Overview


Provides comprehensive social work services to PACE participants. Responsibilities include, but are not limited to, continual psychosocial evaluation and intervention; assessment for admission and ongoing eligibility, patient rights and advocacy function, daily case management, individual/group and family counseling as appropriate. Is a key member of the PACE Interdisciplinary Care Team.


Responsibilities


Job duties specific to this position:

+ Presents social work concerns and issues, suggestions for intervention(s) and recommendations for the treatment plan of individual participants to interdisciplinary team.

+ Confers with the participant and family (as appropriate) regarding individual expectations plus long and short term goals; attends/coordinates family meetings; attends nursing home care planning meetings, etc. as appropriate.

+ Attends morning meeting; during morning meeting, reviews significant e...