Social Worker- Registry- PRN

Esperanza Health Centers; Chicago (IL); On-site; USD 47,000 - 63,000; Full time

Job summary

Esperanza Health Centers is seeking a Social Worker for the PACE program on a per diem/PRN dayshift schedule. The role involves coordinating psychosocial services, conducting assessments, and supporting participants and families to maintain independence at home.

The Social Worker will collaborate with the interdisciplinary team, perform necessary evaluations, and help ensure high-quality, client-centered care in a community-based setting.

Qualifications

• Conducts initial social work assessment and reassessments for all PACE participants.
• Performs comprehensive psychosocial assessments in line with practice act.
• Identifies warning signs of mental health distress and communicates with IDT.
• Maintains rapport and ensures patient satisfaction.
• Coordinates with IDT to develop individualized care plans.

Responsibilities

• Participates in IDT meetings and family conferences.
• Assists in completion of DON documentation as part of enrollment.
• Monitors the quality and effectiveness of services per care plan.

Skills

Social Work

Psychosocial Assessment

IDT Coordination

Case Management

CMS Audits

Education

Master of Social Work (MSW)

Job description

Description

Work Type: Per diem/PRN - dayshift, M-F hours only

Compensation: $40/hour

What is PACE?

PACE, or Program of All-Inclusive Care for the Elderly, is an alternative care model for those over 55 years of age requiring nursing home level of care which aims to keep participants living at home in the community. PACE is a collaborative, interdisciplinary approach which coordinates all levels of medical and social needs, including prevention, wellness, socialization, primary care, and access to specialists and other services.

The Social Worker provides and coordinates a wide range of psychosocial services to participants and their families. The Social Worker is also responsible for providing community-based case management services for program participants.

Primary Duties And Responsibilities

• Conducts an initial Social Work assessment and scheduled and as-needed reassessments for all PACE participants.?
• May participate in completion of Determination of Need (DON) document as part of PACE enrollment eligibility assessment.
• Performs all functions and duties as required as a member of the PACE Interdisciplinary Team (IDT), including, but not limited to, participation in IDT meetings, family conferences, grievances, service determination requests, CMS audits.
• Coordinates with IDT in developing individualized plans of care for each PACE participant.
• Performs comprehensive psychosocial assessments in accordance with practice act: for the evaluation, treatment, and prevention of mental and emotional disorders in individuals, families, and groups based on knowledge and theory of professionally accepted theoretical structures, including, but not limited to, psychosocial development, behavior, psychopathology, unconscious motivation, interpersonal relationships, and environmental stress.
• Establishes and maintains a working rapport with participants.
• Maintains and promotes patient satisfaction through acknowledgement that environmental, social, and cultural factors influence one’s health.
• Assures completion of assessments in appropriate time frame
• Identifies warning signs of mental health distress, communicates findings with IDT, makes recommendations to behavioral health counselors or other professionals as needed.
• Monitors the quality and effectiveness of the services provided to a participant according to the individualized care plan.