Description

Harbor Health  operates two PACE/Elder Service Plan Programs (Program for All-Inclusive Care for the Elderly), in Mattapan and Brockton, providing comprehensive healthcare, transportation and social services for more than 580 frail elders who continue to live with dignity and independence in the community and a Woman, Infants and Children (WIC) Nutrition Program. To help further the mission of Harbor, we are looking for a talented Social Worker (LCSW or LICSW) to join our team at the Elder Service Plan in Brockton, MA. 

Role: 

The 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.  Position is 32 hours weekly., 4 days, flexible on days

The position is located at our Elder Service program located at 479 Torrey Street in Brockton, MA. The Harbor Health Elder Service Plan offers a personalized healthcare program and care plan guided and provided by our own team of geriatric professionals including MDs, NPs, Occupational and Recreational therapists and much more!  Come join our caring social work team! To learn more about PACE click here:  What is PACE? 

GREAT benefits offered including Health, Dental, Vision, Life Insurance, Wellness programs and generous paid time off plus 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 site 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

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.