Social Worker - LMSW Job El Paso area,Texas USA,Healthcare

Bienvivir All-Inclusive Senior Health (“Bienvivir”) is a community-based, patient-centered comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly (“PACE”).

PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible.

BENEFITS

for Full and Part-time employees who work 30 or more hours per week:

We pay 100% of the MEDICAL monthly premiums for Employee Only coverage.
We pay 100% of the DENTAL monthly premiums for Employee Only coverage.
We provide an affordable VISION monthly premium for Employee + Family coverage.
We pay 100% of BASIC LIFE for a benefit amount of $10,000.
We offer safe harbor matching contributions for the 403(B) RETIREMENT SAVINGS account.
We offer up to fifteen (15) days of PAID TIME OFF based on paid hours per pay period.
We offer eleven (11) company-observed PAID HOLIDAYS.
We offer education and TUITION REIMBURSEMENT.
We offer MILEAGE REIMBURSEMENT.

Bienvivir is currently accepting applications for the following position:

SOCIAL WORKER-LMSW:

Under the supervision of the Social Work Manager, the Social Worker – MSW is responsible for providing outreach, social services, crisis, counseling and intervention, advocacy, and case management to participants enrolled in Bienvivir and their families. It is the responsibility of the Social Worker to ensure that cultural/ethical considerations of participants are addressed in long term care programming, planning, and treatment.

RESPONSIBILITIES:
Case Management:

Provides case management services to an assigned caseload of Participants.

Completes Home Safety Screen as per fall policy if no Home Health services are in place.

Completes Plan of Care review and Signature Page with the participant, placement facility and/or participant representative within 15 business days of dated IDT completed Care Plan.

Visits participants that are hospitalized as indicated and begins the discharge planning process to ensure a smooth transition upon discharge.

Serves as a liaison to the participant’s family via home visits, family conferences and telephone contacts, utilizing appropriate protocols to keep all parties informed.

Assists with Permanent and Respite Placements as indicated.

Complete Placement cost contract and submit for approval.

Attends facility case conferences as necessary.

Completes Medical Alert referral when approved by the IDT.

Completes disenrollment documents (death and non-death).

Completes MSUR Service Delivery Day Unit form on a timely basis.

Provides appropriate documentation for internal and external reporting purpose such as psychosocial assessments, progress notes, and reports of changes in status/condition within a 24-hour time frame of contact.

Completes interventions on care plan within 3 months of dated IDT completed Care Plan.

Assists participants with reports that are required on an annual basis (i.e., Medicaid renewals, recertifications, etc.)

Identifies participants eligible for transfer and initiate transfer checklist.

Refers participant and family members to community resources as needed.

Performs on-call duties from Friday to Friday, reporting physician on-call and any other staff person who is on call during the same time;
Cooperates with other disciplines to trouble-shoot and resolve difficulties that arise while performing on-call duties.

IDT Responsibilities:

As a member of the IDT, meets to develop a comprehensive Plan of Care in collaboration with the Participant and/or designated representative listing all care needed to meet the participant's medical, physical, emotional, and psychosocial needs.

Completes an initial in-person comprehensive assessment on…


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