PACE LICENSED CLINICAL SOCIAL WORKER

The LCSW will provide assessment, diagnosis, treatment, crisis intervention, and case management for members with mild to moderate behavioral health needs; and assessment, diagnosis, crisis intervention, brief treatment and referral of members with acute or chronic psychiatric and/or behavioral health needs. The LCSW will provide direct social work care management services to PACE participants and works collaboratively with the PACE Interdisciplinary Team (IDT) to manage long-term care needs. The LCSW will also supervise ACSWs.

ESSENTIAL JOB FUNCTIONS:

• Conducts psychosocial assessments to determine PACE Participants’ care needs, preferences, and goals.
• Ensure compliance of PACE Social Worker staff through supervision in all social work areas including documentation, assessments, case management, psychotherapy, and care plan completion.
• Develops treatment care plans and interventions and continues to engage in participants to improve behavioral health conditions.
• Participates as an active member of the IDT for Participant care planning and communicates effectively and openly with other Interdisciplinary Team members on participant status and needs.
• Provides appropriate crises intervention/treatment to participants in emergent situations including assessment, counseling, information/referral and providing consultation to PCP and IDT team.
• Performs roles and responsibilities of PACE Social Worker (MSW and ACSW).
• Documents accurately and thoroughly in the Participants’ electronic health record in accordance with industry and departmental standards including time requirements.
• Develops and lead group counseling, support groups, and/or other relevant activities.
• Plans, develops, implements and coordinates a clinical treatment program for the assessment, diagnosis, treatment, crisis intervention, case management for members with behavioral health needs; and assessment, diagnosis, crisis intervention, brief treatment and referral of patients with acute or chronic psychiatric and/or behavioral health needs.
• May provide after-hours on-call coverage to support PACE participants and address their behavioral health needs when the PACE Center is closed as needed for support.
• Under supervision and in conjunction with the medical director, develops, implements, and leads both the quality improvement and outcome evaluation programs for behavioral health services.
• Provides care to Participants in-person, via telehealth, and/or via telephone, as indicated.
• Utilizes Epic appropriately and efficiently and serve as content and workflow expert for resolving issues and proposing solutions in Epic.
• Performs other job duties as required by manager/supervisor.