Independence Care System (ICS) is a unique, one-of-a-kind place to work. Our staff smiles a lot, are very committed, diverse and passionate! We’re looking for someone who fits in with our culture of community, is hard-working and dedicated to serving our members. Here is a bit more about us:
We were founded in 2000, from the beginning we sought to do something different. We aimed to serve younger adults—in their 20s and 30s, 40s and 50s—with physical disabilities, many who needed so much daily assistance that others thought they had to live in a nursing home. Today, as more young adults join our membership, our long-time members grow older with us, and we expand to serve even more senior adults, we believe what our name implies: that Independence is what all of our members want, and that our Care System --responsive, coordinated, expert, empowering, respectful and flexible—is key to safeguarding that independence
As part of an interdisciplinary team within Care Management the Social Worker participates in assessing and evaluating the needs of members, and works with the member and the rest of the team in planning and implementing care that addresses the care needs of the member. This position is based in the community approximately 60% of the workweek. This work is carried out in support of the mission and goals of Independence Care System. This is a fast-paced and exciting job!
Conducts visits and assess member’s status and needs.
- Prepares for member visits by reviewing case materials, completing Member Complexity Assessment, and bringing important information.
- Explains the purpose of the visit and answers member’s questions about ICS policies and procedures.
- Assesses medical needs, behavioral health, functional abilities, home environment, finances, family and community supports, understanding of diagnosis and disabilities
- Identify and prioritize member needs, as well as implement appropriate interventions.
- Assist with discharge planning as appropriate
Completes Comprehensive Care Plans - develops a care plan tailored to meet member’s needs, issues and desired outcomes.
- Reviews Advanced Directives and other information with the member.
- Gathers all information needed to complete care plan.
- Reviews areas covered and agreements reached during the visit.
- Follows through to ensure that member needs are adequately addressed (obtains prescriptions, makes linkages, provides referral information to the member, monitors member compliance with medical appointments, etc.)
- Completes follow-up documentation thoroughly and in a timely fashion.
- Participate with other team members in developing and monitoring Member care plans, including participation in care team meetings.
- Develop and facilitate the involvement of the primary physician as a care team member
- Supervise providers for compliance with contractual requirements and care plans
- Communicates in a collaborative way with other ICS staff and members, including
- engaging in difficult conversations with members and co-workers; utilizes “Coach Approach” communication with ICS staff and members.
Documentation, Reporting and Compliance – clear and complete documentation, and reports that adhere to timeframes and ICS guidelines
- Document care plan in member’s record, member contacts, and revise written care plan as needed.
- All member-related interactions and information are thoroughly documented and reflects an understanding of member issues and needs, and appropriate interventions.
- Meets agency productivity expectations regarding all matters related to care planning and in accordance with state regulatory standards (monthly member contacts, care plans, advance directives, etc.)
- Participates in other activities related to regulatory compliance, (i.e. state audits, IPRO projects).
Other duties as necessary.
- Eat, sleep and breathe networking and building relationships.
- Bachelors in Social Work (BSW) required. Master’s Degree in Social Work (MSW) or Mental Health preferred.
- Minimum two (2) years’ work experience in the social or health services fields.
- Experience in conducting assessment interviews and documenting.
- Highly self-motivated and ability to manage time independently
- Comfortable with extensive travel in Brooklyn, Manhattan, the Bronx, and/or Queens.
- Experienced with the Centers for Medicare and Medicaid compliance requirements.
- (2) Social Worker (Bilingual in Spanish) - (2) Social Worker (Bilingual in Russian)
- Experience working directly with people with physical disabilities preferred.
- Previous experience in non-profit organization preferred.
- Experience working in a multi-site organization a plus.
- Bilingual (English/Spanish/Russian/Chinese) a preferred.
- 4 weeks of Paid Time Off the first five years (and more thereafter), plus 10 paid holidays!
- Medical, Dental, Vision insurance, Tuition Assistance and more.
- Independence Care System is an equal opportunity employer
Minimum Education Required