PACE Social Worker - Upham's PACE

Upham's PACE
Boston, MA

Posting Date: February 5, 2024

Posting Expiration Date: June 3, 2024

Uriah Kashmann-Myrow
617-288-0970 x 8929

The PACE Social Worker serves as a core member of the PACE Interdisciplinary Team (IDT) through the provision of therapeutic interventions, case management, and advocacy on behalf of program participants and their caregivers.

Duties & Responsibilities:

  • Provide care to a caseload of older adults and their families/caregivers in a variety of settings including, the PACE Day Health Center, participant’s homes, and care facilities.
  • Provide in-person, telephonic, and virtual supportive counseling to participants, families, and caregivers.
  • Conduct initial, bi-annual, and unscheduled comprehensive assessments of participants.
  • Develop and implement fluid, participant centered care plans.
  • Collaborate with the Community Resource Specialist to support participants and caregivers in completing their case management needs.
  • Work closely with the Behavioral Health Therapist and Chaplain to ensure that participant’s mental and spiritual wellness are supported.
  • Attend daily meetings with the PACE IDT
  • Contribute to the problem-solving process of participant care issues using social work values and principles.
  • Act as liaison between the IDT and caregivers/family.
  • Orient participants, families, and caregivers to PACE services.
  • Coordinate care with outside providers and programs.
  • Play an active role in the end-of-life transition for participants, families, and caregivers. Identify, organize, and implement support groups for participants and caregivers.
  • Complete documentation in accordance with Upham’s PACE and CMS standards.
  • Supervise Social Work Interns as needed.
  • Present ethical dilemmas at quarterly Ethics Committee meetings.
  • Perform other duties as required by the position and/or as assigned by the Manager of Social Work.

If interested, please apply here.