Social Worker (MSW) Full Time, Days, 8:30AM-4:30PM, Atlantic Medical Group, Morristown, NJ

Atlantic Health System • Morristown, NJ

1d

About The Position

The social worker will primarily function as one of our GUIDE Care Navigators and acts as the primary point of contact between eligible patients living with dementia, their caregivers (referred to as the dyad), and the care team at the Geriatric Assessment Center and AHS. Principal Accountabilities: (1). Provide eligible patients and families with a screening assessment and educate them about the GUIDE model and its components. (2). Participate in completion of the enrollment documents and submission of all information on the information portal at the time of enrollment and on an ongoing basis as delineated by CMS. (3) Provide dementia-specific education and support to the patient and family, and help families learn what to expect in the future. (4) Routinely perform home visits and virtual visits to screen dyads for unmet care needs (including clinical and medication issues), behavioral issues, safety risks, and psychosocial well-being. (3). Work closely with the GUIDE Program Manager and the GAC clinical team to address care needs and coordinate respite referrals. (4). Connect dyads to local community services, including respite care. (5). Collect information about medications and medication adherence, present this information to the care team, assist in medication reconciliation, and help implement strategies to improve medication adherence. (6). Work with both the care team and the dyad to assess medication side effects and changes in function and behavior. (7). Routinely collaborate with the GUIDE Program Manager to address more complex medical or psychosocial issues.

Requirements

• MSW from an accredited school of social work.
• NJ LSW or LCSW required.
• Previous medical hospital social work and grant experience strongly preferred.

Nice To Haves

• Maintains current knowledge of trends and advances in clinical practice and healthcare informatics, as well as new developments and innovations in hardware and software technology.
• Demonstrated initiative, problem identification, resolution and analytical skills are essential, as well as excellent oral and written communication skills

Responsibilities

• Provide eligible patients and families with a screening assessment and educate them about the GUIDE model and its components.
• Participate in completion of the enrollment documents and submission of all information on the information portal at the time of enrollment and on an ongoing basis as delineated by CMS.
• Provide dementia-specific education and support to the patient and family, and help families learn what to expect in the future.
• Routinely perform home visits and virtual visits to screen dyads for unmet care needs (including clinical and medication issues), behavioral issues, safety risks, and psychosocial well-being.
• Work closely with the GUIDE Program Manager and the GAC clinical team to address care needs and coordinate respite referrals.
• Connect dyads to local community services, including respite care.
• Collect information about medications and medication adherence, present this information to the care team, assist in medication reconciliation, and help implement strategies to improve medication adherence.
• Work with both the care team and the dyad to assess medication side effects and changes in function and behavior.
• Routinely collaborate with the GUIDE Program Manager to address more complex medical or psychosocial issues.

What This Job Offers

• Job Type: Full-time
• Number of Employees: 501-1,000 employees