Harbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health. To help further the mission of Harbor, we are looking for an extremely talented Geriatric Social Worker to join our team at the Elder Service Plan (a PACE Program) in Brockton, MA.
RoleThe Social Worker plans, coordinates and manages social work services for frail older adults and caregivers of Elder Service Plan (ESP) within the community as part of Integrated Disciplinary Team (IDT). Duties include but are not limited to conducting initial, semi, and annual assessments; participating in the Intake process for potential participants; providing supportive counseling to ESP participants and their family members; actively participates in Interdisciplinary Plan of Care meetings and morning meetings; arranges family meetings for IDT. Care is provided in the clinic or in the home setting as needed.
The position is located at our Elder Service program located at 479 Torrey Street in Brockton. The Harbor Health Elder Service Plan offers a personalized healthcare program and care plan guided and provided by our own team of geriatric professionals. Come join our caring social work team! GREAT benefits offered including generous paid time off and 11 additional paid holidays annually and much more! Responsibilities

• Participates in the intake screening process in potential participants residences, conducts a bio-psychosocial assessment.
• Conducts timely initial, annual, and semiannual psychosocial assessments in client's residences in order to develop participants plan of care to include assessment tools of PHQ-9, MOCA, and CDR.
• Actively participates in required meetings to include but not limited to Morning/Weekly Team, Plan of Care, and Family Meetings.
• Responsible for attending monthly service plan meetings for participants in assisted living and nursing home facilities.
• Provides individual and family supportive counseling at ESP and client's residences and conducts participant and caregiver support groups.
• Manages clients during psychiatric hospitalizations.
• Assists/advocates for interdisciplinary team, clients and families with community resources.
• Works with financial staff to assist with bi-annual financial redeterminations.
• Must be able to travel between Harbor sites and participant's residences as needed in a timely manner.

Requirements

• MSW from an accredited school of social work, LCSW or LICSW required, current BLS Certification required
• 1 year of experience working with the frail elder population (paid or volunteer experience).
• 2 years of professional experience of which 1 year was in providing direct behavioral health therapy to an adult population.
• Basic skills for Microsoft Office applications: Word, Excel and Outlook.
• 2 or more years of geriatric experience preferred.
• Experience with dementia care, substance abuse and end of life care preferred.
• Critical thinking skills to problem solve individually and in a team setting
• Bilingual a plus; English/Spanish or English/Haitian Creole.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.Employment Type: Full Time
Years Experience: 1 - 3 years
Bonus/Commission: No