Circle of Care St. Louis is leading the way in transforming healthcare for aging adults. Our innovative models improve lives, strengthen communities, and save healthcare systems money. Instead of sticking with old-fashioned designs, we constantly question the norm and find new, better ways to support aging adults and those with disabilities. Our five main programs provide various services to help those we serve stay healthy, independent, and engaged in their community. Our organization's goal is to make a positive impact on their lives. Responsible for assessing participants' psychosocial needs and coordinating support services for older adults in under-resourced communities. Plans for and monitors services and interventions, ensuring the provision of quality care.
Specific Responsibilities
Conducts comprehensive assessments and ongoing re-assessments of participants, including psychosocial, physical, and mental health, environmental, and spiritual needs. Writes comprehensive assessments. Based on assessment information with the client, develop and initiate the client-centered Individual Service Plan. Identifies, arranges for, and monitors appropriate community services based on a good knowledge of Medicare, Mo Healthnet, and other entitlement programs. Establishes and maintains a care management relationship with clients and their significant others as appropriate, offering respect, dignity, and support. Provides crisis intervention, advocacy, problem-solving, and therapeutic interventions. Meets with clients at least monthly and more often as needed. Reviews and modifies their Individual Service Plans on an ongoing basis. Documents via progress note all case management activity regarding identified problems within 24 hours, adding any new problems 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 community resources. Establishes and maintains open and effective communication with community providers, including other health care and social service workers. Provides appropriate information on all significant aspects of individual client care and program operations while maintaining necessary confidentiality. Monitors the quantity and quality of the services provided by other involved providers. In collaboration with the client, caregiver, and involved services, terminates clients when appropriate. Documents the process as required. Participates in research studies and data collection, as required. Participates in and promotes ongoing efforts toward Continuous Quality Improvement. Utilizes supervision appropriately, maintaining open lines of communication and providing updates on caseload activity. Actively incorporates the ethical standards of the National Association of Social Workers into all aspects of interactions with others. Understands and applies the regulatory and procedural requirements of Community Living Services as well as the policies and procedures of the Institute on Aging. Attends continuing education classes and/or In-service training to increase knowledge, skills, and attitudes related to case management, gerontology, family and community systems, and other areas relevant to the client population. All other reasonably related responsibilities as assigned. Education
B.A or B.S in Social work or related field required
Background and Experience
One year's experience working with disabled adults and/or frail elderly is required. Experience with and understanding of the medical and psychosocial problems of functionally impaired adults and the frail elderly. 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. Computer literacy is required. Physical and Language
Ability to lift to 25 lbs. Ability to reach, bend, and walk Five finger manipulation Ability to speak and write English clearly Circle of Care, St. Louis, reserves the right to adjust work hours or duties when appropriate. Circle of Care, St. Louis is an Equal Opportunity Employer. Circle of Care, St. Louis, is committed to cultivating a diverse and inclusive work environment and providing equal opportunities to all employees and job applicants without regard to age, race, religion, color, national origin, sex, sexual orientation, gender identity, genetic disposition, neurodiversity, disability, veteran status or any other protected category under federal, state and local law. By applying to this job, you agree to receive periodic text messages from this employer and Homebase about your pending job application. Opt out anytime. Msg & data rates may apply.
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