Case Manager (MSW) at Pace of Southwest Michigan

PACE of Southwest Michigan is currently seeking a full-time Case Manager (MSW) to join our Social Work team. We are looking for a dynamic individual who enjoys building relationships with our participants and their caregivers in a team-focused care environment. The Case Manager (MSW) is responsible for coordinating and overseeing the delivery of healthcare services to elderly participants, conducting assessments, developing care plans, collaborating with the interdisciplinary care team, and advocating for the participants' needs. This position operates under the guidance of the Social Work Supervisor but has the independence to apply advanced social work knowledge and skills. If you are passionate about making a direct impact on the lives of seniors and providing care through various resources, we encourage you to apply.

Who is PACE of Southwest Michigan?

PACE (Program for All-Inclusive Care for the Elderly) of Southwest Michigan is a 501(c)(3) organization that seeks to uniquely bridge the health and social supports required to help preserve the independence and dignity of our participants. We provide the necessary medical treatment, support, and social interaction to enable our participants to remain in their own homes for as long as possible. The care team consists of physicians, nurses, pharmacists, social workers, therapists, and transportation staff who collaborate daily to ensure comprehensive care.

PACE was born via a partnership formed by 3 local non-profit organizations; Spectrum Health Lakeland (now Corewell), Region IV Area Agency on Aging, and Caring Circle. Since PACE's inception, the organization has expanded its team to over 90 professionals and currently serves over 250 participants and their families within Berrien, Cass, and Van Buren Counties. The unique PACE model of care is centered around the belief that it is better for the well-being of seniors with chronic care needs to be served in their homes and their community whenever possible.

Why join PACE of Southwest Michigan?

In addition to our mission-driven culture and commitment to serving the participants within our community, we also provide:

Paid time off and a flexible work schedule

(8) Paid Holidays (New Year's Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Thanksgiving Day, Christmas Day).

Medical, dental, and vision insurance.

Employer-provided life, short-term disability, and long-term disability insurance.

403b retirement plan with up to a 5% match.

Education and training reimbursement.

Voluntary life insurance.

Aflac, supplemental insurance.

Employee Assistance Program (EAP).

$30/per month phone stipend.

Key Responsibilities

Participates as a member of the Interdisciplinary Team (IDT) and engages in initial assessments, care planning, and periodic re-assessments (every 6 months) of the participant's case.

Communicates participant updates to the Interdisciplinary Team and appropriate parties.

Documents appropriate updates in the participant's medical record, including assessments. Creates and maintains behavior modification plans.

Coordinates admissions and discharges from facilities deemed appropriate by the IDT. Manages the dis-enrollment process from PACE of Southwest Michigan.

Refers participants and families to appropriate community agencies or facilities. Acts as liaison with various organizations and as an advocate for participants.

Participates in program and policy development. Actively participates in the Quality Improvement Plan process.

Facilitates the Medicaid application and redetermination process with the Michigan Department of Health and Human Services (MDHHS) and ensures timely completion.

Serves on internal and external committees when appropriate.

Completes home visits as needed.

Abides by all established PACE of Southwest Michigan policies, rules, and regulations.

All other duties as assigned within the job scope.

PM20

Specifications

Education: Master's degree in Social Work. Two years' experience in a health-related industry is preferred.

Number/Type of Employees Supervised: None

Licensure, Registry, or Certification Required: Licensed MSW in the State of Michigan, valid Driver's License with a vehicle and safe driving record. CPR certification upon hire.

Special Training: Only acts within the scope of practice. Meet a standardized set of orientation and/or individual competencies for the specific position description established by PACE of Southwest Michigan, and approved by CMS before working independently.

Immunizations: Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.

Specific Requirements and Considerations: May be subject to exposure and handling of infectious waste, diseases, conditions or hazardous chemicals, etc., including potential exposure to TB, AIDS, and/or Hepatitis B.

Ages of Patients Rendered Care: Adult, Geriatric

Business Hours: Monday through Friday, 8:00 am- 4:30 pm

Skills and Knowledge

A high level of autonomy is required for clinical decisions while reporting to the Social Work Supervisor.

Excellent attention to detail and organizational skills.

Superior verbal and written communication skills.

Ability to work a flexible work schedule.

Knowledge of physical, mental, and social needs of frail older adults.

Able to work within a team setting and individually.

Self-motivated with strong decision-making skills.

Proficiency with technology, and the ability to pick up new software easily.

Able to utilize the organization's electronic medical record system.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

While performing the duties of this job, the employee is regularly required to talk and hear. The employee frequently is required to sit and use hands and fingers and handle or feel objects, tools, or controls. The employee is occasionally required to stand and walk. The employee must be able to travel in all kinds of weather.

While performing the duties of this job, the employee is required to frequently move up to 50 pounds and perform the physical demands expected while providing medical care for an elderly population. Specific vision abilities required by this job include close vision, distance vision, and the ability to focus.

Every effort has been made to identify the essential functions of this position. However, this in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

Please be aware that we require employees to pass a background check and drug screen. PACE of SWMI is a non-smoking facility.

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