Manager, Social Work

About us:

Fallon Health is a company that cares. We prioritize our members--always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the nation's top health plans for member experience, service, and clinical quality.

Fallon Health's Summit ElderCare is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an alternative to nursing home care, is a program that helps people 55 and older continue living safely at home. At Fallon Health, we believe our individual differences, life experiences, knowledge, self-expression and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status and other characteristics that make people unique.

Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE- in the region.

Summary of purpose:

Functions as a member of the PACE Interdisciplinary Team and provides social work services, support and counseling to participants, families and other caregivers. Supervises and directs the Social Work Department in accordance with accepted social work practice. Collaborates with IDT and SE management team to ensure utilization and MLR targets are met. May provide support, training and coverage to other PACE sites as needed.

Primary Job Responsibilities:

Participates in Interdisciplinary Team's initial assessments, care planning and on-going re-evaluations.
• Provides clinical services to participants and families in the form of psychosocial assessment and treatment.
• Provides on-going case management for participants as needs and status changes.
• Identifies and coordinates resources for participants and their families. Refers participants and their families to appropriate community/government agencies. Acts as advocate and liaison to obtain needed services.
• Participates in care planning, family meetings, enrollment/disenrollment, and reassessments of SE participants to meet regulatory requirements.
• Assures that participants rights are reviewed during the intake process.
• Participates in meetings, committees, in-services, orientation etc. as required.
• Participates in policy/procedure and job description development for Social Work Department.
• Establishes and maintains effective collegial relationships with interdisciplinary team members.
• Develops collaborative relationships with other health and human services agencies and community providers.
• Consults with and advises staff members of the relationship of social, emotional, and cultural factors of health and medical care.
• Participates in Quality Improvement initiatives. Encourages and facilitates subordinates' ability to participate.
• Directly supervises and provides clinical supervision to other social workers. Interviews, hires, and trains employees. Conducts regular touchpoint meetings, completes performance appraisals, ensures employee competencies, and addresses employee relations issues immediately and directly. Keeps Site Director informed of all employee relations issues and other issues as necessary.
• Keeps current on changing rules and regulations regarding Medicare/Medicaid eligibilities.
• Communicates changes in regulations affecting the PACE program to Social Workers.
• Pursues relevant professional development. Attends appropriate workshops and in-services activities to maintain current professional status.
• Consistently follows Social Work Code of Ethics.
• Performs all duties in accordance with FH and Summit ElderCare policies and procedures.

Education:

Must possess a Master of Social Work (MSW) degree from an accredited college or university

License:

At least five years of experience in a social work capacity, preferably in a medical setting, with a minimum of 2 years of experience working with a frail or elderly population. At least 2 years of supervisory experience preferred.

Pay Range Disclosure:
In accordance with the Massachusetts Wage Transparency Act, the pay for this position is $ 107,000-$110,000 annually which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate's experience, skills, and fit with the role's responsibilities.

Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.