Manage a caseload of 35-40 aging adults by conducting comprehensive assessments and creating client-centered care plans. Coordinate community resources and provide ongoing monitoring, counseling, and crisis intervention to prevent premature facility placement.
Requirements summary
Requires a Master's degree in social work or a related field with at least 3 years of relevant experience, including 2 years specifically with the aging population. Must obtain Red Cross, First Aid, and CPR certifications within 30 days of hire and pass fingerprinting and TB screenings.
The Aging Case Management program in San Francisco assists individuals with transitioning home from the hospital, provide on-going support for someone experiencing an age-related decline in health that needs it, provides connections to community resources and services, such as home delivered meals, patient advocacy, transportation connection, psychological and emotional support and more. Our program is recognized as a not-for-profit, full-service program providing much needed services and empowerment to the aging and impaired adult population to prevent premature facility placement.
Primary Responsibility
Under the supervision of the Program Director, the social worker is responsible for carrying a caseload of 35-40, completing comprehensive screenings and assessments and creating client care plans that assist individuals with connecting to community resources and services and document information within 24-48 hours. With the support from the supervisor, the social worker will review cases to ensure best practices and quality of care is implemented and utilized.
Conducts and writes comprehensive assessments and on-going re-assessments of assigned clients, including psychosocial, physical and mental health, environmental, and spiritual needs.
Creates and initiates a client-centered care plan, provides counseling, monitoring and care plan changes as necessary as outlined in the Case Management Accredited Policy and Procedure Manual.
Identifies, arranges for, and monitors appropriate community connections and services, based on knowledge of Medicare, Medi-Cal and other entitlement programs.
Establishes and maintains a professional care management relationship with clients and significant others with respect, dignity and support.
Provides crisis intervention, advocacy, problem solving and therapeutic interventions.
Meets with clients at least quarterly or more as needed.
Calls clients monthly for follow-up and check-ins.
Reviews and modifies client Care Plan on an ongoing basis.
Progress notes include the care activity and discussion with clients; referring to the identified goal in the care plan is completed within 24-48 hours, adding new goals to the service plan as needed.
Maintains required paperwork and follows a clear, concise and consistent system of charting to allow for continuity of care.
Educates clients and significant others about resources and, when possible, trains them to advocate for themselves in time of need.
Establishes and manages open and effective communication with community providers, including physicians and other health care and social service workers.
Provides appropriate information on all significant aspects of the individual client care and program operations while maintaining confidentiality.
Collaborate with the team, continuously evaluating clients’ ability to remain living safely at home or coordinating placement options as appropriate.
In collaboration with the client, caregiver and involved services, case manager discharges clients from services when appropriate and documents the process as required.
Maintains accurate, current, and complete client files and completes all required data collection forms and reports. Maintains appropriate records for monthly reports.
Data entry into Catholic Charities
CARES Data Systems and completion of monthly reports.
Participate in staff meetings, client peer reviews, in services and other training courses as required.
Participates in research studies and promotes ongoing efforts towards Continuous Quality Improvement.
Actively participates in team and program meetings, activities, and problem-solving endeavors; contributes to open lines of communication within the team.
Utilizes supervision appropriately, maintaining open lines of communication and providing updates on caseload activity.
Implements the ethical standards of the National Association of Social Workers in all aspects of interactions with others.
Implements regulatory and procedural requirements of Catholic Charities policies and procedures.
Attend continuing education classes and/or in-service training to increase knowledge, skills and attitudes related to case management, gerontology, family, community systems and other relevant areas.
Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Education & Experience
Master’s degree in social work or in another related field required, and at least 3 years of relevant experience related to the job description.
Minimum two years of experience providing client case management services with the aging population and/or in service programs.
Knowledge, Skills & Abilities
Exceptional communication and presentation skills relating to the frail elderly, functionally impaired adults, their support systems and teams of health professionals.
Demonstrates case management skills and experience in the community health care delivery system.
Detail oriented with good problem-solving skills and the ability to prioritize multiple tasks.
Knowledge of community resources.
Desire to work with and sensitivity to the aging population and diverse cultures.
Bi-lingual in Mandarin/Cantonese, Tagalog, Spanish, or other language capacity (Highly Desirable).
Computer literacy (Required).
Ability to perform duties with minimal supervision.
Ability to communicate clearly in both verbal and written forms.
Desire to promote a positive, professional and organizational image in the community.
Sensitivity to seniors and their needs.
Sensitivity in handling complex/confidential information.
Ability to work under pressure.
Ability to work as a member of a team.
Although preferred, driving is not required.
Certified in Red Cross, First Aid and CPR required. Ability to be obtained within 30 days of hire.
Demonstrates the necessary attitudes, knowledge and skills to deliver culturally competent services and work effectively in cross-cultural situations.
Prerequisites Required Prior to the First Day of Employment
Fingerprinting
Clearance: Required
TB Screening -
Negative Tuberculosis Test: Required
First Aid
Certificate: Required
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Frequent bending, standing, stooping, kneeling, reaching, twisting, and walking.
Intermittent lifting, pushing, and pulling.
Frequent repetitive motions: Making substantial movements (motions) of the wrists, hands, and/or fingers.
Light work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; and extensive reading.
Driving is required for this position.
If driving a car is required for the position, incumbent must have a valid California driver's license and be able to provide proof of DMV record and personal insurance (if required.)
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
May include contact with clients with mental health issues who demonstrate behaviors such as use of profanity, shouting, running away, self-harm and violence.
The worker is occasionally exposed to cleaning products.
The worker is occasionally exposed to perfume or scents in personal care products used by employees, clients, and visitors.
The worker is regularly exposed to arts and crafts supplies that may contain odors such as non-toxic paint, glue, permanent markers, dry erase markers and crayons.
The worker is occasionally exposed to latex, bleach solution, cigarette smoke, and animals for pet therapy projects.
The worker is subject to atmospheric conditions: One or more of the following conditions that affect the respiratory system of the skin: Fumes, odors, dusts, mists, gases or poor ventilation.
The worker is subject to noise: Noise level in work environment can be moderate to excessive.
The worker is subject to outside environmental conditions: No effective protection from weather.
The work environment includes traveling using various modes of transportation.
Disclaimer
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all
responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
In accordance with the requirements of title II of the Americans with Disabilities Act of 1990 ("ADA"), Catholic Charities SF does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities. Furthermore, Catholic Charities SF does not discriminate on the basis of disability in its hiring or employment practices and complies with all regulations promulgated by the U.S. Equal Employment Opportunity Commission under title I of the ADA
CATHOLIC CHARITIES IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER and is committed to providing equal employment without regard to race, color, creed, religion, national origin, ancestry, age, sex, sexual orientation, gender identity, legal domicile status, veteran status, disability or AIDS/HIV status or any other characteristic protected under federal or state law.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
