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Job Details

Social Worker II -Growing Elder Service Program - Grove Street

Company name
Fallon Health

Worcester, MA, United States

Employment Type

Case Management, Counseling, Healthcare, Public Interest

Posted on
Jun 14, 2021

Valid Through
Sep 27, 2021

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About Fallon Health
Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation\u2019s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit
About Summit ElderCare:
Fallon Health operates the largest Program of All-Inclusive Care for the Elderly (PACE) in New England and the fifth largest in the country. Called Summit ElderCare, Fallon\u2019s PACE helps provide older adults and their caregivers with a welcome alternative to nursing home care. Participants in Summit ElderCare have access to comprehensive medical services and social support at a Summit ElderCare site while they keep the independence of living in their own homes and communities.
Summary: Functions as a member of the PACE Interdisciplinary Team and provides social work services and support to participants, families and other caregivers. Provides direction to bachelors\u2019 level social workers as assigned by Social Work Manager.
Primary job responsibilities:

Participates in the intake and evaluation process by conducting the initial social work assessment, administering MSQs, developing an intake summary and presenting the social work perspective to the Interdisciplinary Team.
Assures that participants rights are reviewed during the intake process.
Conducts reassessments at least semiannually and whenever there is a change in participant status or the participant /caregiver requests it.
Develops and implements a social service plan of care for each participant and updates it based on the results of reassessments or on-going changes in status.
Responsible for the maintenance of appropriate records and documentation in the medical record including at least the initial assessment, quarterly progress notes, significant changes and all participant-related interactions.
Participates as a member of the Interdisciplinary Team at daily team meetings and care planning meetings.
Assists team members to understand the social, emotional, cultural and psychosocial aspecst of participants\u2019 situations.
Acts as an advocate and liaison when counseling services are needed.
Completes documentation and record-keeping related to disenrollment\u2019s, deaths and permanent placement; distributes relevant notifications.
Participates in the development, promotion and implementation of caregiver support groups or programs; leads or co-leads groups as necessary.
Assists in managing referral telephone calls as needed.
Implements program policies and procedures as directed.\u2002
Assists in the conversion of participants from community based Medicaid to long-term care Medicaid when necessary. Works collaboratively with the Operations Support Representative to assure appropriate access to Medicaid benefits.\u2002\u2002\u2002\u2002
Pursues relevant professional development. Attends appropriate workshops and in-service activities to maintain current professional status.
Consistently follows the Social Work Code of Ethics.

Education:  Masters degree in Social Work\u2002\u2002\u2002\u2002\u2002
License:  Valid and unrestricted license to practice social work from the Board of Registration of Social Work of the Commonwealth of Massachusetts.  Reliable transportation required.\u2002\u2002
Certification:  CPR and Alzheimer\u2019s certification or willingness to be certified.\u2002\u2002\u2002\u2002\u2002
Experience:  At least two years experience in a Social Work capacity, preferably in a community setting, with a minimum of one year experience working with a frail or elderly population.\u2002

Demonstrates commitment to the Fallon Community Health Plan Mission, Values and Vision.
Specific competencies essential to this position:

Customer Focus
Commitment Through Action
Contributes to Team Performance
Focus Upon Quality

Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Company info

Fallon Health
Website :

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