide individual and family counseling, develops and leads group counseling and activities.
• Assists and advocates for participants’ access to services. Refers participants and families to appropriate community agencies or facilities, acting as a liaison with such organizations and as an advocate for participants.
• Consults with and advises staff members as to the relationship of social, emotional, and cultural factors to health and medical care, and as to the availability of social services in the community.
• Assists with coordination of 24-hour care delivery.
• Documents participant changes appropriately in the medical record and communicates participant changes to team members as needed.
• Updates participants’ care plans appropriately throughout the reassessment period.
• Participates, collaborates, and contributes as a member of the Interdisciplinary team (IDT). Emphasizes teamwork and collaboration in all clinic and Interdisciplinary interactions.
• Supports his/her Interdisciplinary Team (IDT) and promotes unity among the team while interacting with the team, other co-workers, and/or participants.
• Participates in participant care planning including the implementation of SMART goals/interventions for the participants’ care plans and enters all care plan information in a timely manner as per organizational protocols.
• Supports Senior TLC’s mission to encourage and support the quality of life of seniors wishing to continue living in the community; its vision to be the preferred provider of individualized care for seniors in the community; and its values of respect, integrity, accountability, compatible goals, and compassionate care.
• Other duties as assigned.