Social Work Supports Coordinator
The Social Work Supports Coordinator (SWSC) uses person-centered principals to perform comprehensive assessments to determine health care and social needs of applicants and eligibility for enrollment to the MI Choice Waiver Program. Assess medical, functional, psychological, financial, and environmental needs of applicants. Coordinates support services to assist participants in developing a person-centered long-term care (LTC) plan. The SC will be expected to cover the entire six-county region of the MI Choice program area as needed. Community based staff schedule will accommodate daytime, evening and weekend hours as required. Models AAA1-B values and mission.
Conducts dual discipline in-person initial assessments for the purpose of evaluating MI Choice Program eligibility. Assessment tools per contract of iHC and NFLOC. Identify resources, organizations that may meet the participants' needs. Actively participate in linking the participants to needed services and LTC strategies/resources. Conduct monitoring contact calls for participants.
Provide person-centered counseling on LTC options and strategies including the frequency, duration, and financing of services.
Educate participants and caregivers regarding the participant's health status, health promotion, and risks and benefits of treatment options or personal choices, and work with family members and other volunteer caregivers to maximize available informal support systems and community resources. Determine gaps in care and develop overall Person-Centered Service Plan in managing participant's needs.
Demonstrate quality, adherence to department, contract and program standards, compliance through consistent audit outcomes conducted by quality department, Supervisor and other metrics identified by MDHHS, OIG, CSS Department, CQAR.
Complete case transfers to ongoing Supports Coordinator once approved by Quality department and Supervisor of Enrollments.
Develop and maintain cooperative relationships with other participant support systems, and conduct referral and case conferencing activities as needed. Establish and maintain working relationships with physicians, hospital discharge planners, human service providers, home care agencies, Department of Human Services (DHS), and other referring agencies.
Maintain accurate records and participant files. Enter necessary information into the established participant tracking system. Meet quality requirements per contract/standards. Participate in peer reviews and quality activities. Report metrics. Other duties as assigned.
QUALIFICATIONS:
Minimum Bachelors Degree in Social Work & LLBSW OR Masters Degree in Social Work & LLMSW.
Will consider Social Workers with 0 or more years of experience great opportunity for training and growing on the job; SWSC will be considered for promotion after becoming a Licensed Professional.
Experienced candidates will have done prior work in psycho-social assessment or home care and/or worked with a similar target population; volunteer experience also beneficial.
Demonstrates problem solving ability and knowledge of LTC programs, eligibility requirements.
Excellent organizational skills and interpersonal skills.
Ability to work in a community-based setting, independently with little direct supervision of daily duties.
Strong computer skills required in MS Office Word, Excel, and Outlook; will test.
Valid drivers license required; will travel within a geographic region utilizing own reliable transportation.
BENEFITS:
The Area Agency on Aging 1-B in Southfield has outstanding benefits for this position that include:
Choice of 3 excellent low cost Medical Plans
Fitness and Wellness programs
Dental, Vision, Short and Long-Term Disability
Excellent PTO package
We recognize 10 regular and 3 floating holidays
Centralized commute since main office is in Southfield, MI
AND you work with very pleasant colleagues at our Agency!!
Our recruiting team would love to hear from you today! Please complete our on-line application and submit your resume for immediate consideration.
The Area Agency on Aging 1-B is an Equal Opportunity and Affirmative Action Employer.
Conducts dual discipline in-person initial assessments for the purpose of evaluating MI Choice Program eligibility. Assessment tools per contract of iHC and NFLOC. Identify resources, organizations that may meet the participants' needs. Actively participate in linking the participants to needed services and LTC strategies/resources. Conduct monitoring contact calls for participants.
Provide person-centered counseling on LTC options and strategies including the frequency, duration, and financing of services.
Educate participants and caregivers regarding the participant's health status, health promotion, and risks and benefits of treatment options or personal choices, and work with family members and other volunteer caregivers to maximize available informal support systems and community resources. Determine gaps in care and develop overall Person-Centered Service Plan in managing participant's needs.
Demonstrate quality, adherence to department, contract and program standards, compliance through consistent audit outcomes conducted by quality department, Supervisor and other metrics identified by MDHHS, OIG, CSS Department, CQAR.
Complete case transfers to ongoing Supports Coordinator once approved by Quality department and Supervisor of Enrollments.
Develop and maintain cooperative relationships with other participant support systems, and conduct referral and case conferencing activities as needed. Establish and maintain working relationships with physicians, hospital discharge planners, human service providers, home care agencies, Department of Human Services (DHS), and other referring agencies.
Maintain accurate records and participant files. Enter necessary information into the established participant tracking system. Meet quality requirements per contract/standards. Participate in peer reviews and quality activities. Report metrics. Other duties as assigned.
QUALIFICATIONS:
Minimum Bachelors Degree in Social Work & LLBSW OR Masters Degree in Social Work & LLMSW.
Will consider Social Workers with 0 or more years of experience great opportunity for training and growing on the job; SWSC will be considered for promotion after becoming a Licensed Professional.
Experienced candidates will have done prior work in psycho-social assessment or home care and/or worked with a similar target population; volunteer experience also beneficial.
Demonstrates problem solving ability and knowledge of LTC programs, eligibility requirements.
Excellent organizational skills and interpersonal skills.
Ability to work in a community-based setting, independently with little direct supervision of daily duties.
Strong computer skills required in MS Office Word, Excel, and Outlook; will test.
Valid drivers license required; will travel within a geographic region utilizing own reliable transportation.
BENEFITS:
The Area Agency on Aging 1-B in Southfield has outstanding benefits for this position that include:
Choice of 3 excellent low cost Medical Plans
Fitness and Wellness programs
Dental, Vision, Short and Long-Term Disability
Excellent PTO package
We recognize 10 regular and 3 floating holidays
Centralized commute since main office is in Southfield, MI
AND you work with very pleasant colleagues at our Agency!!
Our recruiting team would love to hear from you today! Please complete our on-line application and submit your resume for immediate consideration.
The Area Agency on Aging 1-B is an Equal Opportunity and Affirmative Action Employer.
