Social Worker at Harbor Health Services Inc

The Geriatric Social Worker-LCSW or LICSW plans, coordinates and manages social work services for frail older adults (55+) and caregivers of ESP within the community as part of Integrated Disciplinary Team (IDT).   Duties include conducting initial, semiannual and annual assessments; participating in the Intake process for potential participants; providing supportive counseling to ESP participants and their family members and actively participating in Interdisciplinary Plan of Care meetings and other team meetings. Training will be on-site, but currently, due to the COVID-19 restrictions, work will be done remotely while collaborating with the IDT team members and manager to determine if Home Care visits are needed. 

The Harbor Health Elder Service Plan offers a personalized healthcare program provided by our own geriatric professionals and guided by a care plan developed and customized for our elder client’s individual’s needs. Join a Social Work team that focuses on meeting those needs and improving their quality of life!

Essential Functions:

• Provides individual counseling and supportive family counseling at ESP and conducts participant support groups.

• Participates in the intake screening process for potential participants, conducts a bio-psychosocial assessment.

• Conducts timely initial, annual, and semiannual psychosocial assessments in order to develop participants plan of care using assessments tools including PHQ-9, MOCA, and CDR.

• Actively participates in required meetings to include but not limited to Morning/Weekly Team, Plan of Care, and Family Meetings, arranges family meetings for    IDT.

• Participates in the End of Life care team.

• Responsible for attending monthly service plan meetings for participants in assisted living and nursing home facilities.

• Provides individual counseling and supportive family counseling at ESP and conducts participant support groups.

• Manages clients during psychiatric hospitalizations.

• Assists/advocates for, clients and families with community resources and IDT.

• Works with financial staff for bi-annual financial re-determinations.  

Required/Preferred Education, Experience and Skills:  

• MSW from an accredited school of social work, LICSW required with current license.

• 1 year of experience working with the frail elder population (paid or volunteer experience) required.

• 2 years of professional experience, of which 1 year was in providing direct behavioral health therapy, to an adult population.

• Basic skills in Microsoft Office applications: Word, Excel and Outlook.  

• Experience with dementia care, substance abuse and end of life care preferred.  

• Case Management experience.  

• Critical thinking skills to problem solve individually and in a team setting.

• Bilingual English /Spanish, Haitian Creole, Russian, and/or Portuguese desirable.  

Harbor Health is an Equal Opportunity Employer M/F/V/D.