Senior LIFE is an innovative home and community based Medicare and Medicaid funded program which provides all-inclusive healthcare services and support to seniors living in the community. Senior LIFE makes it possible for seniors to remain at home, enjoying the comfort and reassurance of familiar surroundings while receiving the care they need. Senior LIFE staff live the mission of the program. Our team is committed to partnering with our seniors to remain at home through promoting open communication and shared decision making while providing excellent care and services.
Responsibilities
Overseeing direct social work case management services for caseloads of up to 50 LIFE Center members
Providing social service support including screenings, counseling and external referrals, as needed
Reevaluating and updating Plans of Care based on change in members’ status, emergent conditions and other relevant circumstances, then communicating changes to all relevant stakeholders (i.e. interdisciplinary teams, families, caregivers)
Completing ongoing periodic assessments to ensure a thorough evolution of member care, in keeping with changing needs and requests
Documenting all visits, including deviations from approved care plans and prescribed intervention techniques
Documenting member medical records and maintaining electronic case management assessments for immediate and future use
Identifying development areas, including individual member enhancements and overarching LIFE Center opportunities for growth and expansion, then developing and implementing these improvements
Counseling families in both individual and group settings, and leading relevant activities to educate these care participants
Visiting in-home members, assessing needs and developing/implementing comprehensive speech/language care plans accordingly
General administrative duties, including completing and submitting 1768 documents to required agencies