Social Worker Care Any Where LCSW Modesto at Alignment Healthcare
Modesto, CA 95350
About the Job
As a member of the AHC Clinical Team, will provide direct social work services and support to AHC members by conducting home and residence visits as assigned, including home safety and wellness assessments, care planning and on-going re-assessments of member care to support immediate and long-term care needs.
Following a thorough assessment completed by a mid-level provider, the AHC Social Worker partners together with the members’ assigned Mid-Level Provider (MLP) to refer members to appropriate no or low-cost community services that support health and independence such as Meals On Wheels (MOW), local Area Agencies on Aging (AAA), Senior & Assistance Programs, and transportation resources.
Involves the members’ families and primary caregiver(s) as needed to achieve the best care decisions and outcomes.
Effectively collaborates with all those involved in the members’ care, including health services contractors (i.e., Home Health, Hospice, Community Agencies), to meet the members’ care goals and further success.
Consults with and advises the Clinical Team regarding the relationship of social, emotional, and cultural factors to health and medical care, and to the availability of social services in the community.
Assists MLP in supporting the member care plan, including education and completion of advance directives (i.e., Five Wishes, DNR, POLST, etc.) as appropriate.
Complies with safety policies and procedures, identifying and immediately reporting any potential or actual unsafe acts or conditions to their supervisor/team. Takes necessary measures to ensure a safe environment for oneself, co-workers, contractors, participants, visitors and others.
Consistently meets or exceeds AHP targets for productivity, customer service, quality assessment, and performance targets.
Understands the importance of community involvement and participates as appropriate in activities that link AHP to its communities.
Maintains current written progress notes and other documentation on the member Medical Record including signed and dated documentation for all service performed the day the service is provided.
Participates in program and policy development of the AHP Social Work program.