Under the direct supervision of the Social Worker, the Social Work Assistant is responsible for direct social work case management services to participants.  

 Responsibilities 

• In conjunction with the Interdisciplinary Team, the Social Work Assistant may meet with family members and others. Social Work Assistant is responsible for coordinating ongoing family meetings, as needed.
• Administer individual and family counseling as needed or prescribed in the plan of care and assessments; develop and lead group counseling as needed or prescribed in the plan of care and assessments; develop and lead group counseling and support activities under direct supervision of the Social Worker.
• Provide ongoing case management and advocacy as required.
• In conjunction with the Interdisciplinary Team, coordinate discharge planning for participants returning home from the hospital or nursing facility. 
• Maintain current, written case management records, including ongoing documentation of services provided, and participants expressed wishes.
• Act as a liaison between the participant and other agencies such as Department of Aging, Social Security Administration, Medicaid, etc. 
• Assist with money management
• Assist with ongoing financial eligibility for participants, including recertification as needed.
• Participate in participant-related conferences in the community as designated.
• Maintain confidentiality of participant information.
• Attend and participate in staff meetings, in-services, projects, and committees as assigned.
• Adhere to and support the centers practices, procedures and policies including assigned break times and attendance.
• Accept assigned duties in a cooperative manner; and perform all other related duties as assigned.
• Be flexible in schedule of hours worked.
• May require use of personal vehicle. 

 Education & Training

• Preferred one (1) year of documented   experience in working with a frail or elderly population required.
• Prefer experience in a community-based   setting or geriatric program.
• Bachelors degree in social work or related   field required.
• Is medically cleared for communicable   diseases and has all immunizations up-to-date before engaging in direct   participant care. 

Skills & Abilities

• Interest in the risk-based long-term program to serve   frail elderly in a community-based setting.
• Experience and thorough knowledge of social service   principles and practices.
• Knowledge of psychosocial, behavioral, and family needs of the   elderly population.
• Knowledge of financing mechanisms such as Medicare, Medicaid,   and Prospective Payment Systems.
• Knowledge of the local and social service delivery systems and   aging network.
• Proven ability to work in an interdisciplinary team.
• Ability to work effectively and harmoniously with the staff,   the elderly, and providers of services, public and private agencies.
• Energetic, dependable, resourceful and flexible.
• Effective oral and written communication skills.
• Computer skills required.