Social Work Care Manager (SWCM)

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Are you looking for a full-time position, where you can change the lives of seniors? Then this
is the placement for you!

The Multipurpose Senior Service Program (MSSP), a division of Choice in Aging located in
Pleasant Hill, has an opening for a Social Work Care Manager. This position is Monday -
Friday 8am - 5pm.

The Social Work Care Manager (SWCM) functions as a geriatric care manager for frail lowincome
elders enrolled in the MSSP Medi-Cal Waiver program. The SWCM evaluates the
potential client as a total person and identifies the functional limitations that impede
independent living. He/she plans, provides and coordinates a wide range of services to assist
clients in avoiding nursing home placement and to remain safely living independently. The
SWCM is responsible for the following activities:
Case Management:
1. Develop care plans for each assigned client following California Department of Aging MSSP
protocol.
2. Coordinate services for socially and medically complex clients.
3. Monitor health and/or psychosocial changes in clients through monthly contacts with client,
family and professionals.
4. Participate in case consultation with MSSP nurse care manager.
5. Arrange medical/social services for clients within budgetary and contractual guidelines.
6. Collaborate with health care and social service coordinators of other agencies and hospitals to
maximize use of community services.
7. Plan termination of clients using MSSP protocol for which services are no longer necessary
or appropriate.
8. Refer to APS any suspected cases of abuse, neglect or exploitation.
9. Consult regularly with Supervisor on issues related to caseload, focusing on challenging cases
and unfamiliar procedures.
10. Participate in MSSP quality assurance activities.
Client Selection/Assessment:
1. Screen applicants for MSSP eligibility using established criteria.
2. Conduct enrollment visits to pre-screened clients to assess eligibility and enroll per program
criteria.
3. Conduct in-depth assessments according to MSSP protocol.
4. Communicate with and reassess clients monthly, quarterly, annually based on MSSP
protocol.
Record Keeping:
1. Responsible for completing all required documentation for assigned clients following MSSP
protocol.
2. Responsible for supplying accurate data for management information system and required
reports.
3. Use a computer to complete assessments, summaries, care plans and case notes.
Service Referrals:
1. Maintain and update a resource file on service providers and vendors and share new resources
with team members.
2. Assist with locating new providers and evaluating old service providers.
3. Communicate regularly with service providers to assure satisfactory service delivery.
Outreach Activities:
1. Participate in public relations activities to increase number of clients and broaden public
awareness of MSSP.
2. Give feedback to referring parties regarding appropriateness of referrals and capacity of
MSSP to address identified needs.
Hours: 40 hours per week Monday through Friday
Benefits: A generous PTO plan, retirement, health and life/LTD.
Qualifications:
1. Master's degree in social work, psychology, counseling, rehabilitation, gerontology,
sociology, or related filed.
AND
2. Two years experience working with frail elders.