Fallon Health Social Services Manager - Growing Elder Service Plan in Springfield, Massachusetts
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’s 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 fallonhealth.org.
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’s 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.
Functions as a member of the PACE Interdisciplinary Team and provides social work services, support and counseling to participants, families and other caregivers. Supervises and directs the Social Work Department in accordance with accepted social work practice. Collaborates with IDT and SE management team to ensure utilization and MLR targets are met.
Participates in Interdisciplinary Team’s initial assessments, care planning and on-going re-evaluations.
Provides clinical services to participants and families in the form of psychosocial assessment and treatment.
Provides on-going case management for participants as needs and status changes.
Identifies and coordinates resources for participants and their families. Refers participants and their families to appropriate community/government agencies. Acts as advocate and liaison to obtain needed services.
Participates in care planning, family meetings, enrollment/disenrollment and reassessments of SE participants to meet regulatory requirements.
Assures that participants rights are reviewed during the intake process.
Participates in meetings, committees, in-services, orientation etc. as required.
Participates in policy/procedure and job description development for Social Work
Establishes and maintains effective collegial relationships with interdisciplinary team members.
Develops collaborative relationships with other health and human services agencies and community providers.
Consults with and advises staff members of the relationship of social, emotional and cultural factors of health and medical care.
Participates in Quality Improvement initiatives. Encourages and facilitates subordinates’ ability to participate.
Directly supervises and provides clinical supervision to other social workers. Interviews, hires and trains employees. Conducts regular touchpoint meetings, completes performance appraisals, ensures employee competencies, and addresses employee relations issues immediately and directly. Keeps Site Director informed of all employee relations issues and other issues as necessary.
Keeps current on changing rules and regulations regarding Medicare/Medicaid eligibilities.
Communicates changes in regulations affecting the PACE program to Social Workers.
Pursues relevant professional development. Attends appropriate workshops and in-services activities to maintain current professional status.
Consistently follows Social Work Code of Ethics.
Performs all duties in accordance with FH and Summit ElderCare policies and procedures.
Education : Masters in Social Work
License: Valid and unrestricted license to practice social work from the Board of Registration of Social Work of the Commonwealth of Massachusetts (i.e., LCSW or LICSW)
reliable transportation required to facilitate necessary travel in the community, between sites and other facilities * *
Experience: At least five years of experience in a social work capacity, preferably in a medical setting, with a minimum of 2 years of experience working with a frail or elderly population . At least 2 years of s upervisory experience preferred.
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.
Posted Date 1 month ago (3/2/2020 5:22 PM)
Job ID 5937
# Positions 1
Category Social Work