What are the responsibilities and job description for the Social Worker position at Uphams Corner Health Center?
UPHAM’S CORNER HEALTH COMMITTEE, INC.
d/b/a
Upham's Corner Health Center
Upham's Program of All-Inclusive Care for the Elderly
Position Title:
Social Worker
Department:
Program of All-Inclusive Care for the Elderly (PACE)
Supervisor:
Social Work Manager
Hours per week/Schedule:
40 hours, Monday – Friday, 8-4pm
Updated: November, ‘23
Program Overview:
Programs of All-Inclusive Care for the Elderly a (PACE) is a national model of care that provides older adults, who are eligible for a nursing home level of care, health care and support services to help them age safely in place.
The PACE model is based on the belief and experience that older adults with chronic care needs are better served living in their homes and communities, whenever possible.
Upham’s PACE supports a diverse population of older adults in the community and at our PACE centers located in Dorchester, Roxbury, and Jamaica Plain neighborhoods of Boston.
Primary Function:
The PACE Social Worker serves as a core member of the PACE Interdisciplinary Team (IDT) through the provision of therapeutic interventions, case management, and advocacy on behalf of program participants and their caregivers
Duties & Responsibilities:
Provide care to a caseload of older adults and their families/caregivers in a variety of settings including, the PACE Day Health Center, participant’s homes, and care facilities.
Provide in-person, telephonic, and virtual supportive counseling to participants, families, and caregivers.
Conduct initial, bi-annual, and unscheduled comprehensive assessments of participants.
Develop and implement fluid, participant centered care plans.
Collaborate with the Community Resource Specialist to support participants and caregivers in completing their case management needs.
Work closely with the Behavioral Health Therapist and Chaplain to ensure that participant’s mental and spiritual wellness are supported
Attend daily meetings with the PACE IDT
Contribute to the problem-solving process of participant care issues using social work values and principles
Act as liaison between the IDT and caregivers/family
Orient participants, families, and caregivers to PACE services
Coordinate care with outside providers and programs
Play an active role in the end-of-life transition for participants, families, and caregivers.
Identify, organize, and implement support groups for participants and caregivers
Complete documentation in accordance with Upham’s PACE and CMS standards
Supervise Social Work Interns as needed
Present ethical dilemmas at quarterly Ethics Committee meetings.
Perform other duties as required by the position and/or as assigned by the Manager of Social Work
Experience & Qualifications:
Master’s degree in Social Work with LCSW/LICSW licensure
Two years of experience working with older adults in a community or medical setting preferred
Experience and interest in supporting a diverse population of older adults
Knowledge of dual diagnosis treatment, harm reduction, trauma informed care, motivational interviewing, and the recovery model
Commitment to equitable and culturally appropriate care for a wide range of diverse populations, including (but not limited to) communities of color, LGBTQ communities, non-English speaking populations, people with histories of incarceration, people with substance use disorders and behavioral health challenges, and people experiencing homelessness
Bilingual in English/Spanish a plus
Interest in working in a collaborative, team environment.
Bilingual, Bicultural, LGBTQIA identifying, Black, Indigenous, and People of Color are encouraged to apply.
Supervisory Responsibility:
Supervision of social work interns if able, as needed.
Define Access Level to PHI:
4 - Authorized to access full health information. UCHC position and job responsibilities involve the provision of patient care and working as a clinical team member. Staff in this category level, although allowed full access, should only access the necessary information for each respective treatment encounter/circumstance.
Master’s degree in Social Work with LCSW/LICSW licensure
Two years of experience working with older adults in a community or medical setting preferred
Experience and interest in supporting a diverse population of older adults
Knowledge of dual diagnosis treatment, harm reduction, trauma informed care, motivational interviewing, and the recovery model
Commitment to equitable and culturally appropriate care for a wide range of diverse populations, including (but not limited to) communities of color, LGBTQ communities, non-English speaking populations, people with histories of incarceration, people with substance use disorders and behavioral health challenges, and people experiencing homelessness
Bilingual in English/Spanish a plus
Interest in working in a collaborative, team environment.
Bilingual, Bicultural, LGBTQIA identifying, Black, Indigenous, and People of Color are encouraged to apply.
Supervisory Responsibility:
Supervision of social work interns if able, as needed.
Define Access Level to PHI:
4 - Authorized to access full health information. UCHC position and job responsibilities involve the provision of patient care and working as a clinical team member. Staff in this category level, although allowed full access, should only access the necessary information for each respective treatment encounter/circumstance.
