Responsible for providing clinical and case management services for NEIGHBORHOOD PACE Participants. The Social Worker (SW) is an integral member of the Interdisciplinary Team (IDT). Conducts clinical assessments, formulates treatment plans which are updated on the care plan; coordinates interventions with other providers and members of the IDT to support participants’ mental health consistent with PACE policies and procedures. Reports directly to the PACE Center Director with clinical oversight by the Social Work Clinical Project Manager.
Essential Duties and Responsibilities:
Responsible for intake and enrollment, including ability to administer a complete psychosocial assessment and identify factors that impact upon the participant’s current level of functioning.
Completes initial assessments and contributes to the plan of care by recognizing and articulating the way ESP and family can meet, maintain or enhance a potential participant’s level of functioning in the community.
Coordinates, and demonstrates a leadership role in family meetings evidenced by the ability to restate important themes and articulate conclusions or next steps.
Participates actively as part of an Interdisciplinary team. Sharing Initial and Bi-annual assessments. Writes and follows up on stated treatment interventions reflected in the IDT care plan.
Develops and leads activities, which demonstrate an area of clinical expertise. This may include but not be limited to group counseling, resource management, psycho-therapy, end-of-life care, supervision of social work interns, or case presentation at the ethics committee. Demonstrates knowledge by participating and attending appropriate workshops and seminars
Assists team in obtaining bed for participants needing long term or short term SNF placement.
Coordinates admissions and discharges for participants in need of psychiatric hospitalization
Qualifications and Requirements:
MSW with at least 1 year experience in a social work capacity in a community setting preferred.
Possess or working toward licensure as a Licensed Clinical Social Worker (LCSW) only.
Experience in working with the elderly, preferably in an interdisciplinary team setting.
The ability and willingness to assist outside of traditional roles.
Bilingual (English/Spanish) preferred.
Internal Number: R0000972
About East Boston Neighborhood Health Center
East Boston Neighborhood Health Center is a great place to work. As one of the largest community health centers in the country, we provide a comprehensive system of services including primary and specialty care, a 24-hour Emergency Department, community-based outreach and health education programs, and a widely acclaimed Neighborhood PACE program. (PACE). We now have over 1000 employees including over 200 providers to support our mission to provide quality health care that is both affordable and accessible. There’s a reason East Boston Neighborhood Health Center is ranked as one of the “Top Places to Work” by The Boston Globe for four years running!