HRTMS Job Description Management
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| JOB PURPOSE |
| The Social Worker provides direct case management services to On Lok participants. The primary role of the MSW is to assist participants and their family/caregivers to cope with the social and emotional issues and practical arrangements related to maintaining their independence. Under the supervision of Regional Social Work Manager with additional oversight from the Center Director and support from the Social Work Lead (SWL) at the center, the MSW serves as an integral member of the Interdisciplinary team (IDT) providing assessments, coordination, treatment planning, information and referral to community resources and other social work services to meet the complex needs of participants and their families. |
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| ROLES AND RESPONSIBILITIES |
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| CLINICAL PRACTICES & CASE MANAGEMENT |
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Utilize independent judgement and discretion to provide case management to a panel of participants. |
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Conduct initial and routine psychosocial assessments on new and existing participants in order to develop, implement and update individualized care plans and interventions. |
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Partner with caregivers and support system to develop care plan and deliver services. |
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Identify risks and other psychosocial problems. |
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Identify service needs of each participant; advocate, refer, coordinate and follow up in a timely fashion. |
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Provide individual counseling. |
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Facilitate family conferences. |
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Reach out to the larger community to meet participants’ specific needs. |
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Assess needs and complete discharge planning when a participant dis-enrolls from On Lok. |
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Facilitate participant and/or caregiver groups and participate in special events such as weekend caregiver workshops. |
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May review and verify the findings of assessments conducted by non-MSW social workers. |
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| INTERDISCIPLINARY TEAM MEMBER |
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Act as the main liaison between participants, caregivers, the team, and the community. |
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Work with relevant departments such as Health Plan and other community agencies (e.g. RCFE, NF, DAAS) |
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Adhere to all ethical and legal standards of social work practices. |
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Comply with all On Lok policies & procedures including but not limited to PACE, safety, and confidentiality requirements. |
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Fulfill all documentation requirements in a timely and accurate manner. |
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Actively participate in team meetings, advocate for the needs of participants and their caregivers, compromise differences among team members, support and carry out team plans. |
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Incorporate the Healthcare Hospitality G.R.E.A.T. Practices for 5-Star service. |
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Assist in the continuous quality improvement of social work services and efficiency of systems. |
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All other reasonably related duties as assigned. |
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| Education |
| Education Level |
| Master's Degree |
| Master's Degree |
| Bachelor's Degree |
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| Work Experience |
| Experience |
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| Knowledge, Skills and Abilities |
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| Licenses and Certifications |
| Enter Licenses/Certifications |
| Clinical\MSW - Medical Social Worker |
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| Work Experience (Preferred) |
| Experience |
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| Knowledge, Skills and Abilities (Preferred) |
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On Lok
Dedicated to The Care of Elders:
On Lok is a not-for-profit organization founded in the early 1970s by a group of citizens concerned about the plight of elders and the lack of long term options in the community. On Lok serves as the administrative arm of a group of five affiliated non-profit organizations. Its functions include research and development, human resources, fundraising and management information systems.
We understand the importance of a system that works together. Your expertise, drive and passion can help us carry out our mission to improve lives and advance healthcare.
Join our team of leaders to begin a rewarding career!
On Lok's Employee Benefits include (eligible for any position for 20 hr/wk or more):
- Medical, Dental, and Vision coverage
- Retirement Savings Plan 403(b) and Term Life/AD&D Insurance
- Flexible Spending Account, Commuter Benefits, Pet Insurance and Employee Discount Program
- Mental Wellness Resources and Employee Assistance Program(EAP)
- Holidays (10 per year), vacation time, sick leave, and long-term disability insurance, and additional benefits are available
Your final compensation offer will be determined based on factors such as skills, experience, education, and licenses/certifications. The pay range is expressed as an hourly rate regardless of FLSA status. Exempt positions are paid salaried and are not subject to overtime.
Pursuant to the San Francisco Fair Chance Ordinance, and state and federal laws (including federal PACE requirements at 42 CFR 460.64(a); 460.68(a), we will consider for employment qualified applicants with arrest and conviction records.
On Lok is an equal opportunity employer committed to a diverse and inclusive workforce. All applicants will receive consideration for employment without regard to sex (including pregnancy), race, religion, color, gender, gender identity, gender expression, sexual orientation, national origin, ancestry, disability, medical condition, genetic information, marital status, age, military or veteran status, or any other legally protected status.
If you require reasonable accommodation to participate in the job application or interview process, to perform essential job functions and/or to receive other terms, privileges or benefits of employment please contact Recruitment (recruitment@onlok.org).
