Job description

Location: CHA East Cambridge Care Center
Work Days: Monday-Friday from 8:00am-4:30pm
Category: Human and Social Services
Department: CHA PACE
Job Type: Full Time
Work Shift: Day
Hours/Week: 40.00
Union: Yes
Union Name: Union of Social Workers

DEPARTMENT DESCRIPTION:
CHA PACE is a Program of All-Inclusive Care for the Elderly (PACE) at Cambridge Health Alliance (CHA). CHA PACE serves adults 55 years and older with chronic medical and/or mental health difficulties with the goals of achieving the highest level of community independence and preventing nursing home placement. CHA PACE's high functioning interdisciplinary team works to fully integrate and coordinate medical and behavioral health care, community resources, and in-home support services.

Job Duties:
1. Actively frames interventions based on the PACE model of care in collaboration with the IDT and participant’s plan of care.
2. Develops, coordinates and implements discharge plans consistent with participant’s goals and IDT recommendations.
3. Acts as participant navigator for new enrollees and their families.
4. Acts as a resource to the MSW staff regarding participant’s concrete service needs.
5. Provides support to participants through empathic, trusting relationships.
6. Documents in the medical record.
7. Other duties as assigned

MINIMUM QUALIFICATIONS: Education/Training:
BS in related health field or relevant experience

Work Experience:
Experience working with relevant community groups preferred. Demonstrated experience working in multicultural and multidisciplinary settings required.
One year experience working with the geriatric population.
At least 2 years experience with Care Coordination, Discharge Planning, Utilization Review, or similar.

Other information:
Bicultural and/or bilingual in the specific cultural/language group of the population/community served in a particular job.
Reliable transportation for home visits.
Flexibility, initiative, creativity, and excellent organizational skills.

In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based on race, religion, color, gender, age, marital status, national origin, sexual orientation, gender identity, veteran status, disability or any other characteristic protected by law. We are committed to establishing and maintaining a workplace free of discrimination. We are fully committed to equal employment opportunity. We will not tolerate unlawful discrimination in the recruitment, hiring, termination, promotion, salary treatment or any other condition of employment or career development. Furthermore, we will not tolerate the use of discriminatory slurs, or other remarks, jokes or conduct, that in the judgment of CHA, encourage or permit an offensive or hostile work environment.

Cambridge Health Alliance brings Care to the People - including your neighbors, friends and family. Our local hospitals and care centers serve our vibrant, diverse communities, and play an integral role in improving health. As passionate advocates for the underserved, we actively partner with our communities to take on challenging public health issues, and conduct important research to help reduce barriers to care. We believe that everyone deserves access to high quality, convenient health care. This is why our employees believe in where they work and why many build long, rewarding careers at CHA.

Healthcare is changing rapidly. CHA has a strategic plan that charts a proactive course for our future. It is built on a vision of equity and excellence for everyone, every time. It also recognizes that our workforce is our most valuable asset and prioritizes competitive salaries, benefits and professional development opportunities for employees. The strategic plan is changing the way we provide care and improving the health and experience of our patients; we are looking for smart, committed, compassionate people who want to be part of making our vision of better health and equity a reality.

At CHA, you can believe in where you work and go home every day knowing you made a difference. Join our team and help us bring Care to the People.

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