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.

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.

Benefits

  • Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
  • Life & AD&D Insurance.
  • Short-Term and Long-Term Disability (with options to supplement)
  • 403(b) Retirement Plan: Employer match, additional non-elective contribution
  • PTO & Paid Sick Leave
  • Tuition Assistance, Advancement & Academic Advising
  • Parental, Adoption, Surrogacy Leave
  • Backup and On-Site Childcare
  • Well-Being Rewards
  • Employee Assistance Program (EAP)
  • Fertility Benefits, Healthy Pregnancy Program
  • Flexible Spending & Commuter Accounts
  • Pet, Home & Auto, Identity Theft and Legal Insurance

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Number of Employees

501-1,000 employees

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